AFfidavit of Loss-Marvin

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REPUBLIC OF THE PHILIPPINES)

CITY OF _____________________ ) S.S.


x------------------------------------x

AFFIDAVIT OF LOSS

I, MARVIN JOHN TAN OMBROG, of legal age, single, Filipino,


and with residence at 2nd Floor 7008-A Wilson Street, Barangay Pio del
Pilar, Makati City, after having been duly sworn to in accordance with
law, depose and state that:

1. I am an employee of Century Limitless Corporation with office


address at 21F, Pacific Star Building, Gil Puyat Avenue, Corner
Makati Avenue, Makati City, since March 2015;

2. As such, I was issued an official Company Identification Card


sometime on March 3, 2015 with ID Number 150302B;

3. Just recently, the said ID was inadvertently lost in my possession


without my personal knowledge and that I have exerted diligent
efforts to find the said ID, but to no avail;

4. I am executing this affidavit to attest to the foregoing facts and for


purposes of replacement of said ID from the company.

IN WITNESS WHEREOF, I hereunto set my hand this 1st day of


August 2018 at _______________, Philippines.

MARVIN JOHN TAN OMBROG


Affiant
ID: ________________________

SUBSCRIBED AND SWORN TO BEFORE ME, this 1st day of


August 2018 at _______________, Philippines.

ATTY. ALJUN B. DIAZ


Public Attorney I
Pursuant to RA 9406

Doc. No. 443;


Page No. 23;
Book No. I
Series of 2018

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