REPUBLIC OF THE PHILIPPINES )

QUEZON CITY ) S.S.

COPY CERTIFICATION

I, , a Notary Public in do
hereby depose and state:
1. That the Philippine Passport of , issued on (date of
issue) by (DFA branch) which is neither a vital
record, a public record, nor publicly recordable, was presented to me on
;

2. That I have caused or supervised the copying of the said document;

3. That I have compared the copy of said document with the original copy; and

4. That I certify, after having determined, that the said copy is accurate and complete
compared with the original document copied.

This certification is issued upon the request of for all legal

purposes.

Given this at .

Doc. No.
Page No.
Book No.
Series of 2020.