AFFIDAVIT OF RENUNCIATION
of
PHILIPPINE CITIZENSHIP
KNOW ALL MEN BY THESE PRESENTS:
I, ,
(First Name) (Middle Name) ( Last Name)
Filipino citizen, , of legal age, with residence and postal address at
(civil status)
,
(complete address)
and phone number , after being duly sworn to in accordance
(mobile / landline)
with law, hereby depose and say:
1. That I was born on in ;
(date of birth) (place of birth)
2. That my parents are (father)
and (mother) ;
3. That I am a holder of Philippine Passport No. issued on
(date of issue) at (place of issue) ;
4. That I am applying / have applied for German citizenship, which will be approved if I
renounce my Filipino citizenship;
5. That I am executing this affidavit to expressly renounce my Philippine citizenship.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this day of
201 at the Philippine Consulate General, Frankfurt, Germany.
Signature of Affiant
FOREIGN SERVICE OF THE PHILIPPINES )
Consulate General of the Philippines ) S.S.
Frankfurt, Germany )
SUBSCRIBED AND SWORN TO before me this day of 20
in Frankfurt, Germany, affiant exhibiting to me his/her passport indicated above.
Doc. no.:
Book no.:
Page no.:
Service no.:
Administering Officer
O.R. no.:
Fee paid: Euro 22.50
Series of _____________ 201806