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Republic of the Philippines)

Province of ____________________)S.S.
City/Municipality of _____________)


We, _____________ and _____________, of legal ages, married, Filipinos,

and residents of _____________, Philippines, with residential telephone no.
_____________ and with Tax Identification Nos. (T.I.N.) _____________
and _____________, respectively, after having been duly sworn in
accordance with law, hereby depose and state:

That we are the parents of _____________ who is of legal age and a citizen
of the Republic of the Philippines and a holder of valid Philippine Passport
with No. _____________ and who is going for a trip abroad specifically to
_____________ this _____________;

That for this purpose, we have sufficient and adequate financial capacity to
support and defray the said travel and do hereby undertake to finance
(his/her)trip abroad from the 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 the state nor at their place of
destination at any time during (his/her) trip abroad;

That 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;

That we are executing this affidavit to declare the truth of the foregoing
facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this

_____________ at _____________, Philippines.