REPUBLIC OF THE PHILIPPINES )

PROVINCE OF _________ )S.S.

________________ )
x-x-x-x-x-x-x-x-x-x-x-x-x-x

AFFIDAVIT OF GUARDIANSHIP

I, ___________________________, of legal age, Filipino, married, and a

resident of ____________________, after having been duly sworn to in accordance
with law, do hereby depose and say:

That I am the guardian of __________________________, _________________

______________, and _______________________, all minors, 10, 9 and 7
years old, respectively, and the children of ___________________ (my
brother), who is presently working abroad, particularly in the United
States of America, and _________________, whose whereabouts is
unknown;

That the said children have been in my care, custody, protection, and
guardianship since 2015;

That I am executing this affidavit in good faith, attesting to the truth of

all the foregoing statements as above-stated, without being intimidated,
coerced, forced, whatsoever;

Further, that I am executing this affidavit to support the application for

passport of the above-named minors, and for all legal intents and
purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of

________________, at ________________.

_______________________
Affiant
ID: _____________________

SUBSCRIBED AND SWORN to before me this ___th day of

____________________ at _____________________.

Doc. No. ____;

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