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Affidavit of Loss Not For Sale

This document is an affidavit of loss for a lost Philippine passport. It includes information such as the passport number, date and place of issue, date and location of discovery of loss, details of loss, a request for a replacement passport, and a signature affirming the truth of the statements. The affiant swears to the information before a notary at a Philippine Embassy consular section.

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97 views1 page

Affidavit of Loss Not For Sale

This document is an affidavit of loss for a lost Philippine passport. It includes information such as the passport number, date and place of issue, date and location of discovery of loss, details of loss, a request for a replacement passport, and a signature affirming the truth of the statements. The affiant swears to the information before a notary at a Philippine Embassy consular section.

Uploaded by

LR F
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES NOT FOR SALE

DEPARTMENT OF FOREIGN AFFAIRS


AFFIDAVIT OF LOSS

DATE
Foreign Service Post: (Ex. January 01, 2012)

AFFIDAVIT OF LOSS

I, , Filipino citizen, of legal age, presently residing at

after having been duly sworn to inaccordance with the law, do hereby depose and say:

1. That I lost my Philippine passport numbered

issued in on ;

2. That I discovered the loss on while I was

3. That I exerted diligent effort in locating the said lost passport, but to no avail;

4. That I am executing this affidavit to request the Philippine Embassy to issue a


replacement passport/ travel document in my favor, and;

5. That I attest to the veracity of the foregoing information.

IN WITNESS WHEREOF, I hereby affix my signature this day of

in the year in the .

Signature of Affiant over Printed Name

PHILIPPINE EMBASSY )
CONSULAR SECTION ) S.S.
__________________ )

SUBSCRIBED AND SWORN to before me this day of in the year

at the affiant having exhibited to me his/her passport no.

issued in on and valid until .

Doc. No.: _______________________


Service No.: _____________________
O.R. No.:________________________
Fee Paid: _______________________

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