School Id

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Republic of the Philippines)

City of Tagbilaran) S.S.

AFFIDAVIT OF LOSS
(School Identification Card)

I, STEPHANIE S. BONDALO, Filipino, of legal age, single, and a resident of Purok 1,


Tangnan, Panglao, Bohol, Philippines, after being duly sworn in accordance with law, depose
and state:

1. That I am a bonafide holder of a School Identification Card w/ ID No. 23-1536-504


issued by the University of Bohol – Tagbilaran City, Bohol;

2. That on April 17, 2024, my School Identification Card which was always in my
possession, was lost and its whereabouts cannot be ascertained despite due and diligent search
made and undertaken such that I now believe that the same is lost beyond recovery;

3. That said School Identification Card has not been confiscated by the school for any
violation of school rules whatsoever;

4. 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 School Identification Card, in lieu of the one
that was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this __________________ in


Tagbilaran City, Bohol, Philippines.

STEPHANIE S. BONDALO
Affiant
PH I.D. No. 6520-8549-0694-1821

SUBSCRIBED AND SWORN to before me this ____________________ in Tagbilaran


City, Bohol, Philippines.

Doc. No. _______

Page No. _______

Book No. _______

Series of 2024

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