AFFIDAVIT OF LOSS

1. The undersigned (the “Holder”), was issued or had the right to acquire the following shares of common , par value $0.01 per (the “Shares”), of American Technical Ceramics Corp., a Delaware (the “”):

Number of Shares: ______

(Check one): Issued

Common Stock Issuable Upon Exercise of Options

2. With respect to the stock certificate representing the issued Shares (the “Certificate”) or the agreement representing the right to acquire Shares (the “Option Agreement”), as applicable:

(Check one):

The Holder has made a diligent search of all of the Holder’s records and places of safekeeping of important documents or valuable property and has been unable to find the Certificate or Option Agreement, as applicable. The Holder accordingly believes that the Certificate or Option Agreement, as applicable, either (a) was never issued, or (b) has been inadvertently lost, stolen or destroyed. - OR-

The Holder states that the Certificate or Option Agreement, as applicable, has been mutilated and encloses with this Affidavit of Loss the remains of such Certificate or Option Agreement.

3. The Holder further states that, if issued, the Certificate or Option Agreement, as applicable, was not endorsed, pledged, sold, delivered, transferred, assigned, deposited under any agreement, hypothecated or otherwise disposed of. The Holder further states that no person, firm, corporation or government agency, other than the Company, has asserted any right, title, claim, equity or interest in or to the Certificate or Option Agreement, as applicable, or the Shares.

4. The Holder hereby agrees that, in the event of the recovery of the Certificate or Option Agreement, as applicable (or in the case of a mutilated Certificate or Option Agreement, as applicable, any additional remains of the same), at any time, the Holder will cause the same to be immediately returned to the Company for cancellation, without consideration or cost.

5. The Holder hereby agrees to indemnify and hold the Company, AVX Corporation and their respective stockholders, officers, directors and employees harmless from any loss, cost, expense, liability, action, claim, judgment or demand arising from the loss of the Certificate or Option Agreement, as applicable.

6. The Holder states that the above statements are true to the best of the Holder’s knowledge and belief.

IN WITNESS WHEREOF, the Holder has executed this Affidavit of Loss as of the date set forth below.

______Date {Print or Type Name}

______{Signature}

______{Capacity, if applicable}

PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY INSTRUCTIONS TO AFFIDAVIT OF LOSS

1. A separate Affidavit of Loss must be completed, signed and dated for each mutilated, lost, stolen or destroyed stock certificate or option agreement.

2. The Affidavit of Loss must be signed by the registered holder(s) of the mutilated, lost, stolen or destroyed stock certificate or option agreement, as applicable, or by person(s) authorized to become registered holder(s) by proper transfer of the shares represented by such mutilated, lost, stolen or destroyed stock certificate or option agreement, as applicable. If the person signing the Affidavit of Loss does so in his or her capacity as a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or any other person acting in a fiduciary or representative capacity, such person should indicate the capacity in which he or she signs and should submit with the Affidavit of Loss proper evidence of such authority.

3. In Item 1 of the Affidavit of Loss, fill-in the number of shares represented by the mutilated, lost, stolen or destroyed stock certificate or option agreement, as applicable, and check the box for issued Common Stock or Common Stock issuable upon exercise of options, as applicable.

4. In Item 2 of the Affidavit of Loss, indicate whether this Affidavit of Loss is completed with respect to a mutilated stock certificate or option agreement, as applicable, or a lost, stolen or destroyed stock certificate or option agreement, as applicable, by checking the appropriate box.

5. In the case of a mutilated stock certificate or option agreement, as applicable, enclose with the Affidavit of Loss the remaining portion of the stock certificate or option agreement, as applicable.

6. Any questions or requests for assistance in completing the Affidavit of Loss should be directed to American Stock Transfer and Trust Company at the address set forth on the accompanying Letter of Transmittal or at (877) 248-6417 or (718) 921-8317.