Republic of the Philippines )
Republic of the Philippines )
City of Iloilo
) S.S
X-----------------------------------X
AFFIDAVIT OF LOSSI, MA FE TALENTO ARROZ , of legal age, married,
Filipino and resident of Pavia, Iloilo, Philippines after having
been duly sworn to in accordance with the law, hereby depose and
say;
That, I am the keeper of the book (Landas sa Pagbasa) of my Son
Scoth Anthony J. Arroz II given by Iloilo Central Elementary
School.
That, the said book was destroyed, Mutilated, and lost beyond my
control and its whereabouts and constitution could not be
ascertained anymore despite diligent efforts in my part having been
exerted;
That, I execute this affidavit to attest to the truthfulness of
the foregoing declarations;
In witness whereof, I have hereunto affix my signature this 30th
day of March , 2015 at Iloilo, Philippines.
MA FE TALENTO ARROZ Affiant
Competent Evidence of Identity
Philhealth ID Card No. 11-0502729241
SUBSCRIBED and SWORN to before me this _____ day of ______, 2015
at Iloilo city, Philippines, affiant exhibited her Philhealth ID
Card duly indicated below her name. I hereby certify that I have
examined the affiant and she acknowledges to me the foregoing
declarations are voluntarily made according to her personal
knowledge.
