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Republic of the Philippines ) City of Cebu ) S.S. x--------------------------x
AFFIDAVIT OF DESTRUCTION/MUTILATION OF PASSPORT
I, ACE NORMAN NORMAN P. ALV ALVERO, of legal age, single, Filipino citizen, and presently residing at !"-I #etty $u Co%pound &ueen's Road Ca%putha(, Cebu Ceb u City, (ith after haing been duly s(orn to in accordance (ith la(, do hereby depose and say* +. That
I am a holder of Philippine Passport Passport No. 662571 issued on December 16, 2016 b the Department of !orei"n #$airs in Tacloban %it, &ete' 2.That 2.That the the said said pass passpo port rt (as (as dama dama"e "ed) d)mu muti tila late ted d becau ecause se I acc accid iden enta tall ll droppe opped d it in the the toil toilet et due due to e*citement' +. That (he (hen I piced it up and and tried ried to dr it, it alread became unreadable' -. That the dama"e dama"e on the said passport passport has rendered rendered it unusable for trael purposes and therefore I re/uest the Phil Ph ilip ippi pine ne mba mbass ss) ) %ons %onsul ulat ate e to issu issue e a repla eplace ceme ment nt passport in m faor' and, 5. That I attes ttestt to the erac racit of the fore"o e"oin" information.
IN WITNESS WHEREOF, I hae hereunto set %y hand this "th day of arch
+/ at Cebu City, Philippines.
ACE NORMAN P. ALVERO ALVERO
0ffiant
SUBSCRIBED AND SWORN to before %e this "th day of arch +/ in
Cebu City, Philippines, affiant exhibiting to %e his School I1 2o. +3+++!4 and his Co%%unity 5ax Certificate 2o. 3/46!" issued on arch +, +/ at #urauen, $eyte.
