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