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Afidavit of Mutilation (Passport)

Ana Alicia L. Gonzales executed an Affidavit of Destruction/Mutilation regarding her Philippine Passport No. P9615154A, which was damaged due to water exposure. The damage has rendered the passport unusable for travel, prompting her to seek a replacement from the Department of Foreign Affairs. The affidavit was signed and sworn in Davao City on August 17, 2022.

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Eunice Ambrocio
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85 views1 page

Afidavit of Mutilation (Passport)

Ana Alicia L. Gonzales executed an Affidavit of Destruction/Mutilation regarding her Philippine Passport No. P9615154A, which was damaged due to water exposure. The damage has rendered the passport unusable for travel, prompting her to seek a replacement from the Department of Foreign Affairs. The affidavit was signed and sworn in Davao City on August 17, 2022.

Uploaded by

Eunice Ambrocio
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 )

Davao City ) S.S.


x--------------------------------x

AFFIDAVIT OF DESTRUCTION/MUTILATION

KNOW ALL MEN BY THESE PRESENTS:

I, ANA ALICIA L. GONZALES, of legal age, Filipino, single, and a resident of


Blk. 34 Lot 9, Saint Dominic St., Camella Homes, Brgy. Communal, Davao City,
Philippines after having been duly sworn in accordance with law, hereby depose and
say that:

1. I am a holder of Philippine Passport No. P9615154A issued on November


19, 2018 by the Department of Foreign Affairs in DFA NCR WEST;

2. The said passport was damaged/mutilated because it got wet while inside my
bag and the damage on the said passport has rendered it unusable for travel
purposes;

3. I am executing this Affidavit to attest to the veracity of the foregoing


information and to support the application for a replacement passport in my
favor, before the Department of Foreign Affairs (DFA).

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17th day


of August 2022, in Davao City, Philippines.

ANA ALICIA L. GONZALES


Affiant
Passport No. P9615154A

SUBSCRIBED and SWORN TO before me this 17th day of August 2022 in


Davao City, Philippines, affiant exhibited to me her competent evidence of identity
as indicate above.

WITNESS MY HAND AND SEAL.

Doc. No.____;
Page No. ____;
Book No. ____;
Series of 2022.

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