F11

PHILIPPINE CONSULATE GENERAL

OSAKA, JAPAN

S.S.

PARENTAL AFFIDAVIT OF SUPPORT / GUARANTEE & CONSENT

We, _____________________________ and _______________________________,
spouses, both of legal age, with present address at _________________________
________________________________________________________________, after having
been duly sworn to in accordance with law, do hereby depose and say:
1. That we wish to invite the following person/s to visit Japan:
a) _________________________________________
b) _________________________________________
c) _________________________________________
2. That we know personally the above-named person/s who is/are our
child/children;
3. That we are giving consent to his/her/ their travel to be accompanied by:
_____________________________who is our _______________________
(Name of Accompanying Adult)

(Relation to Applicant)

4. That we hold ourselves responsible for his/her/their financial expenses,

accommodation and support during his/her/their stay in Japan;
5. That we guarantee that he/she/hey will abide by all laws and regulations of
the Japanese government;
6. That we further guarantee that we will pay for his/her/their airfare ticket
back to the Philippines and other related expenses should he/she/they be
unable to pay such expenses;
7. That this affidavit is being executed to attest to the foregoing facts and not
for the purpose of FRAUD, but in connection with the passport and travel
clearance applications of the above-named person/s.
AFFIANTS FURTHER SAYETH NAUGHT.

Signature of Husband
Passport No:
Date of Issue
Place of Issue

Signature of Wife
Passport No:
Date of Issue
Place of Issue

SUBSCRIBED AND SWORN to before me this ____ day of ____________________,

at the Philippine Consulate General, Osaka, Japan.