Sample Affidavit of Loss of a Diploma
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Transcript of Sample Affidavit of Loss of a Diploma
Republic of the Philippines)Pasig City )S.S
AFFIDAVIT OF LOSS
I, _____________________, of legal age, and with office address at __________________l, under oath, hereby depose and say, that:
1. That I am a graduate of Doctor of Medicine the University of East Ramon Magsaysay Medical Center, Manila in 1990.
2. That I was issued a Diploma by said University.
3. That said Diploma was missing and must have been lost sometimes in March 2012 when there was a renovation/extension of our residential house. Despite long and diligent it could no longer be recovered.
4. I am executing this Affidavit to attest to the truth of the foregoing and to support a request for replacement copy of the above-mentioned Diploma.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 24th day of July, 2013
_______________________________ Affiant
SUBSCRIBED AND SWORN to before me in Pasig City this 24 th day of July, 2013 by ____________________, who has satisfactorily proven to me her identity through __________ with number ______________ issued at ___________ valid until ______________.
Doc. No. _____;Page No. _____;Book No. _____;Series of 2013.