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Affidavit of Mutilation

Rouella Bautista Ochea filed an Affidavit of Mutilation to attest that her passport issued on January 22, 2016 was damaged unintentionally by termites eating a significant portion of it while stored in her wallet. She is executing this affidavit to support her application for a new passport and for any associated legal purposes. The affidavit was sworn before an assistant in Cebu City, Philippines on an unspecified date.

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0% found this document useful (0 votes)
3K views1 page

Affidavit of Mutilation

Rouella Bautista Ochea filed an Affidavit of Mutilation to attest that her passport issued on January 22, 2016 was damaged unintentionally by termites eating a significant portion of it while stored in her wallet. She is executing this affidavit to support her application for a new passport and for any associated legal purposes. The affidavit was sworn before an assistant in Cebu City, Philippines on an unspecified date.

Uploaded by

Dax Monteclar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines)

City of Cebu ) S.S

AFFIDAVIT OF MUTILATION

I, ROUELLA BAUTISTA OCHEA, Filipino citizen, single, and a


resident of Suba, Basbas, Masulog, Lapu-Lapu City, Cebu, after having been
duly sworn in accordance with law, hereby depose and states:

1. That I was issued with a Passport by the Department of Foreign


Affairs on January 22, 2016;

2. That the said Passport was keep inside our wallet;

3. That significant portion of my passport was eaten by termites


causing to its mutilation;

4. That the said mutilation is unintended but due solely on the


foregoing reason;

5. As such, I am executing this Affidavit of Mutilation to attest to the


truth of the foregoing, to support my application for the issuance
of a new passport and for any legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____________________________ at Cebu City, Philippines.

ROUELLA BAUTISTA OCHEA


Affiant

SUBSCRIBED AND SWORN TO before me this


_____________________ at Cebu City, Philippines, affiant exhibiting to me
his UMID CRN 0111-4785274-1 issued by SSS-Cebu City, as competent
evidence of her identity.

Doc. No. 514 ;


Page No. 103 ;
Book No. I ;
Series of 2019 .

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