REPUBLIC OF THE PHILIPPINES)

Province of____________________) S.S.

City/Municipality of_____________)
x---------------------------------------x
AFFIDAVIT OF SUPPORT FOR THE COMPANION FOR THE ISSUANCE OF VISA
I, ________________(name of affiant)____________, Filipino, of legal age, [single]/[married to
_________(name of spouse)_________], and a resident of ___________________(address of
affiant)_______________, after having been duly sworn in accordance with law, hereby depose
and state:
1. That I am the _____(President)___ of the ___________(XYZ Corporation)_________;
2. That I am accompanied by my _________(Secretary)_____________________, [Mr]/
[Mrs]/[Miss]_____________________________.
3. That I guarantee and support any expenses that the above individual/s would incur.
4. This affidavit is being executed to the foregoing and in connection with our request to
the Department of Immigration for issuance of Special Non-Immigrant (47a2) Visa of the
above-mentioned individuals here in the Philippines.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____day of ____________
20___ at ____________, Philippines.

____________(signature)_____________
(Printed Name)

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

_________(City/Province)____________ this ____th day of ____________ 20___.
Affiant personally came and appeared with _____________(Competent Evidence of
Identity)______ issued by the _________(Government Agency)______ on ___(date)__
at ________(place)_________, bearing his photograph and signature, known to me as the
same person who personally signed the foregoing instrument before me and avowed
under penalty of law to the whole truth of the contents of said instrument.

Doc. No. ____

Page No. ____
Book No. ____
Series of 20__

Atty ___________________________________________
Notary Public
Commission Serial No. ____________________________
Notary Public for _______(Province/City)______________
Until December 31, 20__
Office: ______________(address)____________________
Roll No. __________
IBP Lifetime Roll No. _________; __/__/__ ; _(Province)_

PTR No. _________ ; __/__/__ ; _(Province)_

MCLE Compliance Cert. No. __________; __/__/__