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Republic of the Philippines }

Province of Davao del Norte }s.s.


City of Panabo }

AFFIDAVIT OF CONSENT TO TRAVEL

I, JOSEPH A. TOLLO, of legal age, Filipino, and a resident of San Vicente, Panabo City,
Davao del Norte, after having been sworn to an oath, hereby state that:

1. I am the biological father exercising parental authority over AJ RIZALDO TOLLO,


with Passport No. EC7783557, 15 years of age and a resident of San Vicente,
Panabo City, Davao del Norte;
2. Said child will travel to Malaysia to meet his mother, ANNALIZA FUENTES
RIZALDO, and to have a vacation;
3. Said child will be leaving on April 29, 2018;
4. Said child will be taken care of by his mother;
5. I am giving my full consent for the said minor child to travel to Malaysia;
6. Said child will be accompanied by his uncle, BENEDICTO JR. FUENTES RIZALDO,
with Passport No. P5811993A;
7. I execute this affidavit to attest to the truth of the foregoing facts and for whatever
legal purposes it may serve.

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


at Panabo City, Davao del Norte, Philippines.

JOSEPH A. TOLLO
Affiant
___ ID No. _______________

SUBSCRIBED AND SWORN TO before me this ___________________ at Panabo City,


Davao del Norte. Affiant exhibited to me his ID stated above as competent proof of identity.

Doc. No.: ____;


Page No.: ____;
Book No.: ____;
Series of 2018.

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