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Republic of the Philippines)


) S.S.

AFFIDAVIT OF LOSS

I,EDITA A. TURTOGA, Filipino, of legal age, married, and a


resident of _________________, Philippines, after being duly sworn to
in accordance with law, hereby depose and state that:

1. I am an employee of M.C. Ramiro & Associates with office


address at 2423 Zamora Street, Pasay City, Philippines;

2. On June 15, 2017, while in the office, I realized that my


BDO Cash Card with Card No. 6018539095960765 was missing;

3. As far as I could remember, I placed the said cash card on


top of my working table the other day before it went missing;

4. I already searched my working table several times and


even asked my officemates in case they saw the same, however
despite diligent search and efforts to locate the said Cash Card, I could
not find them such that I now believe that they are now lost beyond
recovery;

5. As such, I am executing this Affidavit of Loss to attest to


the truth of the foregoing and in support of the issuance of a new cash
Card, in lieu of the one that was lost.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto set my hand this ___


day of ______ 2017 at ____________ City.

EDITA A. TURTOGA
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______


2016, at Pasay City, affiant exhibiting to me her
___________________________, thus satisfactorily having proven
his identity to me.

Doc. No. ___


Page No. ___
Book No. ___
Series of 2017.