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

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AFFIDAVIT OF UNDERTAKING (Philippine Consulate General Los Angeles California)

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REPUBLIC OF THE PHILIPPINES )
PHILIPPINE CONSULATE GENERAL ) S.S.
LOS ANGELES, CALIFORNIA, U.S.A. )
AFFIDAVIT OF UNDERTAKING
I, ______________________________, ___________ citizen, of legal age and presently residing
at ___________________________________________________________________________________
after having been duly sworn in accordance with the law, hereby depose and state that:
I am submitting these documents from ______________________________________________
as part of the requirements in the Philippines for _____________________________________________
___________________________________________________________, to wit:
1. ________________________________________________________________;
2. ________________________________________________________________;
3. ________________________________________________________________;
4. ________________________________________________________________;
5. ________________________________________________________________;
6. ________________________________________________________________;
7. ________________________________________________________________;
8. ________________________________________________________________;
9. ________________________________________________________________;
10. _______________________________________________________________;
Affiant further sayeth naught.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of _____________
20___, in Los Angeles, California, U.S.A.
_______________________________
Printed Name and Signature of Affiant
COMPLETE ADDRESS IN USA
STATE SPECIFIC AGENCY/AGENCIES
MONTH
PLACE WERE YOU SIGNED THIS AFFIDAVIT
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AFFIDAVIT OF UNDERTAKING (Philippine Consulate General Los Angeles California)

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Completed 6 June 2021

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