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REPUBLIC OF THE PHILIPPINES Province of South Cotabato

) ) S.S.

AFFIDAVIT OF LOSS I, AMALIA A. BUENO, Filipino, of legal age, and a resident of Block 5, Lot 23, San Antonio Subdivision Phase 2, Brgy. Sta. Cruz, Koronadal City, South Cotabato, Philippines, after having been duly sworn to in accordance with law depose and say: 1. That I am the owner of an ATM CARD issued by Bank Of Philippine Islands (BPI), Koronadal City Branch; 2. That the said ATM CARD issued to me was lost and Despite of diligent search and effort exerted to locate The same proved futile such that I may now considered It completely lost and beyond recovery; 3. That I execute his Affidavit to attest to the truth of the Foregoing facts for all intents and for whatever legal Purpose this may serve best; IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of July 2010 at Koronadal City, South Cotabato, Philippines.

AMALIA A. BUENO Affiant SUBSCRIBED AND SWORN TO before me this 2nd day of June, 2010 in Koronadal City, South Cotabato, Affiant exhibiting to me her Residence Certificate No. 10360537 issued on January 15, 2010 at Koronadal City. NOTARY PUBLIC Doc. No. Page No. Book No. Series of 2010

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