I, MARIA ELENA FERIDO Y CAVAN, of legal age, married, Filipino, and a
resident of Purok 3, Caranza St., Brgy. La Filipina, Tagum City, Davao del Norte, Philippines, after having been duly sworn to an oath in accordance with law hereby depose and say:
1 That I am a duly registered member of the Government Service Insurance
System (GSIS); 2 That I was issued a Unified Multi-Purpose Identification Card (UMID) by the GSIS with number CRN-006-0027-8888-7; 3 That I placed the aforesaid card in my wallet; 4 That sometime on June 1, 2015 while at my place of work at Apokon Elementary School of the Department of Education (DepEd) at Apokon, National Highway, Tagum City, Davao del Norte, I lost the said wallet together with all the contents therein; 5 That after diligent search and inquiry, same could not be found and I now presume the wallet and all the contents thereof, including the aforesaid GSIS UMID Card, as lost for all intents and purposes; 6 That I execute this affidavit to prove the truth of the foregoing.
IN WITNESS WHEREOF, I set forth my signature this 13 th day of August, 2015 at
Tagum City, Davao del Norte.
MARIA ELENA C. FERIDO
AFFIANT PRC ID# 0273876 Issued on 1/3/14 Issued at Davao City
SUBSCRIBED AND SWORN TO BEFORE ME this 13th day of August, 2015 at
Tagum City, Davao del Norte, with affiant exhibiting her above indicated PRC ID.