REPUBLIC OF THE PHILIPPINES)

CITY OF )
X---------------------------------------X

AFFIDAVIT OF CONSENT

We, _________________ and _______________________, both Filipinos, of legal age,

and with resident address at ________________, after having been sworn to in accordance with
law, depose and say that:

1. We are the parents of ______________________, Filipino, ___ years old residing at

_____________________;

2. On __________________, our child, _____________________, will be travelling to

the country of ________ together with ____________________ Filipino, of legal age,
with residence address at ___________________________;

3. We do hereby give our consent for their Travel;

4. We have executed this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, we hereunto affix our signature this ____day of

_______________ in the City of _____________.

Affiant Affiant

SUBSCRIBED AND SWORN to before me this _______ day of _______, 2019 in the
City of __________, Philippines. Affiants exhibited to me an integrally complete identification
card indicated below their respective names as proof of their identity.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2019