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Republic of the Philippines )

Surigao City ) S.S.

AFFIDAVIT OF CONSENT

I, SHEILA P. ESPERANZA , Filipino, of legal age, married and a resident of Sta.


Cruz, Placer, SDN, Philippines, having been duly sworn in accordance with law, hereby
depose and state:

1. That I am the mother of FRANCIS P. ESPERANZA, 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 son in his application for a Student
Driver's Permit;

3. That there is no criminal case pending in court against him nor has he 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 son's application for Student Driver's Permit.
 
IN WITNESS WHEREOF, we have hereunto set our hands this 14th January
2010 at Surigao City, Philippines.

SHEILA P. ESPERANZA
Affiant

SUBCRIBED AND SWORN, to before me this 14th day of January 2011 at the
Surigao City, Philippines.

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