REPUBLIC OF THE PHILIPPINES)
__________________________________) S.S.
WAIVER OF APPEARANCE
I, _______, of legal age, American citizen, widow, and a resident of _______,
after being sworn in accordance with law, hereby depose and state that –
1. I am a Senior Citizen, having been born on August 19, 1940;
2. Due to quarantine restrictions brought about by the COVID-19
pandemic, all senior citizens are not allowed to leave their homes or go outside
of their houses;
3. I intend to apply for the re-acquisition of my Philippine Citizenship;
4. Due to my current age, I am not allowed to go outside of my home
and personally transact with the Bureau of Immigration, Philippine Embassy
and/or other government agency or office;
5. Considering the foregoing circumstances, I am waiving my
appearance before the Bureau of Immigration for the taking of my Oath of
Allegiance;
6. Finally, I am executing this affidavit to attest the truth and veracity
of the foregoing statements and for all legal intents and purposes it may serve.
7. Affiant sayeth naught.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
___________ 2020 at ____________, Philippines.
Affiant
SUBSCRIBED AND SWORN to before me, this __________, 2020 at City of
_____________________, affiant exhibiting to me his _________________ issued by
the _______________ and valid until __________________ bearing his photograph and
signature as competent evidence of his identity.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2020.