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Republic of the Philippines )

City of ______________ ) S.S.

WE, _____________________ and _____________________, both of legal age, Filipinos, and
residents of _____________________, Philippines, after being duly sworn to in accordance with
law do hereby depose and say THAT:
We are the parents _____________ (nickname), ____ years of age, Filipino and holder
of a valid Philippine Passport with No. _____________ . (NICKNAME) is going on a trip abroad
specifically to the _____________ this (month) (year);
We are giving our full consent to our son/daughter to travel abroad specifically to the
For this purpose, we have sufficient and adequate financial capacity to support and
defray the expenses for said travel. We do hereby undertake to finance his/her trip abroad
which includes expenses for the visa application fees, airline tickets, board and lodging,
pocket money and such other expenses that he/she may incur so that he/she would neither
be a burden to (place) nor to their places of destination at any time during our trip abroad;
There is no criminal case pending in court against him/her nor has he/she been
charged of subversion, rebellion, insurrection or any crime or offense involving moral
turpitude in any court of the Philippines;

We will both be accompanying him/her in her travel abroad;

We are executing this affidavit to attest to the truth of the foregoing facts; and for
whatever legal purpose it may serve.
IN WITNESS HEREOF, we hereunto set our signature(s) at ______________Philippines,
this ______ day of_____________ 2014.


SUBSCRIBED AND SWORN TO before me this ______day of ___________ in __________,

______________________ and ______________________exhibiting to me
their Tax Identification Nos. ___________ and ____________, respectively .

Doc. No. ______

Page No. ______
Book No. ______
Series of 2015.