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_____________________________________ } S.S.


I, XX, a Filipino, of legal age, and resident of xx, after being duly sworn in accordance
with law, depose and state that:

1 I am the biological mother and sole parent of x, likewise a Filipino, of minor age,
and resident of xx (hereinafter referred to as the “xx”);

2 I was never married to the biological father of xx and, therefore, xx is my

illegitimate child;

3 I have exercised sole parental authority,1 custody, and guardianship over xx ever
since she was born, and continue to exercise the same;

4 As the sole parent, custodian, and guardian of xx, I am allowing her to accompany
me to Sweden for purposes of migration;

5 As the sole parent, custodian, and guardian of xx, it is my belief that allowing her
to accompany me to Sweden will be in her best interests, since she will continue
to be in my custody and care.

6 Thus, I execute this affidavit to establish the truth of the foregoing, and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ at ________________.


SUBSCRIBED AND SWORN to before me on the date and place indicated above, the
affiant exhibiting to me her _________________________________, as competent proof of identity.

Doc No. _____

Page No. _____
Book No. _____
Series of 2018

1Article 176 of the Family Code, as amended, provides: “Illegitimate children shall use the surname and shall
be under the parental authority of their mother, and shall be entitled to support in conformity with this Code.
x x x”