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Republic of the Philippines)

Santa Cruz, Laguna ) s.s.

AFFIDAVIT OF EXPLANATION

I, MARY ANN M. MANAMAN, of legal age, Filipino, married, and a


resident of Brgy. Santo Anghel Central, Santa Cruz, Laguna Philippines, after
having been duly sworn in accordance with law, hereby depose and state:

That on 12 May 2011, I was issued a Philippine Passport by the Philippine


Embassy in Doha, Qatar;

That on 02 December 2015 the said passport was lost and deemed beyond
recovery after an Indian national named Firoz Pazhayakath took it away and never
returned, after we gave him money for renewal of our Qatar Visa;

That inspite of diligent search efforts to locate the said Indian national to
recover my passport, I could not find him anymore, such that I went to the
Philippine Embassy which issued to me a Travel Document so that I can return to
the Philippines;

I executed this Affidavit of Explanation to attest to the truth of the


foregoing and to support my application for the issuance of a new passport.

IN WITNESS WHEREFORE, I hereto affixed my signature this 17 September


2016 in Santa Cruz, Laguna.

MARY ANN M. MANAMAN


Affiant

SUBSCRIBED AND SWORN to before me this 17 September 2016 at Santa


Cruz, Laguna by the affiant with Voter’s I.D. No. 3426-0289A-G2376MMM20001-6
issued at COMELEC Santa Cruz, Laguna.

Doc. No. _____; A T T Y. E M M A N U E L E . S A N D I C H O


Page No._____; NOTARY PUBLIC, COMMISSION UNTIL 31 DEC. 2016
Book No._____; NOTARY PUBLIC FOR THE PROVINCE OF LAGUNA
Series of 2016. PER NOTARIAL COMMISSION SP. PROC. NO. 164(15)
IBP O.R. No. 995689, 04 January 2016, Laguna Chapter
PTR O.R. No. 2967138, 04 January 2016, Laguna
Roll No. 42246, admitted to practice law on 9 May 1997
MCLE Compliance No. V-0015412, dated 6 March 2016

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