AFFIDAVIT OF SUPPORT AND CONSENT

I, , Filipino, of legal age and

presently residing in Singapore at
after having been duly sworn to in accordance with
law, hereby depose and state that:

1. I am the father / mother of the following child(ren):

 born on in

 born on in

 born on in

2. I am giving my consent for the said child(ren) to travel abroad accompanied by

;
(name of accompanying adult)

3. I am paying for the expenses of their travel;

4. I am financially capable to provide for their accommodation, sustenance and support during
their sojourn;

5. I guarantee that they will not violate any law of their destination country.

6. I am executing this affidavit in connection with my child(ren)’s application for a passport at the
Department of Foreign Affairs and/or travel clearance at the Department of Social Welfare and
Development for travel abroad.

IN TRUTH WHEREOF, I have hereunto signed my name below this day of

at the Embassy of the Philippines in Singapore.

Affiant
Full Name and Signature