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    Affidavit of Loss of Passport

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    marichell
    1. The document is an affidavit of loss of passport sworn by Alyssa C. Libatique. 2. She states that she is a Filipino citizen who held a Philippine passport that has since expired over a year ago. 3. On May 21, 2022, she discovered her passport was missing after moving residences, despite searching diligently.

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    Affidavit of Loss of Passport

    Uploaded by

    marichell
    40 views2 pages
    1. The document is an affidavit of loss of passport sworn by Alyssa C. Libatique. 2. She states that she is a Filipino citizen who held a Philippine passport that has since expired over a year ago. 3. On May 21, 2022, she discovered her passport was missing after moving residences, despite searching diligently.

    Original Description:

    Loss of Passport

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    1. The document is an affidavit of loss of passport sworn by Alyssa C. Libatique. 2. She states that she is a Filipino citizen who held a Philippine passport that has since expired over a year ago. 3. On May 21, 2022, she discovered her passport was missing after moving residences, despite searching diligently.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    40 views2 pages

    Affidavit of Loss of Passport

    Uploaded by

    marichell
    1. The document is an affidavit of loss of passport sworn by Alyssa C. Libatique. 2. She states that she is a Filipino citizen who held a Philippine passport that has since expired over a year ago. 3. On May 21, 2022, she discovered her passport was missing after moving residences, despite searching diligently.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines }

    City of MAKATI CITY } S.S.

    AFFIDAVIT OF LOSS
    OF PASSPORT

    I, ALYSSA C. LIBATIQUE, of legal age, Filipino citizen, resident of 6 Anislag Sreet,


    Project 3, Quezon City, Philippines, after having been duly sworn to in accordance with law,
    hereby depose and state:

    1. That I am the lawful holder of a Philippine Passport issued by the Department of


    Foreign Affairs (DFA) which number I could no longer recall since it already
    expired for more than a year.

    2. That I used to keep the passport in my cabinet in my room which was issued to
    me by the Department of Foreign Affairs.

    3. That on May 21, 2022, I and my family transferred from our old residence to our
    now new residence.

    4. That on May 21, 2022, I discovered that my passport could no longer be found,
    hence, the same is deemed lost and at point beyond recovery.

    5. That despite diligent search and efforts to locate the same, my efforts proved
    futile as I could no longer locate the same.

    6. That I understand that my declaration of the above-mentioned passport as lost


    shall be construed as satisfactory proof that the passport was lost. In compliance
    with Section 15 of RA 8239 of the Philippine Passport Act of 1996.

    7. That I further understand that said passport will immediately deemed cancelled
    and may no longer be used for travel or other purposes. As such, in case the said
    passport if found or retrieved, the undersigned will immediately surrender it to
    DFA.

    8. That I am executing this affidavit to attest to attest to the veracity of the


    foregoing facts and for whatever legal purpose it may serve under the law.

    IN WITNESS WHEREOF, I have hereunto set my hand this ______day of July 2022 in
    the CITY OF MAKATI, Philippines.

    __________________________
    __
    Affiant
    ACKNOWLEDGMENT

    BEFORE ME, a Notary Public in _____________________, personally appeared with


    Competent evidence of Identity/Valid Government issued ID
    _________________________________ issued on ___________________ at
    ___________________ known to me and to me known to be the same person who
    executed the foregoing instrument which he/she acknowledged to me to be his/her free
    and voluntary act and deed, consisting of ________ page/s, including this page in which this
    Acknowledgment is written, duly signed by him/her.

    WITNESS MY HAND AND SEAL, this _____________________ at


    ___________________, Philippines.

    NOTARY PUBLIC

    Doc No.: __________;


    Page No.: _________;
    Book No.: _________;
    Series of 2022.

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