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CONSULATE GENERAL OF THE PHILIPPINES
CITY OF LOS ANGELES
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:
insert name/type of identification card

1) ________________________________I.D. with number ___________________

issued on insert date of issue

at insert place of issue

indicating the name of insert complete name written on identification card 1

; and
2) ________________________________ I.D. with number __________________
insert name/type of identification card

issued on insert date of issue

at insert place of issue

indicating the name of insert complete name written on identification card 2
indicates both one and the same person.

insert number
insert month

California, U.S.A.

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 PhilippineplaceyousignedConsulat