CONSULATE GENERAL OF THE
REPUBLIC OF THE PHILIPPINES
DUBAI and the N. EMIRATES
AFFIDAVIT
‘Support and Consent/Parental Travel Permit
iwe and _ of legal ages,
(civil status), (nationality) and a resident of
with telephone no. . after
fnaving been duly sworn in accordance with law before competent authority do hereby depose and say:
4. That | am/we are biological father/mother andlor person exercising parental authority over the following
minoris.
2. That the child/children will travel to (countryiplace of
destination) for the following reason/s
3. That the mentioned child/children will be leaving the Philippines on
and will stay in the said place of destination for a period of
and will be taken care of by
4. That (We cannot personally travel with my/our children because
5. That | am/we are giving my/our full consent for the minor child/children to travel abroad, outside the
Philippines, to be accompanied by holder of
Philippine Passport No. sued at on
6. That IWVe personally guarantee financial support of the child/children in the course of his/her/their travel
and stay outside the Philippines and further guarantee that he/she/they will not in any manner become
public ward/s of any authority of any country helshe/they may happen to pass en route to his/her/their
destination;
7. That this affidavit is executed for the purpose of attesting to the truth of the foregoing facts and for
whatever legal purpose it may serve; and
8. Affiant/s further sayeth naught.
IN WITNESS HEREOF live have hereunto set my/our hand/s this day of 20
, in the Philippine Consulate General, Dubai, United Arab Emirates.
Glenn “Ldmbo
FATHER MOTHER:
Signature over Printed Name Signature over Printed Name
Consulate General of the Republic of the Philippines
Dubal, United Arab Emirates
[SUBSCRIBED AND SWORN to before me ths ‘atthe Consulate General ofthe Phppine in Dubai, Urited Arab
Emirates, affanls exhibited hisihernnotr passport.