Republic of the Philippines )

City of _____________ ) S.S.

AFFIDAVIT OF SUPPORT AND CONSENT

We, ___, a both Filipinos of legal age, married, with address at

_______________________, after having sworn in accordance with law, depose
and state:

1. We are the parents of __), who is currently residing with <___

at _________________.

2. We want to apply for a Philippine Passport for <__ and to

apply for the appropriate visa with the ____ Embassy.

3. As such, we are giving full authority and consent to

_______________ to apply for a Philippine Passport with the Office of
Consular Affairs of the Philippine Department of Foreign Affairs and to
apply for the appropriate visa/s with the _________ Embassy on behalf of
__ We are likewise authorizing ____________ to procure tickets for __ for
her travel to ____________.

4. Finally, we are willing and able to maintain and support

<juju> financially and guarantee that she will not become a public
charge or burden during her stay in ______________.

__________________________________ __________________________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _______ 20____ at

______________, affiant exhibiting to me
their________________________________________________________________________ .

Doc. No. ______;

Page No.______;
Book No.______;
Series of 20___.