TokyoPE_JASC Form

October 2021

JOINT AFFIDAVIT OF SUPPORT AND CONSENT

We, _____________________________________, citizen of ____________________,

and __________________________________, citizen of ____________________, both of
legal age and presently residing at _____________________________________________
(address in Japan)
___________________________________ after having been duly sworn to in accordance
with law, hereby depose and state that:

(1) We are the parents/court-appointed legal guardian of the following child(ren):

 _______________________________ born on ____________ in_______________
 _______________________________ born on ____________ in _______________
 _______________________________ born on ____________ in _______________

(2) We are giving our consent for the said child(ren) to travel abroad accompanied by
______________________________________________________________;

(3) We are paying for the expenses of their travel;

(4) We are financially capable to provide for their accommodation, sustenance and support
during their sojourn;

(5) We guarantee that they will not violate any law of their destination country;

(6) We are executing this affidavit in connection with our child(ren)’s/ward’s application for
a passport at the Department of Foreign Affairs and/or travel clearance at the Department
of Social Welfare and Development for travel abroad.

IN WITNESS WHEREOF, we have hereunto signed our name this __________day

of ______________________ in Tokyo, Japan.

Affiant Affiant
Full name and Signature Full name and Signature

The Consular Section of the Philippine Embassy in Tokyo, Japan assumes no responsibility for the contents of this document as written
by the applicant.