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AFFIDAVIT OF SUPPORT AND CONSENT TO TRAVEL

I/WE, _______________________, of legal age, Filipino(s), single/married/widow/widower


and presently residing at _______________________ after having been duly sworn to in
accordance
with
law,
depose
and
state:

1. That I/we am/are the biological father/mother/parents of _______________ who was born on
____________ in _____________.
2. That said child/children will travel to __________________ (country) for the following reason/s:
______________________________________;
3. That said child/children will be leaving on _____________________ and will stay in the said
country for a period of _________________________ and will be taken cared of by
______________________;
4. That I/we cannot personally travel with my child/children due to the following reasons:
_________________________________;
5. That I am/we are giving my/our full consent for the minor child/children to travel abroad to be
accompanied by _________________________;
6. That I/we personally guarantee the financial support of the child/children in the course of
his/her/their travel and stay outside the Philippines and further guarantee that he/she/they will not
in any manner become a burden to the Philippine and ___________ governments.
7. 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
WHEREOF,
we
have
hereunto
this ___________________ in _______________, Philippines.

set

our

hands

__________________
Affiant
Philippine Passport No. _____
Issued at: ________________
Issued on: ________________

____________________
Affiant
Philippine Passport No. _____
Issued at: ________________
Issued on: _______________

SUBCRIBED
AND
SWORN
TO before
me
this ___________________ in
_________________, Philippines, affiants exhibiting to me their valid proofs of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.