REPUBLIC OF THE PHILIPPINES )

MEYCAUAYAN) SS.

AFFIDAVIT

I, Louisse Castillo, Filipino, of legal age, single, and a resident of , after having
been duly sworn in accordance with law, hereby depose and say:

1. That I am a holder of an Passport ID;

2. 2. That I used to put said Passport ID together with other personal documents
in my wallet;

3. That sometime on May 1 2018, when I tried to look for the wallet in the place
where I usually put it, I could not find it;

4. That I have exerted all the efforts needed to find but to no avail;

5. That my Passport ID is now lost and beyond recovery.

6. That I am executing this affidavit to attest to the truth of the foregoing facts and
to request for a replacement of my Passport ID.

IN WITNESS WHEREOF, I have hereunto affixed my signature this June 19,

2018 at Meycauayan, Bulacan, Philippines.

___________________________
AFFIANT

Before me a Notary Public for and in Meycauayan, Bulacan, personally

appeared Louisse Castillo on June 19, 2018, whom I personally know.

Notary Public
Doc. No. ……..;
Page No. …….;
Book No. …….;
Series of 2018.