REPUBLIC OF THE PHILIPPINES)

Legazpi City ) ss.

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

Affidavit of Consent
I __________________________ Filipino, of legal age, _ _ _ _ _ _ _ _ _ and a
resident of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Philippines after having duly
sworn to in accordance with law, hereby depose and say;

1. That I am a bonafide resident of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

2. That I am the legal wife of _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , being

married on _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ as show n in our Marriage Certificate
issued by the Civil Registrar of _ _ _ _ _ _ _ _ _ ;

3. That my husband is a good father of a family and provides

sufficient support to me and our daughter;

4. That my husband will travel abroad from _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ to

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ and I see no reason to stop him of this
travel;

5. That I declare under oath that I grant all my support and consent
to his travel abroad;

6. That I am executing this affidavit to attest to the truth of the

foregoing facts regarding the tr avel of my husband and for whatever
legal purpose and intent this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand

___________________________ in the City of Legazpi, Philippines.

___________________________
Affiant
CO M PE T EN T P RO O F O F ID EN TI T Y : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SUBSCRIBED AND SWORN to before me on the date and place first

written above, affiant is known to me to be the same person who executed
this affidavit, through the document indicated below her name.

D o c. No . _ _ _ ;
P ag e No . _ _ _ ;
Bo o k No . _ _ _ ;
Se ries of 201 7 .