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Lord Bargaso

Application for Passort Visa

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9 views2 pages

Lord Bargaso

Application for Passort Visa

Uploaded by

ps9642159
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SPECIMEN SIGNATURE AND STAMP OF A NOTARY PUBLIC

Full Name of Notary Public:

Notary Public Commission No.: For the State of: In the County of:

Date of Commission:

Date of Expiry of Commission:

Business Address:

Contact Telephone No.: Fax No.: Email Address:

Specimen Signatures: (Please sign 3 lines)

Notary Public Seal/Stamp:

Colored
Photograph
(2”x2”)

I hereby certify under penalty of law that the statements made in this application are true and
correct, and the documents submitted are authentic.

_______________________
Accredited Notary Public
KONSULADO PANLAHAT NG PILIPINAS CONSULATE GENERAL OF THE
PHILIPPINES

SAN FRANCISCO

(Signature above printed name)

447 Sutter Street, 6th Floor, Philippine Center Building, San Francisco, CA 94108
Tel: (415) 433-6666; Fax: (415) 421-2641; E-mail: [email protected]; Website:
www.philippineconsulate-sf.org

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