AFFIDAVIT OF CONSENT AND SUPPORT

I/WE, ____________________________________________________________, of legal age,

Filipino, married/single/widower/widow, and presently residing at _________________________
________________________________________________________, after being duly sworn to in
accordance with law do hereby depose and say:

1) That I/we am/are the mother/father/parents of ______________________________________

__________________________________ born on ________________________________
in _________________________________________________________________________;

2) That I/we am/are giving my/our consent for my/our child/children to travel abroad to be
accompanied by _____________________________________________________________;

3) That I/we am/are sponsoring his/her/their trip;

4) That I/we am/are financially capable to support his/her/their stay abroad;

5) That I/we guarantee that he/she/they will not violate any existing laws of his/her/their country of
destination (Singapore); and

6) That I/we am/are executing this affidavit in connection with my/our child/children application for
a passport at the Department of Foreign Affairs and/or travel clearance from the Department of
Social Welfare and Development for his/her/their travel abroad.

IN WITNESS HEREOF, I/we hereunto set my/our signature(s) at the Embassy of the Philippines,
Singapore, this ______ day of ______________________.

___________________________ ___________________________
Affiant Affiant
(Mother) (Father)

SUBSCRIBED AND SWORN TO before me this _____________ day of ______________ in

Singapore, affiant(s) exhibiting to me his/her/their Philippine Passport No(s). ____________________
____________________________ issued in ____________________________________________
on ________________________________________________________________.

Doc. No. ____________

Page No. ____________
Book No. ____________
Series of ____________
O.R. No. ____________ ___________________________
Fee Paid ____________ (Signing Officer)