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Affidavit of Lost Philippine Passport

This affidavit of loss was sworn by an individual who lost their Philippine passport due to flooding caused by Typhoon [name]. Their passport and all personal belongings were destroyed when their home was flooded. They understand that declaring the passport lost automatically cancels it, and it can no longer be used even if found. This affidavit was submitted in connection with applying for a new passport to replace the lost one.

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Janice Tolentino
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1K views1 page

Affidavit of Lost Philippine Passport

This affidavit of loss was sworn by an individual who lost their Philippine passport due to flooding caused by Typhoon [name]. Their passport and all personal belongings were destroyed when their home was flooded. They understand that declaring the passport lost automatically cancels it, and it can no longer be used even if found. This affidavit was submitted in connection with applying for a new passport to replace the lost one.

Uploaded by

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

____________________ ) S.S.

AFFIDAVIT OF LOSS

I, _____________________, of legal age, Filipino, married, and a


resident of ____________________________, Philippines, after having
been duly sworn in accordance with law, hereby depose and state:

1. That the undersigned was issued Philippine Passport No.


__________ by the Department of Foreign Affairs in
Manila/Consular Extension Office/Philippine Embassy/Consulate in
Pasay City on _____________;

2. That said passport was lost on _____________ under the following


circumstances:

a. That my passport were among those flooded and destroyed by


typhoon ___________ on ________________when my house and all
my personal belongings were completely destroyed by the storm and
flood;

b. That said papers are now beyond recovery.

3. That the undersigned fully understands that the said passport is


automatically deemed cancelled upon declaration of loss, and that if
found, it can no longer be used;

4. That undersigned is executing this affidavit of loss in connection


with his present application for a new passport;

That further Affiant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hand this ____


_______________ Quezon City, Philippines.

_______________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of


______________ in Quezon City. Affiant having exhibited to me his Driver’s
License No.________________ issued on _______________at
______________.

Doc. No.: ____;


Page No.: ____;
Book No.: ____;
Series of ______.

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