Republic of the Philippines)
Mandaue City, Cebu ) S.S.
AFFIDAVIT OF LOSS
I, Carlo Emmanuel M. Cabatingan, of legal age, single, Filipino citizen, with residence address at
333 Sacris Road Bakilid Mandaue City ,under oath, depose and state:
(1) I, loss my School Identification card with student number 2008-32725
(2) On December 23, 2010 I lost my wallet when I was robbed in the streets of Colon which the
said above ID is one of the content of the said wallet.
(3) Diligent search of said Identification card and wallet proved futile and unavailing.
(4) I am executing this affidavit to comply with the requirements of proper identification for
student-related processes (enrolment, acquiring of true copy of grades, etc.)
Affiant further sayeth naught.
CARLO EMMANUEL M. CABATINGAN
SUBSCRIBED AND SWORN to before me this day of May 18, 2011 in Mandaue City, Cebu
affiant exhibiting to his Community Tax Certificate No. __________ issued on May 18, 2011 at
Doc. No. ____;
Page No. ____;
Book No. ____;