Note:
This
is only a sample Affidavit of Support and Consent format.
The
execution of this Affidavit is required under the following circumstances:
1. Securing a Travel Clearance when a minor is
travelling alone to a foreign country; or a minor is travelling to a foreign
country accompanied by someone other than his/her parents;
2. When securing a passport for a minor who will be
travelling with someone other than his/her parents; and
3. When
securing a passport for an illegitimate minor child;
AFFIDAVIT OF SUPPORT AND CONSENT OF
TRAVEL OF A MINOR
REPUBLIC OF THE PHILIPPINES)
______________________ ) Sc.
I, ________________________________,
Filipino, of legal age, single and a resident of _______________________________________________,
after having been duly sworn in accordance with law, hereby depose and say:
1. That I am the
mother of the minor/minors: ________________________________________________________________________________________;
2. That the said minors are applying for
Philippine passports at the Department of Foreign Affairs, in order to join me
in travelling abroad;
3. That I am giving my full consent to my
said daughters to travel abroad;
4. That for this
purpose, I have sufficient and adequate financial capacity to support and defray
the said travel and do hereby undertake to finance their trip abroad from the
application fees, airline tickets, board and lodging, pocket money and such
other expenses that they may incur so that they would neither be a burden to
the state nor at their place of destination at any time during their trip
abroad;
5. That there is no
criminal case pending in court against them nor they have been charged of
subversion, rebellion, insurrection or any crime or offense involving moral
turpitude in any court of the Philippines;
6. That though the
minors’ father is not here present, I am giving consent to said minors’ travel
in as much as I have the parental authority and custody of said minors pursuant
to Executive Order 209, s. 1987 (As Amended), otherwise known as the Family
Code of the Philippines;
7. That I assume responsibility for the issuance of the passport
and for allowing the trip of said minors and further assume any and all
obligations consequent thereto; and
8. That I am executing this Affidavit to attest to the truth of
the above statement in connection with said minors’ application for a
Philippine passport.
IN WITNESS WHEREOF, Ihave hereunto set my hands this ___________ day of _____________ 20__, City
of __________, Philippines.
_____________________________
Affiant
JURAT
SUBSCRIBED AND SWORN TO before me, a Notary Public in and
for the City of _______, this _____ day of _____________ 20___, affiant, _______________________,
whom I identified through the following competent evidence of identity: (Government-issued
Identification Cards), personally signed the foregoing instrument before me
and avowed under penalty of law to the whole truth of the contents of said
instrument.
Notary Public
Doc No. ____;
Page No. ___;
Book No.____;
Series of 20__.
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