Affidavit of Loss Passport

Lost your passport you will need to present to the Philippines Embassy / Consulate or the DFA these documents:

  • Written police report attesting the loss of the passport
  • Photocopy of lost passport
  • Original and photocopy of PSA issued birth certificate
  • Other official identification documents (driver’s license, voter’s ID, seaman’s book, etc.) that prove the applicants identity.


I, _____________,of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, after having been duly sworn in accordance with law, hereby depose and state:

That the undersigned was issued a Philippine Passport by the Department of Foreign Affairs (DFA) in Manila/Consular Office/ Philippine Embassy/Consulate with the following details: Philippine Passport No: _________, Date of Issue: _______, and Issuing Authority: __________.

That the said passport was lost on __________ (Date) under the following circumstances: __________________________________________________________________________________________.

That the undersigned exerted all efforts possible to locate the said passport but to no

That the undersigned fully understands that the said passport is automatically deemed
cancelled upon declaration of loss and that if found, it can no longer be used;

That the undersigned is executing this Affidavit of Loss in connection with his/her
present application for a new Philippine passport; and

That further Affiant/s sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines.