AFFIDAVIT

Support and Consent/Parental Travel Permit

I/We,____________________ of legal ages, ________________ (civil status),

___________(nationality) and a resident of _______________ and with telephone at
______________________, after having been duly sworn in accordance with law before
competent authority do hereby depose and say:

1. That I am/we are the biological father/mother and/or person exercising

parental authority over the following minor(s)
______________________________________________________________
______________________________________________________________
______________________________________________________________
2. That the child/children will travel to _________________________ (Country
or place of destination) for the following reason (s)
______________________________________________________________
3. That the mentioned child/children will be leaving the Philippines on
_______________________ and will stay in the said place of destination for
a period of ________________________ and will be taken cared of by
___________________________________________________________.
4. That I/we cannot personally travel with my/our children because
______________________________________________________________
5. That I am/we are giving my/our full consent for the minor child/children to
travel abroad, outside the Philippines, to be accompanied by
______________________________________, holder of Philippine
Passport Number ______________________________ issued at
__________________________ on ________________________.
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 is executed for the purpose of attesting to the truth of the
foregoing facts and for whatever legal purpose it may serve; and
8. Affiant(s) further sayeth naught.

IN WITNESS HEREOF, I/we have hereunto set my/our hand(s) this

_________________, in the Consulate General of the Philippines, Dubai, United Arab
Emirates.

________________________________ ___________________________________
Father Mother
(Signature over printed name) (Signature over printed name)

Consulate General of the Republic of the Philippines)

Dubai, United Arab Emirates )
SUBSCRIBED AND SWORN to this ______________________ at the Consulate
General of the Philippines in Dubai, United Arab Emirates, affiant(s) exhibited
his/her/their passport(s)

NAME PASSPORT DATE/PLACE ISSUED

________________________________________________________________________
________________________________________________________________________