AFFIDAVIT

(Support and Consent/Parental Travel Permit)

I/We, ___________________________ and ____________________________

of legal age, ____________ (status), ___________ (nationality) and a resident of
___________________ and with tel. no. _______________, after having been duly
sworn to in accordance with law do hereby depose and state:
1. That I am/we are the biological father/mother and /or person exercising parental
authority over minor (s)_____________________________________________
________________________________________________________________
________________________________________________________________;
2. That the child/children will travel to ___________________________ (country)
for the following reason/s: ___________________________________________;
3. That the mentioned 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 public ward/s of any
authority of any country he/she/they may happen to pass en route to his/her/their
destination;
7. That this affidavit was executed for the purpose of attesting to the truth of the
foregoing facts and for whatever legal purpose it may serve; and
8. Affiant further sayeth naught.
IN WITNESS HEREOF, I have hereunto set my hand this __________________
in the Embassy of the Philippines, Abu Dhabi, United Arab Emirates.

______________________
Father

_____________________
Mother

Embassy of the Republic of the Philippines

Consular Section
Abu Dhabi, United Arab Emirates
SUBSCRIBED AND SWORN to before me this _______________ at the
Philippine Embassy, Abu Dhabi, United Arab Emirates, affiant/s exhibited to me
his/her/their passport/s.
Name

Passport No.

Date/Place of Issue

_______________________

__________________

_______________________

_______________________

__________________

_______________________