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Passport Affidavit for Replacement

This document is an affidavit of destruction/mutilation submitted by Antonio C. Tobes Jr. to request a replacement passport. In the affidavit, Tobes states that his Philippine passport was damaged and rendered unusable for travel. He affirms that the damage occurred due to unspecified reasons. Tobes attests to the truthfulness of the information provided in the affidavit and requests that the Department of Foreign Affairs issue him a new passport.
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0% found this document useful (0 votes)
881 views1 page

Passport Affidavit for Replacement

This document is an affidavit of destruction/mutilation submitted by Antonio C. Tobes Jr. to request a replacement passport. In the affidavit, Tobes states that his Philippine passport was damaged and rendered unusable for travel. He affirms that the damage occurred due to unspecified reasons. Tobes attests to the truthfulness of the information provided in the affidavit and requests that the Department of Foreign Affairs issue him a new passport.
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 )

Catarman Northern Samar ) S.S

AFFIDAVIT OF DESTRUCTION/MUTILATION

I, Antonio C. Tobes Jr. , of legal age, single, Filipino citizen, and presently residing at
Bobon, Northern Samar, after having been duly sworn to in accordance with law, do hereby depose
and say:

1. That I am a holder of Philippine Passport No. ________ issued on _________ by the Department
of Foreign Affairs in ______________;

2. That the said passport was damaged/mutilated due to ___________________


__________________________________________________.

3. That the damage on the said passport has rendered it unusable for travel purposes and therefore I
request the Department of Foreign Affairs to issue a replacement passport in my favor; and,

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

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______ 2018
at __________________, Philippines.

________________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _________ 2018 in


_______________, Philippines, affiant exhibiting to me his/her competent evidence of identity by
way of __________________ issued at ___________ on ________________.

Doc No. : _____


Page No.: ______
Book No.: ______
Series of 2018

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