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AFFIDAVIT OF CONSENT AND SUPPORT I/WE, ____________________________________________________________, of legal age, Filipino,married/ingle/!ido!er/!ido!, and preen"l# reiding a" _________________________________________________________________________________, af"er $eing d%l# !orn "o in a&&ordan&e !i"' la! do 'ere$# depoe and a#( )* T'a" I/!e am/are "'e mo"'er/fa"'er/paren" of _____________________________________________ $orn on ________________________________ in _________________________________________________________________________+ * T'a" I/!e am/are gi-ing m#/o%r &onen" for m#/o%r &'ild/&'ildren "o "ra-el a$road "o $e a&&ompanied $# _____________________________________________________________+ .* T'a" I/!e am/are ponoring 'i/'er/"'eir "rip+ * T'a" I/!e am/are 0nan&iall# &apa$le "o %ppor" 'i/'er/"'eir "a# a$road+ 1* T'a" I/!e g%aran"ee "'a" 'e/'e/"'e# !ill no" -iola"e an# e2i"ing la! of 'i/'er/"'eir &o%n"r# of de"ina"ion 3______________________*+ and 4* T'a" I/!e am/are e2e&%"ing "'i a5da-i" in &onne&"ion !i"' m#/o% &'ild/&'ildren appli&a"ion for a papor" a" "'e Depar"men" of Foreign A6air and/o "ra-el &learan&e from "'e Depar"men" of So&ial Welfare and De-elopmen" fo 'i/'er/"'eir "ra-el a$road7 IN WITNESS 8EREOF, I/!e 'ere%n"o e" m#/o%r igna"%re3* a" Tarla& Ci"#, P'ilippine, "'i ______ da# of ______________________7 ___________________________ ___________________________ A5an" A5an" 39o"'er* 3Fa"'er* SU:SCRI:ED AND SWORN TO $efore me "'i _____________ da# of ______________ in Tarla& Ci"#, P'ilippine, a5an"3* e2'i$i"ing "o me 'i P'ilippine Papor" No3*7 Name Papor" No7 Da"e ofI%e Pla&e of I%e _______________________ _______________________ NOTAR; PU:<IC Do&7 No7_____+ Page No7_____+

Affidavit of Consent and Support Template

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Children traveling with only one parent must have this document executed by the other parent.

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AFFIDAVIT OF CONSENT AND SUPPORTI/WE, ____________________________________________________________, of legal age, Filipino, married/single/widower/widow, and presently residing at _________________________________________________________________________________, after being duly sworn to in accordance with law do hereby depose and say:1) That I/we am/are the mother/father/parents of _____________________________________________ born on ________________________________ in _________________________________________________________________________;2) That I/we am/are giving my/our consent for my/our child/children to travel abroad to be accompanied by _____________________________________________________________;3) That I/we am/are sponsoring his/her/their trip;4) That I/we am/are financially capable to support his/her/their stay abroad;5) That I/we guarantee that he/she/they will not violate any existing laws of his/her/their country of destination (______________________); and6) That I/we am/are executing this affidavit in connection with my/our child/children application for a passport at the Department of Foreign Affairs and/or travel clearance from the Department of Social Welfare and Development for his/her/their travel abroad.IN WITNESS HEREOF, I/we hereunto set my/our signature(s) at Tarlac City, Philippines, this ______ day of ______________________. ___________________________ ___________________________Affiant Affiant(Mother) (Father)

SUBSCRIBED AND SWORN TO before me this _____________ day of ______________ in Tarlac City, Philippines, affiant(s) exhibiting to me his/her/their Philippine Passport No(s). NamePassport No. Date of IssuePlace of Issue______________________________________________NOTARY PUBLIC

Doc. No._____;Page No._____;Book No. ____:Series of 2015.