REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC
) S.S.
MUNICIPALITY OF CAMILING )

AFFIDAVIT OF EXPLANATION
I, CHARITO ACIERTO y DALLIGOS, 35 years old, single, Filipino citizen, and a
resident of Barangay Pao 3 rd, Camiling, Tarlac, Philippines, after having been duly
sworn to in accordance with law, do hereby depose and state THAT:
1. I was an Overseas worker in Kuwait, K.S.A.;
2. In December 2016, I decided to come home leaving my contract unfinished
due a breach committed by my employer and I arrived home on December 8,
2016;
3. Due to such circumstance, my employer withheld my Philippine Passport;
hence, I sought the assistance of the Philippine Consulate in Kuwait, K.S.A.
on how to return to the Philippines without my Philippine passport;
4. With the help of the Philippine Consulate, I managed to travel from Kuwait,
K.S.A. to the Philippines using my travel documents in lieu of my passport;
5. The saidpassport was never used as a security to any obligation or
transaction;
6. I am executing this Affidavit to inform the Department of Foreign Affairs,
Philippines regarding the whereabouts of my passport and to request for a
new passport in lieu of the one that was withheld by my employer in Kuwait,
K.S.A.;
7. Finally, I am executing this affidavit to attest to the truth of the foregoing
statements and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 9 thday of January,
2017 at Camiling, Tarlac, Philippines.
CHARITO D. ACIERTO
Affiant
SUBSCRIBED AND SWORN to before me on the date and place indicated
above. Affiant exhibited before me her Unified Multi-Purpose ID Card with CRN-00011402218-1 issued by the Social Security System of the Philippines.

Doc. No.________;
Page No._______;
Book No._______;
Series of 2017.