PARENTAL TRAVEL PERMIT

& SUPPORT AND CONSENT TO TRAVEL
We,_____________________________and_____________________________,
both of legal age, ___________________(citizenship) and residents of _____________
________________________________and with telephone no.____________________
after having been duly sworn to in accordance with law do hereby depose and say:
That we are biological parents and/or persons exercising parental authority of
minor(s) _______________________________________________________________
and residing at__________________________________________________________;
That our child(ren) will be leaving on _______________________ and will stay in
_____________________________________________ for a period of _____________
and will be taken care of by _________________________________________;
That we cannot personally travel with our child(ren) due to __________________
_______________________________________________;
That we shall be financially responsible for all expenses relating to said travel
and stay in the Philippines and designate _____________________________________
to be said child’s(children’s) legal guardian while in the Philippines;
That we authorize _______________________________ to secure a clearance
to travel from the Philippine Department of Social Welfare and Development for the
travel of said minor child(ren), who is(are) scheduled to depart from the Philippines on
_____________________; and
That this Affidavit was executed for the purpose of attesting to the truth of the
facts stated above and for whatever legal purpose it may serve.
Done this _______day of __________________ 20___ in Geneva, Switzerland.

_____________________
Father

_____________________
Mother

PHILIPPINE CONSULATE GENERAL )
GENEVA, SWITZERLAND
) S.S.
SUBSCRIBED AND SWORN TO before me this ______ day of
_________________________20____, in Geneva, Switzerland.
Doc. No.:
Page No.:
Book No.:
Date:
O.R. No.:
Service No.:
Fee:

_________
_________
_________
_________
_________
_________
_________

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