AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

I/We, ______________________________ and __________________________ ,

of legal age, single/married, Filipino citizen/s, and presently residing in ______________
_________________________________________, Italy, after having been duly sworn
to in accordance with law, do hereby depose and state:

1. That I am/we are the mother/father/parents of ___________________________

born in ______________________, on ___________________________;

2. That my/our child is intending to contract marriage with ____________________

______________________in ___________________________________;

3. That I am/we are giving my/our consent to my/our child, ___________________

_______________________, marrying ________________________________;

4. That I am/we are 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/We have signed this Affidavit on this _______________

in the City of Rome, Italy.

Affiant Affiant
Philippine Passport No. __________ Philippine Passport No. ___________
Issued on _____________________ Issued on ______________________
At ___________________________ At ____________________________

EMBASSY OF THE PHILIPPINES }

CONSULAR SECTION }
ROME, ITALY } S.S.
SUBSCRIBED and SWORN TO before me this ______________________,
affiant(s) having exhibited the abovementioned Philippine passport(s).
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Amount Paid : €
O.R. No. :