Professional Documents
Culture Documents
Affidavit of Mutilation
Affidavit of Mutilation
______________________________ } S.S.
______________________________ }
AFFIDAVIT OF MUTILATION
3. That when I picked it up, it was too late to reverse any of the
damage and it was already unreadable;
4. That the damage on the said passport has rendered it unusable
for travel purposes and therefore I request the Department of Foreign
Affairs to issue a replacement passport in my favor; and
5. That I attest to the veracity of the foregoing information.
6. That I execute this affidavit in truth for all legal intents and
purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_____th day of __________, here at ______________________.
_____________________________
Affiant
Doc. No.______;
Page No.______;
Book No. _____;
Series of _____.