Professional Documents
Culture Documents
CONSULAR SECTION
WASHINGTON, D.C., U.S.A.
IN WITNESS HEREOF, I/We hereunto affix my/our signature this _____ day of
__________________ at the _________________________________.
________________________________ ________________________________
Father Mother
Philippine Passport No. _____________ Philippine Passport No. _____________
Issued on ________________________ Issued on ________________________
At ______________________________ At ______________________________
________________________________
Administering Officer
Doc No. : ____________
Book No. : ___________
Page No. : ___________
Series of : ___________
Amount Paid: ________
O.R. No. : ___________