Republic 

of the Philippines )
Province of Palawan )S.S.
City of Puerto Princesa )

AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

I/WE, ________________________ of legal age, Filipino citizen/s, single/married/widow

and presently residing at _______________________________, after having been duly sworn
to in accordance with law, depose and state THAT:

1. I am/we are the mother/father/parents of ______________________ born in

______________________ on ________________;

2. My/Our child is intending to contract marriage with ____________________ in

______________________;

3. I am/we are giving my/our consent to my/our child, ___________________, marrying said
________________;

4. I am/we are executing this Affidavit for the purpose of informing the authorities concerned of the
veracity of the foregoing facts and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I/we hereby affixed my/our signature/s this day of

___________________ in _______________, Philippines.

  

__________________
Affiant ____________________
SSS ID No. _____________ Affiant
SSS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiant/s exhibiting to me his/her/their valid proof/s of
identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.