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REPUBLIC OF THE PHILIPPINES )

CITY OF MARAWI ) S.S.

I, Johanisah Mua Macalanggan , Filipino of legal age, married, and a resident of


Macadar, Lumbatan, Lanao del sur, after having duly sworn to in accordance with law,
hereby depose and say that:

1. I am a holder of a PROFESSIONAL TEACHER Identification Card issued by


Professional Regulation Commission;
2. I lost said Identification Card last November 24, 2018 and that I exerted efforts
to locate the same but I could not remember exactly where I placed it, and it is
considered lost for all legal purposes;
3. Said Identification Card was not confiscated by any Officer of the law by reason
of any violation of any law, ordinance, presidential decree or rules and
regulation of the said Commission; and neither was it offered as collateral for
any loan;
I am executing this affidavit to attest to the foregoing facts;

IN WITNESS WHEREOF, I have hereunto set my hand this 7th of May in the City of
Marawi, Lanao del Sur, Philippines.

Johanisah Mua Macalanggan


Affiant

SUBSCRIBED and SWORN to before me this _____________________________ in the


City of Marawi, Lanao del Sur, Philippines.

Doc No. ______________;


Page No. _____________;
Book No. _____________;
Series of 2019.

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