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MUTILATION-ULYSSES-MELISSA A. DE VERA (2022)

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Republic of the Philippines )
Cainta, Rizal
) SS.
AFFIDAVIT OF EXPLANATION
RE: MUTILATED PASSPORT
I, MELISSA A. DE VERA, Filipino, of legal age, single and presently
residing at No. 3468 Saint Margarette Street, Janssenville Subdivision, Barangay
San Juan, Municipality of Cainta, Province of Rizal, under oath, do hereby depose
and state, that:
I am a legitimate possessor of a Philippine Passport bearing Passport No.
P2867536B, duly issued by Department of Foreign Affairs-NCR East, on August
27, 2019 and valid until August 26, 2029;
It so happened, however, said passport was mutilated since the same was
submerged in the floodwaters during the onslaught of Typhoon Ulysses last
November 12, 2020;
This affidavit is being executed to attest to the veracity of the foregoing
instrument in order to establish the cause of the mutilation of my Philippine
Passport and for the purpose of replacement of the same and for whatever legal
purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of May
2022 in Cainta, Rizal.
MELISSA A. DE VERA
TIN:471-456-582
Issued by Bureau of Internal Revenue
Affiant
SUBSCRIBED AND SWORN TO before me on the date and at the place
above-written.
Doc. No.
225
;
Page No.
45
;
Book No.
LXV
;
Series of 2022.
Atty. CRISPINO T. PABLO, JR.
NOTARY PUBLIC
Commission No. 20-21/Roll No. 49638
Valid until December 31, 2021
PTR No. 17152783/ Rizal
IBP Life Time No.06272/Rizal
MCLE Compliance No. VI-0029539
Extended until June 30, 2022
As per Supreme Court En Banc dated Sept. 28, 2021
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