Republic of The Philippines) City of Dumaguete) S.S.: Notary Public
Republic of The Philippines) City of Dumaguete) S.S.: Notary Public
Republic of The Philippines) City of Dumaguete) S.S.: Notary Public
City of Dumaguete)S.S.
AFFIDAVIT OF LOSS
2. That sometime this July of this year, I was looking for the PRC Board of
Certificate but to my surprise, said certificate could not found;
5. That I am executing this affidavit for the purpose of affirming the truth of the
foregoing statements and for any legal purpose this may serve.
RUBY ZAMORA
Affiant
NOTARY PUBLIC
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20_______.