REPUBLIC OF THE PHILIPPINES)

C I T Y O F _____________ )S.S.
X--------------------------------------------X

AFFIDAVIT OF CONSENT

I, _________________, Filipino, of legal age, married and a resident of

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

1. That I am the father of _________________, who is applying for a Student

Driver's Permit at the Land Transportation Office (LTO).

2. That I am giving my full consent to my said daughter in her application for a

Student Driver's Permit;

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

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

IN WITNESS WHEREOF, I have hereunto set my hand this ___ th day of

_____________ in the City of __________, Philippines.

_________________________
Affiant

CTC No. ___________

Issued on ___________
Issued at ____________

SUBSCRIBED AND SWORN to before me this ___________________ at

_______________, Philippines. Affiants exhibited to me her Community Tax
Certificates above and below their signatures.

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 20__.