AFFIDAVIT OF LOSS I, Jessalyn I.

Basco, of legal age, single and residing at San Roque, San Pedro, Laguna, after having duly sworn, do hereby depose and state that: 1. I am the holder of a SIM card no. 0927-656-2802 at Globe Telecom; 2. A few weeks ago, My cell phone was stolen/lost while Im riding at the jeepney going home from school; 3. I took all necessary efforts to be able to find my stolen/lost cell phone, but the same was proven futile; and 4. I am executing this affidavit to attest to the truthfulness of the foregoing statements and for whatever legal purpose/s it may serve. IN WITNESS WHEREOF, I have hereunto set my hands this 27th day of July 2012 at San Pedro, Laguna

AFFIANT FURTHER SAYETH NAUGHT

Jessalyn I. Basco Affiant ______________________________ REPUBLIC OF THE PHILIIPINES) SAN PEDRO, LAGUNA ) S.S.

SUBSCRIBED AND SWORN to before me this 27th day of July 2012, affiant having exhibited to me her ID number issued on at Doc. No. Page No. Book No. Series of 2012 ; ; ;