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Republic of the Philippines )

City of Bacolod ) S.S.

AFFIDAVIT OF SUPPORT

I, __________________, of legal age, married, Filipino, and with address at


___________________, Philippines after having been sworn in accordance with law, hereby
depose and state that:

1. I am the mother of ___________ and _____________ born on _______ and ____________ in Bacolod
City, and traveling under Philippine Passport No. _________ and _______________ valid until
___________________;

2. My children will be travelling with me to ____________ from ___________ to _______________,


2018;

3. I have sufficient income/assets to responsibly cover my children expenses during our entire trip to
________________, including return flights to the Philippines, as well as any all other unforeseen
expenses which my children may incur during our entire stay in ______________;

4. As their parent. I hereby accept and assume any and all responsibility for their welfare, including all
financial expenses related to their travel and stay in ________________;

5. I guarantee that they will abide by all laws and regulations of the _______________government;

6. That this affidavit is executed for the purpose of attesting to the truth of the foregoing facts and for
whatever legal purpose it may serve.

IN TRUTH AND WITNESS WHEREOF, we hereby set our hands this


______________________ in _____________, Philippines.

____________________________
_____________________
Affiant

Republic of the Philippines )


City of Bacolod ) Sc.

x - - - - - - - - - - - - - - - - - - - - - - - - - - -x

SUBSCRIBED AND SWORN TO BEFORE ME, this ______________ in the City of


____________, Philippines, Affiants are personally known to me and to me known to be the
same persons who executed the foregoing affidavit.

Witness my hand and seal.

Doc. No. ______________;


Page No. ______________;
Book No. ______________;
Series of 2018.