Republic of the Philippines)

_____________________________ . . . . . .) s.s.

AFFIDAVIT OF SUPPORT

I, ________________________________, of legal age, married, Filipino

Citizen and a resident of ______________________________________, after having
been duly sworn to in accordance with law do hereby depose and state:

1. That I am the mother of _____________________________ who was born

on _______________________ in ___________________-;
2. That my family together with my daughter will be travelling to Japan
during her semestral break;
3. That we will be leaving on December 26, 2019 and will stay in Japan
for a period of ten (10) days;
4. That I am financially capable to support her in the course of our
travel;
5. That I am executing this affidavit to attest to the truth of all the
foregoing facts and to support my daughter’s application for a Visa.

IN WITNESS WHEREOF, I have hereunto set my signature this

_____________________________, in the ______________________, Philippines.

____________________________________
Affiant

SUBSCRIBED AND SWORN to before me this this _____________ at

____________________________, Philippines. Affiant, who exhibited her
government issued ID, appeared and vouched that all the foregoing
declarations are true to the best of her personal knowledge.

Doc. No. ______.

Page No. ______.
Book No. ______.
Series of ______.