AFFIDAVIT OF CONSENT

We, FLORENCIO MIJARES ROSALES , and EVANGELINA PAJARILLO ROSALES Filipino

citizens, of legal age and presently residing at PRK A BRGY MALAMOTE ,KABACAN COTABATO, after
having been duly sworn to in accordance with law, do hereby depose and say:
That we are the parents of RAYMUND PAJARILLO ROSALES, minor, born on FEBRUARY 26,
1997 and presently residing at BLK 68,LOT 15,ONYX ST. DECA ESPERANZA TIGATTO DAVAO CITY,
Philippines;
That we are giving our full consent for our son to travel with European Vessel as APPRENTICE on
his own, but accompanied by and will full custody of DMMA COLLEGE OF SOUTHER PHILIPPINES in
collaboration with the DBP Sponsorship Program who will take full responsibility for all his expenses,
subsistence and accommodation throughout the duration of his travel and ensure that he will not become a
public charge while in travel and
That we are executing this affidavit for the purpose of applying for travel clearance for our son with
the Department of Social Welfare and Development (DSWD).
IN WITNESS WHEREOF, we hereby affix our signature this 5th day of January 2015 Davao City
Philippines.
__ FLORENCIO MIJARES ROSALES
Affiant/Father

Davao City
Philippines

EVANGELINA PAJARILLO ROSALES

Affiant/Mother

)
) S.S.

Subscribed and sworn to before me this 5 th day of January 2015 at the Davao City Philippines,
affiants having exhibited to me their community tax certificate . 13 and ___________ issued in
_________________ on _____________ and valid until _____________, respectively.

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, FLORENCIO MIJARES ROSALES, Filipino citizen, of legal age and presently
residing at_ PRK A BRGY MALAMOTE, KABACAN COTABATO do hereby name, constitute and
appoint MELANIE MEJARES CABRERA Filipino citizen, of legal age, with residence at BLK
68,LOT 15,ONYX ST. DECA ESPERANZA TIGATTO DAVAO CITY , Philippines, to be my true and
lawful attorney-in-fact, for my name, place and stead, to do and perform the following acts and
deeds, namely:
To apply for the Philippine passport of my son, RAYMUND PAJARILLO
ROSALES, at the Department of Foreign Affairs (DFA) in Manila, Philippines or in
any of its regional offices;
To secure clearance of Travel Clearance from the Department of Social Welfare
Development Office
To do and perform any and all actions necessary or relevant to the aforesaid
undertaking;
GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform every act or thing necessary to be done in and about the premises, as fully and to all
intents and purposes as I might or could do if personally present, hereby ratifying and confirming
all that my said attorney-in-fact shall do or lawfully cause to be done by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this 5 TH day of January 2014 at the
City Davao.

FLORENCIO MIJARES ROSALES

Principal
CONFORME :

MELANIE MEJARES CABRERA

Attorney-in-fact
SIGNED IN THE PRESENCE OF:

EVANGELINA PAJARILLO ROSALES

WITNESS

ELPEDIA C. MIJARES
WITNESS