Sample Affidavit of Loss of Passport

I, ___________________, of legal age, Filipino, single and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:

1. On January 12, 2010, I was issued a Philippine Passport by the Department of Affairs in Manila; 2. Recently, I had tried to look for the said passport but the same could not be found;

3. Despite diligent search and efforts to locate the said passport, I could not find the same such that I believe that it is now lost beyond recovery;

4. As such, I am executing this affidavit to attest to the foregoing facts and to support the application for the issuance of a new one in lieu of the one which was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in Makati City, Metro Manila , Philippines .

____________________ GSIS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in _________________ , Philippines, affiant exhibiting to me his valid proof of identification.

Doc. No. _____; Page No. _____; Book No. _____; Series of 2013.

Philippine Legal Forms Tags: Affidavit, Affidavit of Loss

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All legal forms contained in this website are for general reference purposes only. The samples provided are not guaranteed for accuracy or reliability. It is strongly recommended that you consult a lawyer and have a customized document drawn to suit your requirements. Always seek legal advice before executing any legal document.