EMBASSY OF THE PHILIPPINES 4 Hameau de Boulainvilliers

75016 Paris, France

Paris, France Trunkline : 01.44.14.57.00
Consular Services Section Fax : 01.46.47.56.00
Email : paris.pe@dfa.gov.ph

REQUIREMENTS

AFFIDAVIT OF SUPPORT AND CONSENT WITH SPECIAL POWER OF ATTORNEY

1. Please fill up all the blanks clearly and completely. Check which Affidavit of
Support and Consent with SPA you need – whether you wish to sign the
document singly (“I”) or as a couple (“We”).

2. Submit all of the following requirements:

 Original passport of the parent/s

 Two photocopies of the data page and back page of the passport of the
parent/s

3. The Affiant or the person executing this Affidavit must personally appear at the
Embassy.

4. Payment of notarial fee of €25 in cash or Mandat Cash payable to Ambassade

des Philippines.
 AFFIDAVIT OF SUPPORT AND CONSENT WITH SPECIAL POWER OF ATTORNEY

I, ____________________________________________________ of legal age, a Philippine citizen,

with residential address at ____________________________________________________________,
hereby declare under oath that:

1. I am the  Father /  Mother of the following minors, whose details are as follows:
Full Name Date of Birth Place of Birth

Full Name Date of Birth Place of Birth

Full Name Date of Birth Place of Birth

Complete Address

2. I am authorizing a person, Filipino, of legal age, and with the following details to perform certain acts
on my behalf:
Full Name Relationship to the Undersigned

Address in the Philippines Contact Number(s)

3. I am authorizing the above-mentioned person to:

 Apply for my child / children’s passport in the Philippines;
 Accompany my child / children during the travel from the Philippines to France;
 Secure a clearance from the Department of Social Welfare and Development (DSWD) for my
unaccompanied minor child / children who will be travelling with the following details:
Date of Travel Destination
FRANCE

3. My child / children will be staying with me at:

Your complete address

4. I assume full responsibility for allowing the trip of my aforementioned child / children and further
assume any and all obligations consequent thereto; and

5. I am executing this Affidavit to attest to the truth of the foregoing statements.

IN WITNESS WHEREOF, I hereunto affix my signature this __________________________ in the City

of Paris, France.

_______________________________________
Printed Name and Signature of Affiant
 JOINT AFFIDAVIT OF SUPPORT AND CONSENT WITH SPECIAL POWER OF ATTORNEY

We, __________________________________________ and ________________________________

both of legal age, Philippine citizens, with residential address at
____________________________________________________, hereby declare under oath that:

1. We are the parents of the following minors, whose details are as follows:
Full Name Date of Birth Place of Birth

Full Name Date of Birth Place of Birth

Full Name Date of Birth Place of Birth

Complete Address

2. Our aforementioned child / children is / are applying for passport(s);

3. We are authorizing a person, Filipino, of legal age, and with the following details, to perform certain
acts on our behalf:
Full Name Relationship to the Undersigned

Address in the Philippines Contact Number(s)

4. We are authorizing the above-mentioned person to:

 Apply for our child / children’s passport in the Philippines;
 Accompany our child / children during the travel from the Philippines to France;
 Secure a clearance from the Department of Social Welfare and Development (DSWD) for our
unaccompanied minor child / children who will be travelling with the following details:
Date of Travel Destination
FRANCE

4. Our child / children will be staying with us at:

Your complete address

5. We assume full responsibility for allowing the trip of our aforementioned child / children and further
assume any and all obligations consequent thereto; and

6. We are executing this Affidavit to attest to the truth of the foregoing statements.

IN WITNESS WHEREOF, we hereunto affix our signatures this __________________________ in the

City of Paris, France.

_______________________________________ _______________________________________
Printed Name and Signature of Father Printed Name and Signature of Mother
 JOINT AFFIDAVIT OF SUPPORT AND CONSENT OF TRAVEL OF A MINOR

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.

We, spouses _____________________________ and

_____________________________, both Filipino, of legal age, and residents of
_____________________________, after having been duly sworn in accordance
with law, hereby depose and say:

1. That we are the legitimate parents/guardians of

_____________________________, who is ______________ years
old;

2. That our above-named son is scheduled to leave for this

_____________________________ , 2014;

3. That we are giving our full consent to our said

son/daughter/ward to travel abroad;

4. That for this purpose, we have sufficient and adequate

financial capacity to support and defray the said travel and do
hereby undertake to finance his/her trip abroad from the
application fees, airline tickets, board and lodging, pocket
money and such other expenses that he/she may incur so that
he/she would neither be a burden to the state nor at their
place of destination at any time during his/her trip abroad;

5. That there is no criminal case pending in court against

him/her nor has he/she been charged of subversion, rebellion,
insurrection or any crime or offense involving moral turpitude
in any court of the Philippines;

6. That further, _____________________________ will be

accompanied or escorted by his/her
_____________________________,_________________________
____, in his/her travel abroad;

7. That we are hereby giving my full consent to the said

_____________________________ to accompany or escort
_____________________________ in his/her travel abroad;

8. That we are executing this affidavit to declare the truth of the

foregoing facts and for whatever legal purpose it may serve.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____
day of ____________ 20___ at ________________________, Philippines.

______________________________________
(Signature of Affiants over Printed Names)

SUBSCRIBED AND SWORN TO before me, a notary public in and for

_____________________ this ____ day of April 2014. The affiant, whom I identified
through the following competent evidence of identity:
_____________________________, valid from __________________ to
__________________ issued by _____________________________, personally
signed the foregoing instrument before me and avowed under penalty of law to
the whole truth of the contents of said instrument.

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 2014.