Republic of the Philippines )

_____________________ ) SS.
x--------------------------------/

AFFIDAVIT OF CONSENT
I, _____________________, of legal age, widow, Filipino, and a resident of
_________________________, after having been duly sworn to in accordance with the law, do
hereby depose and state that;

1. I am the guardian/grandfather of ____________________ who was born on

________________ at ____________________;

2. _______________________ is applying for a non-professional driver’s

license at the Land Transportation Office (LTO);

3. I am giving my full consent to my granddaughter,

___________________________ in her application for a non-professional
driver’s license at the Land Transportation Office (LTO);

4. There is no criminal case pending in court against her nor has she been
charged with subversion, rebellion, or insurrection in any court in the
Philippines;

5. I am executing this affidavit to attest to all the above facts and to give my
consent to _______________________________ to apply for a non-
professional driver’s license at the Land Transportation Office (LTO);

IN TRUTH WHEREOF, I have hereunto set my hand this ___ day of

_________________2023 in ______________________, Philippines.

____________________
Affiant
__________________________

SUBSCRIBED AND SWORN TO before me this ___ day of ________ in

___________________________, Philippines.

Doc No.____;
Page No. ___;
Book No. __;
Series of 2023.

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