AFFIDAVIT OF SUPPORT WITH SPECIAL POWER OF ATTORNEY

I, (name of Sponsor) of legal age, Filipino, married to _(name of spouse) and

presently residing at (complete address, with postal code) after being duly sworn to
in accordance with law do hereby depose and say:

THAT I, the (relationship) of (name of the person to be sponsored) born

on the (birthday) in (birthplace) Married to (if married if single delete) on (date of
marriage)
THAT, this coming (date of travel), I will be bringing (name of the person to
be sponsored for a trip to (name of country to be visited) for leisure purposes and
for family vacation.

THAT I will support (name of the person to be sponsored) during her stay in
the abovementioned country

THAT I am gainfully employed and financially capable to support her stay

abroad;

THAT, I assume full responsibility of financing the travel and other expenses
relative to the stay of the abovementioned person such that she does not become a
public burden or charge to both governments of the Republic of the Philippines and
(name of country).

THAT I am executing this affidavit, to attest to the truth of the above statement
for all legal intents and purposes without any intent to circumvent any of the existing
laws and regulations and as for compliance with the requirements of the authorities
concerned in connection with the application for TOURIST VISA for (country).

IN WITNESS HEREOF, we hereunto set our hands this ______ day

of__________________ at _______________

Name over signature of sponsor

Affiant
(relationship)

SUBSCRIBED AND SWORN TO before me this ______day of ___________ in Philippines

affiant(s) exhibiting to me their Philippine Passport No(s).,______ both issued in ________on
_________.

Doc. No. ____________

Page No. ____________
Book No. ____________
Series of ____________
O.R. No. ____________