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Affidavit of Loss Passport AMORES

The document is an affidavit of loss for a passport. It details that the person, Alicia Achico Amores, has lost her passport and is unable to locate it. She understands that the lost passport will be cancelled. She is submitting this affidavit to apply for a new passport.

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Jose Carlos Yan
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0% found this document useful (0 votes)
34 views1 page

Affidavit of Loss Passport AMORES

The document is an affidavit of loss for a passport. It details that the person, Alicia Achico Amores, has lost her passport and is unable to locate it. She understands that the lost passport will be cancelled. She is submitting this affidavit to apply for a new passport.

Uploaded by

Jose Carlos Yan
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 )

Caloocan City, Metro Manila ) S.S.


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

AFFIDAVIT OF LOSS
OF PASSPORT
I, ALICIA ACHICO AMORES, of legal age, Filipino citizen, single and
presently residing at 30E T. Gener St., Kamuning, Quezon City after being duly sworn to
in accordance with law hereby depose and state:
That the undersigned exerted all efforts possible to locate or retrieve said
passport but to no avail.
That the undersigned fully understands that the said passport is
automatically deemed cancelled upon declaration of loss, and that if found, can no longer
be used.
That the undersigned is executing this affidavit of loss for the information of
all the duly constituted authorities and for the purpose of applying for the issuance of new
passport or travel document.
That further affiant/s sayeth none.

IN WITNESS WHEREOF, undersigned hereby affixes her signature this


25 day of July 2022 at Caloocan City, Metro Manila, Philippines.
th

ALICIA ACHICO AMORES


Affiant

SUBSCRIBED AND SWORN to before me this ______day of July 2022 in


Caloocan City, Metro Manila, Philippines. The Affiant having exhibited to me her
____________________issued by the ____________________.
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2022.

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