Republic of the Philippines }

CITY OF DIGOS } ss.

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

AFFIDAVIT OF LOSS

I, VERONICA DONOVAN, of legal age, Filipino, single and a

resident of Aurora-Bataan, Poblacion, Digos City, Davao del Sur after
having been sworn to in accordance with law, do hereby depose and
state that:

1. I am a duly licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professionals Driver License with number
D21-03-701835 which is valid until March 2019;

2. Sometime in February 2017, said Drivers License was

misplaced and lost;

3. Efforts were exerted to locate said drivers license, but in spite

of diligent search, it could not be found and the same is now
beyond recovery;

4. Said Drivers License has not been confiscated by the LTO,

Police or other Traffic Enforcers for any traffic violation;

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

truth of the foregoing and to support my application for the
issuance of a new Drivers License, in lieu of the one that was
lost.

IN WITNESS WHEREOF, I have hereunto set my hand this 16th

day of June 2017 in Digos City, Philippines.

VERONICA DONOVAN
Affiant
SSS ID No. 09-1898833-7
 SUBSCRIBED AND SWORN to before me this this 16th day of
June 2017 in Digos City, Philippines, Affiant exhibiting to me her valid
identification document indicated below her name.

Notary Public

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2017.