APPOINTMENT DETAILS: Republic of the Philippines, DPA ASRARA DEPARTVENT CF FOREIGN AFFAIRS yaar we 27+ 2°21 BASSPORT APPLICATION FORM TMS APPLICATION FORMS NOT FOR SALE PLEASEDONOT LEAKE AY SPACES BLAN INDICATE NAIF NOT APPLICABLE FROMONGALSE STATEMENTS IN PASSPORT APPLICATIONS SPLNSWELE BYLAMRA S229. TAGARO HENRY LAST NAME? APELYIDO ARS NAWE / PANGALAN( 701) YECYEC Valencia, Bohol MDGLE NANE /GTNANG PANCALAN PLAGE GF BIRTH) POOK NG KARAGANARAN —_May / 04/1364 aaron @ave Crane Year Moth ay (DATE OF BIRTH / PETSA NG KAPANGANAKAN: (Ex: Merch 8, 210, (Ovi Status: Csnde @ Neied Widower > Legaly Seperated 7 Aoruiled (Conpiete Adress _ Purok mn Ubu jen Diatriot Wal No:_09394251905 Peart neater’ Faghi laren yt Mable eee, Erol ethos tagaro.hei egero.henry201 508 LE ae rs (Narre of Father: (Olwmeretap pot PHILIPPINES © ae Maden/ Sngeriare dl Mather: cyee Otaerehgc st PaIEEPPENES ‘Otizenship Acquired By: (ei) Beton Mariage Netueization CRA S25 Others | Areyara toed a egy pap? Yes No | Have yourver been ismueda Pilgxire WY es, fromwhat courtry?, W'Yes, test Passport Nurrber? ted ise: Jam, 19,2077 (For applicants below 18 years cid ONLY) (Narre of minor's traveling comperiane (Corpanian's rlaborship: ‘Grntad Nunber_ | SOLEMNLY SWEAR thet 1) | ama Filipino ditzen. 2) The infrration | provided in this application are rue arch cemeet 3}Troeqpetiy ararerta eecfudeeuens 4) nance Petrie Hotes Lerche ohederiyera (Pilipgire passport af any ghen time. 5) | armawere that making tilse staternents in passport application, furnishing tatsified or dbaurerts theredt haw ~~ —_—_ HENRY YECYEC T4GARO ORGAN DONATION (Optional) — Oe a: case f death, | hereby donate | |Acy organ! tisaue [x] Srecitc organyyet applicable tosave cher peoe | Please invecitey nottymy fardy at mabe el ro. ,_93)94251905 i Pose, Enaccder, _ Sging Gis: ‘Tranesrissicn Cicer: RECEIVEDCANCELLED PASSPORT. RECHVED NE//PASEPORT. For rrore chias pec eal wowed gow ph cr wewepamport gov. ph