REPUBLIC OF THE PHILIPPINES}

CITY OF MAKATI } S.S.

AFFIDAVIT OF MARITAL CONSENT

I, _______________, of legal age, Filipino, married and a resident of

____________________________ Philippines, after having been duly sworn in accordance
with law hereby depose and say that:

1. I am applying for a salary loan with ______________ located at the

________________________ in the amount of _____________ payable in _____
months;

2. I have secured the prior verbal consent of my husband, Mr. ________________ in

obtaining this loan but could not have him sign the loan application form due to the
fact that he is presently working abroad as Able Bodied Seaman
__________________. and currently in ______________;

3. My husband’s contract with the above-mentioned foreign company has a term of 9

months and could not be expected to arrive within the next 5 months;

4. I have executed this affidavit to attest to the truth of the matters above-stated in
order to fulfill the requirement of ___________.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _______,
2023 in the City of _____________.

_________________________________

SUBSCRIBED AND SWORN to before me this ___________ in the City of _________, affiant
exhibited her ________________, issued on ____________ at ____________.

NOTARY PUBLIC

Doc. No. ____;

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