CONSULATE GENERAL OF THE

REPUBLIC OF THE PHILIPPINES

DUBAI and the N. EMIRATES

AFFIDAVIT

Support and Consent/ Parental Travel Permit

I/ We,____________________________________ and _____________________________of legal ages,
_______________________________{civil
status},_______________________________{nationality}
and a resident of ______________________________________________________ and with telephone
number _____________________, after having been duly sworn in accordance with law before
competent authority do hereby depose and say:
1. That I am/we are biological father/ mother and/or person exercising parental authority over the
following minor(s)
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________;
2. That the child/ children will travel to _______________________________ [country or place of
destination] for the following reason[s] _______________________________________________;
3. That the mentioned child/children will be leaving the Philippines on _______________________
And will stay in the said place of destination for a period of _______________________________
and will be taken care of by _______________________________________________;
4. That I/We cannot personally travel with my/our children because _________________________
______________________________________________________________________________;
5. That I am/we are giving my/our full consent for the minor child/ children to travel abroad, outside
the Philippines, to be accompanied by _______________________________________________
holder of Philippine Passport number_________________, issued at ______________________
on _____________________________;
6. That I/ We personally guarantee financial support of the child/children in the course of
his/her/their travel and stay outside the Philippines and further guarantee that he/she/they will not
in any manner become public ward[s] of any authority of any country he/she/they may happen to
pass en route to his/her/their destination;
7. That this affidavit is executed for the purpose of attesting to the truth of the foregoing facts and
for whatever legal purpose it may serve; and
8. Affiant[s] further sayeth naught.
IN WITNESS HEREOF, I/we have hereunto set my/our hand[s] this _______________in the
Consulate General of the Philippines, Dubai, United Arab Emirates.

_________________________
Father
[Signature over printed name]

__________________________
Mother
[Signature over printed name]

Consulate General of the Republic of the Philippines

Dubai, United Arab Emirates
SUBSCRIBED and SWORN to this _____________________________________ at the Consulate General of the Philippines in Dubai, United
Arab Emirates, affiant[s] exhibited his/her/their passport[s]