REPUBLIC OF THE PHILIPPINES )

) Sc.

Affidavit of Consent for Travel Minor

I / We, ______________________ , of legal age, Filipino, and resident of

____________________________ , after having been duty sworn in accordance
with law, hereby depose and state that :

1. I am the _______________ ( Affiant’s relationship with the Minor) of -

_________________, my __________________ (Minor’s relationship with
the Affiant ), ____ years old, and a holder of valid Philippine Passport with
No __________ and __________ (If Holder of Foreign Passport) Passport
with No ______________ ; machine copies of the aforesaid passports and
Certificate of Live Birth of my ______________ are hereto attached for
reference;
2. I am giving full consent to _________________________ to travel abroad or
specifically to visit ________________ and stay with him/her for a period of
time of ____________ at ___________________;
3. For this purpose, we have sufficient and adequate financial capacity to
support and defray the said travel and do hereby undertake to finance the
said trip abroad from the application fees, airline tickets, board and lodging,
pocket money and such other expenses that may incur so that my
_______________ would neither be a burden to the state nor at their place
of destination at any time during their trip abroad;
4. I am executing this affidavit to declare the truth of the foregoing facts and
for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____day of _______
2018 at _______________ , Philippines.

_____________________
Affiant

SUBSCRIBED AND SWORN to before me this ______ day of _____ 2018, in

___________City, affiant exhibiting to me his/her _______________ ID.

Doc No :
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Series of 2019