REPUBLIC OF THE PHILIPPINES)

CITY OF BAGUIO

) S.S.

x----------------------------------x

AFFIDAVIT OF LOSS

I, ALAYSSA VERNESSE P. AGUILAR, of legal age, Filipino, single and a

resident of Lower Pinget, Baguio City, after having been duly sworn to in
accordance with law, depose and state THAT:

1. On January 12, 2012, I was issued a Philippine Passport by the

Department of Affairs in Manila;

2. Recently, I had tried to look for the said passport but the same could
not be found;

3. Despite diligent search and efforts to locate the said passport, I could
not find the same such that I believe that it is now lost beyond
recovery;

4. As such, I am executing this affidavit to attest to the foregoing facts

and to support the application for the issuance of a new one in lieu of
the one which was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this 10th of

January 2016 in Baguio City, Philippines.

ALAYSSA VERNESSE P. AGUILAR

Affiant
GSIS ID No.9769235

SUBCRIBED AND SWORN TO before me this 1st of February 2016 in

Baguio Ciy, Philippines, affiant exhibiting to me his valid proof of
identification.

ATTY. MAE ANN Y. BADUA

Notary Public

Notarial Commission No.331-2018

Roll No. 071015
PTR No.7313108, 1/3/18
IBP No. 785625, 1/2/18
BADUA-AGUILAR & Associates
Alviar Tower Building
Baguio City, Philippines

Doc. No. 1;
Page No. 2;
Book No. 3;
Series of 2018.