Republic of the Philippines . . .

}
City of Zamboanga. . . . . . . . ..} S.s.
x………………………………...x

AFFIDAVIT OF LOSS
I, Sgt Sunday C Ruelo 823626 PAF, of legal age, married, Filipino and residing
at Flamingo Village, Upper Calarian, Zamboanga City, Philippines, after having been
sworn in accordance with law hereby depose and say:

That, I am a member in the active service of the Philippine Air Force, Armed
Forces of the Philippines presently assigned at 5322nd/530 ABW, PAF based at Sta
Maria, Zamboanga City.

That, I was awarded 81150 3th Skill Level (PAF FORM 1098) by the
Headquarters Philippine Air Force, Villamor Air Base, Pasay City;

That, said document 81150 3th Skill Level (PAF FORM 1098) was
noticed/discovered missing, believed to be misplaced thus I deemed it to be lost;

That, utmost efforts have been exerted to locate and/or recover the same but all
proved in vain and futile and same is now beyond recovery;

That, I am executing this affidavit attesting to the truth of the foregoing averment
and to inform the proper authorities particularly the Office concerned and to request for
the replacement/reissuance of another in lieu of the lost one.

That, further this Affidavit is executed for whatever legal purpose it may serve.
Signed this 31st day of May 2012 at Zamboanga City.

Sgt Sunday C Ruelo 823626 PAF

ffiant

SUBSCRIBED AND SWORN to before me this 31st day of April 2011 at the City
of Zamboanga City, affiant personally exhibited to me his CTC bearing #
issued on at .