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Affidavit of Explanation (DFA)

1) Arlyn Casimero Brillantes is applying to renew her expired Philippine passport after returning from Kuwait where she worked as a domestic worker. 2) Her employer withheld her Philippine passport to prevent her from leaving, so she used a travel document to return to the Philippines. 3) She is seeking to renew her passport so she can travel abroad again for employment and assumes full responsibility if any documents submitted are found to be fraudulent.
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100% found this document useful (9 votes)
13K views

Affidavit of Explanation (DFA)

1) Arlyn Casimero Brillantes is applying to renew her expired Philippine passport after returning from Kuwait where she worked as a domestic worker. 2) Her employer withheld her Philippine passport to prevent her from leaving, so she used a travel document to return to the Philippines. 3) She is seeking to renew her passport so she can travel abroad again for employment and assumes full responsibility if any documents submitted are found to be fraudulent.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Republic of the Philippines )

City of Cebu ) S.S.

AFFIDAVIT OF EXPLANATION

I, ARLYN CASIMERO BRILLANTES, of legal age, Filipino


Citizen, single and a resident of Sitio Iba, Basak, Lapu-Lapu City,
after having been sworn to in accordance with law, hereby depose
and say:

1. That I am a holder of a Philippine Passport duly issued by


the Department of Foreign Affairs. The details of the said
passport I can no longer recall;

2. That the said Philippine Passport expired while I was in


Kuwait working as a Domestic Worker;

3. That when I decided to leave my employment and return to


my mother country, the Philippines, my employer withheld
the said Philippine Passport to prevent me from going home;

4. Reluctant to stay, I still went home and used my Travel


Document with no. 00249-2015 issued by the Embassy of
the Philippines, State of Kuwait;

5. Considering that my Passport is not physically with me and


such is already expired, I am opting to renew the same for
immediate travel abroad for employment;

6. That the said passport has not been encumbered, sold,


pledge, assigned, alienated, transferred, donated, or given
as collateral for any debt or obligation to or in my favor of
any person or entity;

7. That I hereby assume full criminal, civil and administrative


liability in case of any action, charges, suit, proceeding,
prosecution or investigation that may be filed against me or
any person by any court of justice, tribunal, board, agency,
quasi-judicial body or office should any of the document or
paper I submitted be found dubious, spurious or fake, or
should any of my statements and declarations be found to
be false of unfounded;
8. That I am executing this Affidavit to attest to the truth of
the forgoing statement and for all legal purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this 13th day of September 2019 at Cebu City, Philippines.

ARLYN CASIMERO BRILLANTES


Affiant

SUBSCRIBED AND SWORN to before me, this September 13,


2019 at Cebu City, Philippines, affiant exhibiting to me her Police
Clearance Card with no. LLC8472494, as her competent proof of
identity.

Doc. No. :284;


Page No. :57;
Book No. :01;
Series of 2019.

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