REPUBLIC OF THE PHILIPPINES )

) S.S.
)

AFFIDAVIT OF CONSENT AND SUPPORT

WE, ____________________ and _______________________, of legal ages, Filipino, and

residents of _______________________________ after having been sworn in accordance with
law, hereby depose and state:

1. That, WE are the parents of ___________________________ and

____________________________;
2. That I, ______________________ am intending to travel to the United States with
my children mentioned above any time soon, and we are currently applying
for a passport;
3. That I guarantee the safety of my children and I am giving consent for their
travel with me to the United States;
4. That, I am willing and able to support my children during our travel;
5. That I, ________________________, the mother of the children above-mentioned
hereby give my full consent to the travel of my children with their father to
the United States;
6. That WE are executing this affidavit to attest to the truth of the foregoing.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, WE have hereunto set our hand this 22nd day of
October 2020 at ________________________.

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 22nd day of January 2021 at

_______________________________________.

Person Authorized to Administer Oath