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Affidavit of Destruction or Mutilation - Template Form

✓ Valid in Philippines

Create your Affidavit of Destruction or Mutilation - Template Form for use in Philippines. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

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Affidavit of Destruction or Mutilation - Template Form
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REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________________________ )
CITY OR MUNICIPALITY OF ________________________ )S.S.


AFFIDAVIT OF DESTRUCTION OR MUTILATION


I, ________, of legal age, Filipino, single, and presently residing at ________, after having been duly sworn to in accordance with law, do hereby depose and state that:

1. I am the owner of a Philippine Passport which was issued at DFA Angeles (the "Passport");

2. The Passport was destroyed or mutilated in the following manner:

________

3. The destruction or mutilation of the Passport was not done intentionally or with any fraudulent intent, but occurred purely by accident and without any fault on my part;

I further undertake to surrender the destroyed or mutilated Passport to the Department of Foreign Affairs and to return the same should it be recovered or found at any later time.




________
Affiant


SUBSCRIBED AND SWORN TO BEFORE ME this _________ day of ______________________, 20______ at CITY OR MUNICIPALITY OF ________________________, ________________________ affiant, ________, personally appeared before me and exhibited to me their Driver's License no. ________ which is valid until ________.



Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.