AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

I Veronica G. Velasco , of legal age, married, Filipino citizen, and presently residing
in Barangay Villa Luna Cauayan City Isabela
, Philippines, after having been duly sworn to in accordance with
law, do hereby depose and state:

THAT I am the mother of Manuel G. Vealsco born in Barangay Villa Luna Cauayan, Isabela

on October 22, 1994;

THAT my daughter is intending to contract marriage with born in

________________________________, on in ;

THAT I am are giving my consent to my daughter, , marrying

;

THAT I am executing this Affidavit for the purpose of informing the authorities concerned of the
veracity of the foregoing facts and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit on this in

the City of , Philippines.

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this day of 20 ,

affiant exhibiting his
issued on , in , known to me to be the
same person who executed the foregoing instrument, and they acknowledged to me
that the same is their free and voluntary act and deed.