REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF LOSS

I, ISAGANI M. DIONELA, of legal age, Filipino, married,

with residential address at #2 Virgo Street, Carmel 5
Subdivision, Tandang Sora, Quezon City, subscribing under
oath, hereby depose and state:

1. That I am the holder of a valid Integrated Bar of the

Philippines (IBP) identification card issued by the Integrated
Bar of the Philippines;

2. That last February 15, 2018, I placed the aforesaid IBP

identification card inside my bag while I am at the Quezon City
Hall of Justice;

3. That when I looked for the IBP identification card

inside my bag, I could no longer locate it;

4. That my said IBP identification card could not be

found notwithstanding diligent efforts to locate the same and
is now considered lost for all legal intents and purposes;

5. That I certify this oath to report the loss of my IBP

identification card issued by the Integrated Bar of the
Philippines to avoid the said missing IBP identification card
from being used for illegal purposes by other persons;

6. That I execute this affidavit to attest to the truth of all

the foregoing facts and for securing a new IBP identification
card.
Affiant further says none.

________________________________________
ISAGANI M. DIONELA
Affiant

BEFORE ME, appears the person of ISAGANI M.

DIONELA presenting the above Affidavit, who is personally
known to me or identified by me through competent evidence
of identity as defined by the Notarial Rules as the person who

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signs the document and in my presence taken an oath or
affirmation before me as to such document.

WITNESS MY HAND AND SEAL this ______ day of

_______________, 2018 in _________________, _________________.

Doc. No. ____;

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

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