Fillable AFFIDAVIT OF IDENTITY (Philippine Consulate General Los Angeles California)

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AFFIDAVIT OF IDENTITY (Philippine Consulate General Los Angeles California)

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CONSULATE GENERAL OF THE PHILIPPINES)
CITY OF LOS ANGELES ) S.S.
STATE OF CALIFORNIA, U.S.A )
AFFIDAVIT OF IDENTITY
After having been duly sworn to in accordance with law, I hereby depose and say
that:
1) ________________________________I.D. with number ___________________
issued on ____________________ at _________________________________
indicating the name of __________________________________________; and
2) ________________________________ I.D. with number __________________
issued on ____________________ at _________________________________
indicating the name of ______________________________________________
indicates both one and the same person.
3) I am executing this Affidavit to attest to the truth and for whatever legal purpose it
may serve.
IN WITNESS WHEREOF, I hereby affix my signature this _________ day of
____________________, 20______ at the Philippine Consulate General, Los Angeles,
California, U.S.A.
____________________________
(Affiant)
SUBSCRIBED AND SWORN to before me this _______ day of _____________,
20______ at the Philippine Consulate General, Los Angeles, California, U.S.A.
___________________________
Vice Consul / Consul
Philippine Consulate General
Los Angeles, CA, U.S.A
insert name/type of identification card
insert date of issue
insert place of issue
insert complete name written on identification card 1
insert name/type of identification card
insert date of issue
insert place of issue
insert complete name written on identification card 2
insert month
name of affiant over signature
insert number
insert month
place you signed this affidavit
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AFFIDAVIT OF IDENTITY (Philippine Consulate General Los Angeles California)

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Completed 6 June 2021

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