Affidavit of Loss: Republic of The Philippines City of Malabon S.C
Affidavit of Loss: Republic of The Philippines City of Malabon S.C
Affidavit of Loss: Republic of The Philippines City of Malabon S.C
AFFIDAVIT OF LOSS
I, Krizia Marie Marquez Dela Cruz, single, Filipino, of legal age and a resident of
Malabon City, Manila, after having been duly sworn to in accordance with law do
hereby depose and state that:
1. I am an owner of a Passport, issued by the DFA Philippines, at Manila Branch (DFA
SM Manila)
2. The said passport lost in my possession on how, when or where for which I cannot
determine for sure;
3. I took pains, and exerted due diligence and earnest efforts to look and locate for the
above mentioned passport but to no avail and consider the same as lost;
4. I am executing this affidavit to attest to the truth of the above statement of facts and
for whatever legal purposes this may serve;
IN WITNESS WHEREOF, I have hereunto set my hands this day 14th of May, at
Malabon district police office.
Affiant
_______________________________
_______________________________
Doc.No._____;
PageNo._____;
BookNo._____;
Series of _____