I, MYRA JACOBO VILLANUEVA, of legal age, single, Filipino and
with residence address at Barangay Minallo, Naguilian, Isabela, after being sworn in accordance with law hereby depose and say:
1. That I am the true owner and holder of Philippine Passport
Number XX2812159 issued by Department of Foreign Affairs Consular Office- Tuguegarao with extended validity on November 4, 2017 ; 2. That I was born on August 19, 1988 at Minallo, Naguilian, Isabela to Sps. Aurelia Jacobo and Rudy Villanueva. Attached is a copy of my Certificate of Live Birth under Local Civil Registry No. 88510 of Naguilian, Isabela; 3. Before going back to the Philippines on August 26, 2017, I applied for the renewal of my Philippine Passport at the Embassy of the Philippines, State of Kuwait, but I could not renew the same because another person used my name, passport number and all my personal details except my picture in renewing her own passport; 4. That through the advise of the Embassy of the Philippines, State of Kuwait, I returned to the Philippines to renew my Philippine Passport; 5. That I am executing this affidavit to attest to the truth of the foregoing, to state that I am the true MYRA JACOBO VILLANUEVA born on August 19, 1988 to Sps. Aurelia Jacobo and Rudy Villanueva and I am the true holder of Philippine Passport Number XX2812159 with extended validity on November 4, 2017, to submit this affidavit as a requirement for my passport renewal before the Department of Foreign Affairs-ASEANA and for whatever legal purpose it may serve.
AFFIANT SAYS NONE.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
November 14, 2017 at San Manuel, Naguilian, Isabela.
MYRA JACOBO VILLANUEVA
Affiant Philippine Passport Number XX2812159 Until November 4, 2017
SUBSCRIBED AND SWORN to before me, this 14th day of November
14, 2017 at Barangay San Manuel, Naguilian, Isabela, affiant exhibiting to me her competent identity document.
Doc. No. 263; JENNIFER M. ROSETE
Page No. 54; NOTARY PUBLIC Book No. I; Not. Pet. No. 1216-01 Series of 2017. Until December 31, 2018 Roll No. 64173 PTR NO. 8121904/ 1-5-17/NAGUILIAN, ISABELA IBP NO. 1049612/ 1-19-17/ISABELA MCLE Compliance No. V- 0020900