AFFIDAVIT

(Consent/Parental Travel Permit)

I , ___________________________ of legal age, ____________ (status),

___________ (nationality) and a resident of ___________________ and with tel. no.
_______________, after having been duly sworn to in accordance with law do hereby
depose and state:

1. That I am biological father exercising parental authority over minor

(s)_____________________________________________
________________________________________________________________
________________________________________________________________;

2. That the child/children will travel to ___________________________ (country)

for the following reason/s: ___________________________________________;

3. That the mentioned child/children will be leaving on _____________________

and will stay in the said country for a period of _________________________
and will be taken cared of by their mother, ______________________________;

4. That I cannot personally travel with my child/children due to the following

reasons: ________________________________________________________;

5. That I am giving my full consent for the minor child/children to travel abroad to be
accompanied by their mother ____________________________;

6. That this affidavit was executed for the purpose of attesting to the truth of the
foregoing facts and for whatever legal purpose it may serve; and

7. Affiant further sayeth naught.

IN WITNESS HEREOF, I have hereunto set my hand this __________________ at

______________________.

____________________________
Father

SUBSCRIBED AND SWORN to before me this _______________ at

________________________, affiant exhibited to me his passport.

Name Passport No. Date/Place of Issue

_______________________ __________________ _______________________

Doc. No.: _______

Book No.: _______
Page No.: _______
Series of 2019.