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Republic of the Philippines)

Province of Cebu )S.S.
City/Municipality of Bogo )
x---------------x
AFFIDAVIT OF LOSS

I, GREGGY ALFARERO, Filipino, of legal age, married and a resident of


Medellin, Cebu, Philippines, after being duly sworn in accordance with law, depose
and state:

1. That I have travelled from Tacloban to Cebu via Cebu Pacific;


2. That I was issued a boarding pass at Daniel Z. Romualdez Airport ;
3. That while in my possession the said boarding pass was misplaced and got
lost.

4. That despite diligent search and efforts to locate the said boarding pass, I
could not find the same such that I now believe that it is now lost beyond
recovery.
5. As such, I am executing this Affidavit of Loss to attest to the truth of the
foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at


Bogo City, Cebu, Philippines.

GREGGY ALFARERO
Affiant

SUBSCRIBED AND SWORN TO before me ______________ in Bogo City, Cebu,


Philippines, affiant being personally known to me to be the same person who executed
the foregoing instrument.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018.

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