Professional Documents
Culture Documents
CITY OF ROXAS. . . . . . . . . . . . . ..
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AFFIDAVIT OF LOSS
That the authorities of the above-mentioned school issued a School Identification Card in
my favor,
That the same was lost and that I exerted diligent efforts to locate the same, but no to
avail. Hence, it is now considered beyond recovery;
That I am executing this affidavit to attest to the veracity of the foregoing facts and in
order to request from the said school for the issuance of a new School Identification Card in my
favor in lieu of that which was lost.
____________________________________
Signature over printed name
RF NO. _____________________________
Issued at ____________________________
Issued on ____________________________
Contact Number_______________________