Affidavit of Loss Marvs

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REPUBLIC OF THE PHILIPPINES )

CITY OF QUEZON ) S.S

AFFIDAVIT OF LOSS

I, ANIL PRAKASH C. SAMTANI, Filipino, of legal age, single, and with residence and postal
address at 6H Tower E Eastwood Parkview Libis., Quezon City, after having been duly sworn in
accordance with law, hereby depose and state that:

1. I am the Authorized Representative of “KALARO GAMES PHILIPPINES INC.”, (“the


Corporation”) a corporation duly organized and existing under and by virtue of the laws of
the Republic of the Philippines;

2. That being resgistered with the Office of Barangay South Triangle, “the Corporation” has
been issued a Barangay Business Clearance and Barangay Clearance;

3. That when we vacated the place we designated to be our office at Rm. 403 Estuar Bldg.,
No.41 Timog Avenue, Barangay South Triangle, Quezon City, said documents or clearance
were misplaced and that despite diligent search and efforts, the sane could no longer be
found , such that I believe it is now lost beyond recovery;

4. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to
support my application for the Closure, Cessation or Cancellation of the business
Registration; and

5. This affidavit be used for all legal purposes and intents it may serve in the process of the
said closure of my supposed business.

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of


______________________, 2019 at ___________________, Philippines.

ANIL PRAKASH C. SAMTANI


AFFIANT
REPUBLIC OF THE PHILIPPINES )
CITY OF QUEZON ) S.S

ACKNOWLEDGEMENT

SUBSCRIBED AND SWORN TO before me this ____ day of _________________,


2019 at _______________________, affiant exhibiting to me his _________________ with
identification no. _________________ issued at ___________________ and valid until
________________.

NOTARY PUBLIC

Doc. No. ______


Page No. ______
Book No. ______
Series of 2019.

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