AFFIDAVIT OF CONSENT

I, (Name of parent), Filipino, of legal age, married and a resident of (Present

Address), Philippines, having been duly sworn in accordance with law, hereby
depose and state:

That I am the father of (Name of the son or daughter), who is applying for a
Student Driver's Permit at the Land Transportation Office (LTO).

That I am giving my full consent to my said son/daughter in (his/her) application

for a Student Driver's Permit;

That there is no criminal case pending in court against (him/her) nor has she been
charged of subversion, rebellion or insurrection in any court of the Philippines;

That I am executing this affidavit to declare the truth of the foregoing facts
as to my undertaking to give consent to my (son/daughter)'s application for Student
Driver's Permit.

IN WITNESS WHEREOF, we have hereunto set our hands this (Date created) at
(Present Address), Philippines.

(Parent’s signature)
(Name of parent)