I, GLADY MAE ILAGAN CATAQUIAN, Filipino citizen, of legal
age, single, with current residence and postal address at 4-10 Sunflower Drive, Town and Country Homes, San Fernando City, Pampanga, after having been duly sworn in accordance with, do hereby depose and state that:
1. In September 25, 2018, I migrated to Kawasaki, Japan in order to
finish my study of the in Japanese Language;
2. Thereafter, in year March 23, 2019, I return back to the
Philippines because my biological father who was already a senior citizen have died from an unfortunate car accident;
3. By reason thereof, it is necessary for me to use my travel
documents such as Travel Document T.D. No. 17220000144 and Philippine Passport No. P2631960 issued on April 7, 2017 at DFA, Angeles City.
4. Further, the said travel documents were never used as a security
to any obligation or transaction;
5. I am executing this Affidavit to inform the Department of Foreign
Affairs (DFA), Philippines regarding any transaction/s and history of the use of said travel documents as a requirement for my application of a new Philippine passport;
6. Finally, I am executing this affidavit to attest to the truth of the
foregoing statements and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 4th day
of July, in the Municipality of Guagua, Pampanga.
GLADY MAE ILAGAN CATAQUIAN
Affiant
SUBSCRIBED AND SWORN to before me this 4th day of July,
Page 2 of 2
2022 at the Municipality of Guagua, Pampanga, affiant having exhibited to
me her Unified Multi-Purpose ID issued in year 2015 issued at City of San Fernando, Pampanga.
Doc. No. 274; ATTY. JESSA BELLE Q.
Page No. 56; TINIO Notary Public Book No. XIII; Until December 31, 2023 Roll No. 68035 Series of 2022. PTR No. PAM 5377414 C / 01-03-2022 IBP Lifetime Member No. 017024 At City of San Fernando (P) MCLE Compliance No. VI-0009977, 14 April 2020