Republic of thae Philippines)

City of Iloilo ) SS.

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

AFFIDAVIT OF LOSS

I, ______________________, Filipino, of legal age, _______________

(civil status) and with address at _______________________Iloilo, after having
been duly sworn to in accordance with law, depose and state that:

1. I am a student of TSKI SKILLS AND KNOWLEDGE INSTITUTE, INC.;

2. As such, Technical Education and Skills Development Authority

(TESDA) issued in my favor a Competency Assessment Result
Summary for NCII in Microfinance Technology;

3. After recent inventory, said Competency Assessment Result

Summary for NCII in Microfinance Technology was misplaced
and got lost at the office of TSKI SKILLS AND KNOWLEDGE
INSTITUTE, INC.;

4. Earnest efforts were exerted to locate said document, but despite

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

5. I am declaring the aforementioned document loss for all legal

purposes;

6. I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the re-issuance of the
said Competency Assessment Result Summary for NCII in
Microfinance Technology by the Technical Education and Skills
Development Authority (TESDA).

IN WITNESS WHEREOF, I have hereunto set my hand this 8th day of

November 2018 in Iloilo City, Philippines.

______________________
Affiant
__________ID No.:_________________

SUBSCRIBED AND SWORN to before me this 8th day of November

2018 in Iloilo City, Philippines, affiant exhibiting to me his/ her competent
evidence of identity found below his/ her name.

ATTY. STEWART PAUL T. TORRE

NOTARY PUBLIC in the CITY AND PROVINCE OF ILOILO
Doc. No.: ___ Notarial Commission Registration No.: 187
Valid until December 31, 2018
Page No.: ___ IBP No.1049090-Iloilo City-December 11, 2017
PTR No. 5810462-Iloilo City-January 5, 2018
Book No.: II Roll of Attorneys No. 67265
MCLE Compliance VI-0010210
Series of 2018. 2nd Floor A & L Building, E. Lopez St., Jaro Iloilo City