REPUBLIC OF THE PHILIPPINES )

MEYCAUAYAN, BULACAN) SS.

AFFIDAVIT OF LOSS

I, lali servicios, Filipino, of legal age, single, and a resident of 54 Bunducan

Bocaue, Bulacan, after having been duly sworn in accordance with law, hereby depose
and say:

1. That I am a holder of an Access ID issued by B-Mirk Enterprises Corporation;

2. That I used to put said Access ID in my wallet;

3. That sometime on September 21, 2018, when I tried to look for my wallet
including my Access ID in the place where I usually put it, I could not find it;

4. That I have exerted all the efforts needed to find it but to no avail;

5. That the said Access ID is now lost and beyond recovery;

6. That I am executing this affidavit to attest to the truth of the foregoing facts and
to use it for all intents and legal purposes and to request for its replacement.

IN WITNESS WHEREOF, I have hereunto affixed my signature this September,

20, 2018 at Meycauayan, Bulacan, Philippines.

___________________________
AFFIANT

Before me a Notary Public for and in Meycauayan, Bulacan, personally

appeared lali servicios on September 22, 2018, who exhibited to me her SSS ID
No. 1111111

Notary Public
Doc. No.;
Page No.;
Book No. ;
Series of 2018.