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AFFIDAVIT OF CONSENT

We, FLORENCIO MIJARES ROSALES , and EVANGELINA PAJARILLO ROSALES Filipino


citizens, of legal age and presently residing at PRK A BRGY MALAMOTE ,KABACAN COTABATO, after
having been duly sworn to in accordance with law, do hereby depose and say:
That we are the parents of RAYMUND PAJARILLO ROSALES, minor, born on FEBRUARY 26,
1997 and presently residing at BLK 68,LOT 15,ONYX ST. DECA ESPERANZA TIGATTO DAVAO CITY,
Philippines;
That we are giving our full consent for our son to travel with European Vessel as APPRENTICE on
his own, but accompanied by and will full custody of DMMA COLLEGE OF SOUTHER PHILIPPINES in
collaboration with the DBP Sponsorship Program who will take full responsibility for all his expenses,
subsistence and accommodation throughout the duration of his travel and ensure that he will not become a
public charge while in travel and
That we are executing this affidavit for the purpose of applying for travel clearance for our son with
the Department of Social Welfare and Development (DSWD).
IN WITNESS WHEREOF, we hereby affix our signature this 5th day of January 2015 Davao City
Philippines.
__ FLORENCIO MIJARES ROSALES
Affiant/Father

Davao City
Philippines

EVANGELINA PAJARILLO ROSALES


Affiant/Mother

)
) S.S.

Subscribed and sworn to before me this 5th day of January 2015 at the Davao City Philippines,
affiants having exhibited to me their community tax certificate . 13 and ___________ issued in
_________________ on _____________ and valid until _____________, respectively.

Doc. No.
Svc No.
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Book No.
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Series of
Fee Paid

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:


I, FLORENCIO MIJARES ROSALES and EVANGELINA
PAJARILLO
ROSALES,Filipino citizen, of legal age and presently residing at_ PRK A BRGY MALAMOTE,
KABACAN COTABATO do hereby name, constitute and appoint MELANIE MEJARES CABRERA
Filipino citizen, of legal age, with residence at BLK 68,LOT 15,ONYX ST. DECA ESPERANZA
TIGATTO DAVAO CITY, Philippines, to be our true and lawful attorney-in-fact, for our name, place
and stead, to do and perform the following acts and deeds, namely:
To apply for the Philippine passport of my son, RAYMUND PAJARILLO
ROSALES, at the Department of Foreign Affairs (DFA) in Davao , Philippines
or in any of its regional offices;
To secure clearance of Travel Clearance from the Department of Social
Welfare Development Office
To do and perform any and all actions necessary or relevant to the aforesaid
undertaking;
GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do
and perform every act or thing necessary to be done in and about the premises, as fully and
to all intents and purposes as we might or could do if personally present, hereby ratifying and
confirming all that our said attorney-in-fact shall do or lawfully cause to be done by virtue of
these presents.
IN WITNESS WHEREOF, we have hereunto set my hand this 5 TH day of January 2014 at
the City Davao.

FLORENCIO MIJARES ROSALES

Principal

CONFORME :

MELANIE MEJARES CABRERA


Attorney-in-fact
SIGNED IN THE PRESENCE OF:

ELPEDIA C. MIJARES
WITNESS

EVANGELINA PAJARILLO ROSALES

Principal

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