You are on page 1of 3

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF NUEVA VIZCAYA ) S.S.


MUNICIPLITY OF BAYOMBONG )
x-----------------------------------------------x

AFFIDAVIT OF SOLE GUARDIANSHIP

I, JENNELYN STA. ANA DANAO, of legal age, single, Filipino,


and a resident of Brgy. Sta. Rosa, Bayombong, Nueva Vizcaya,
Philippines, after having been duly sworn in accordance with law,
hereby depose and state, that:

1. I am the biological mother of SEAN JOSEPH D. SINCIOCO who was


born out of wedlock on June 8, 2009 at Bayombong, Nueva
Vizcaya, Philippines, copy of the authenticated Certificate of Live
Birth issued by the Philippine Statistics Authority (PSA) is hereto
attached as Annex A;

2. That I am not married to the father of my son SEAN JOSEPH nor


lived together as husband and wife since his birth and;

3. That I am the sole guardian of the said child and that:

a) There is no Court Order giving the father/mother or any other


person Guardianship over the said child;

b) That I have not entered into any arrangement or agreement


which has the effect of making, or purports to make the
father/mother or any other person guardian of the said child
jointly with me;

c) That no other person is a guardian by operation of law;

d) That no other circumstances exist whereby there is a


guardian.

5. That this affidavit is executed for the purpose of attesting to the


truth of the foregoing facts and for whatever legal purpose this
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____


day of ____________________ at Bayombong, Nueva Vizcaya, Philippines.

JENNELYN STA. ANA DANAO


Affiant/Mothe0072

SUBSCRIBED AND SWORN to before me this ____ day of -


___________ at Bayombong, Nueva Vizcaya, Philippines.

Doc. No. _______;


Page No. _______;
Book No. _______;
Series of 2017.
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF NUEVA VIZCAYA ) S.S.
MUNICIPLITY OF BAYOMBONG )
x-----------------------------------------------x

AFFIDAVIT OF CONSENT TO TRAVEL ABROAD

I, ___________, of legal age, single, Filipino, and a resident of


Solano, Nueva Vizcaya, Philippines, after having been duly sworn in
accordance with law, hereby depose and state, that:

1. I am the biological father of SEAN_______ who was born on ______


at Bayombong, Nueva Vizcaya Philippines;

2. That my son SEAN ______ will be travelling to _______ together


with his mother JENNELYN STA. ANA DANAO;

3. The date of travel of our son SEAN to __________ will be on


________;

4. I am giving my full consent for our minor child SEAN to travel


abroad particularly to _________ together with his mother
JENNELYN STA. ANA DANAO;

5. That this affidavit is executed for the purpose of attesting to the


truth of the foregoing facts and for whatever legal purpose this
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ______


day of ___________________ at Bayombong, Nueva Vizcaya, Philippines.

____________________
Affiant/Father

SUBSCRIBED AND SWORN to before me this _______ day of


___________________ at Bayombong, Nueva Vizcaya, Philippines.

Doc. No. _______;


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