0% found this document useful (0 votes)
109 views1 page

Affidavit of Loss: I, JOHNNY SENGSON ESCALONA, of Legal Age, Filipino, Married and A

1. Johnny Escalona executed an affidavit stating that he was issued a Philippine passport on April 10, 2013 bearing passport number EB 7833152. 2. He has since been unable to locate his passport despite diligent search efforts and believes it is now lost beyond recovery. 3. He is submitting this affidavit to attest to these facts and to support his application for a new passport to replace the lost one.
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
0% found this document useful (0 votes)
109 views1 page

Affidavit of Loss: I, JOHNNY SENGSON ESCALONA, of Legal Age, Filipino, Married and A

1. Johnny Escalona executed an affidavit stating that he was issued a Philippine passport on April 10, 2013 bearing passport number EB 7833152. 2. He has since been unable to locate his passport despite diligent search efforts and believes it is now lost beyond recovery. 3. He is submitting this affidavit to attest to these facts and to support his application for a new passport to replace the lost one.
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1/ 1

AFFIDAVIT OF LOSS

I, JOHNNY SENGSON ESCALONA, of legal age, Filipino, married and a


resident of 32 Nicanor Roxas St. Sta. Mesa Heights, Quezon City, after
having been duly sworn to in accordance with law, depose and state THAT:

1. On April 10, 2013, I was issued a Philippine Passport by the Department
of Foreign Affairs in Manila bearing Passport No. EB 7833152;

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 12
th
of
August 2014 in Quezon City, Metro Manila, Philippines.





____________________
Affiant
Drivers License 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 2014.

You might also like