sworn affidavit - new york, pcg citizenship.pdf · sworn affidavit: philippine citizenship ....

SWORN AFFIDAVIT: PHILIPPINE CITIZENSHIP

REPUBLIC OF THE PHILIPPINES ) Consulate General of the Philippines ) s.s. New York, New York )

SWORN AFFIDAVIT

(Philippine Citizenship)

I, ______________________________________________________, Filipino, of

legal age, single / married to ______________________________________, and a

resident of __________________________________________________________

(complete address), after having been duly sworn in accordance with law, hereby

voluntarily depose and say:

I am a Filipino citizen at the time of this Passport Application and therefore I am

eligible for a Philippine Passport.

Under penalty of perjury, I declare that the above statement is true and correct to

the best of my knowledge and belief.

I am executing this affidavit fully aware that I will be subject to corresponding

criminal, civil and administrative liabilities, including being blacklisted as an

inadmissible foreign national, for any fraud or misrepresentation on my Filipino

citizenship

SIGNED on ____________________________________ in New York City. ____________________________________ AFFIANT

SUBSCRIBED AND SWORN TO before me this day of ___________________

in the City of New York.