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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF DAVAO DEL NORTE)


CITY O F TAGUM ) SS

AFFIDAVIT OF CONSENT

I, ADELFA B. DANILA, of legal age, Filipino citizen, and a resident of Brgy.


Cuambog, Mabini Compostela Philippines, after having been duly sworn in accordance with law,
hereby depose and state:

1. That I am the biological mother of MARY ROSE BAJAO, 16 years old


and was born on February 1, 2001;

2. That my sister ALONA B. KOBAYASHI is now in JAPAN and instructed


me to let Mary Rose Bajao to travel to Japan together with ALMER E.
BAJAO for a vacation;

3. That I have fully given my consent to the aforesaid passport, visa


application and all other legal requirements in order for her to legally travel
abroad;

4. I am executing this affidavit to attest to the truth of the foregoing narration


of facts and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this March 9, 2017 in Tagum
City, Philippines.

ADELFA B. DANILA
VOTER’S IDENTIFICATION NUMBER: 8203-0007B-
D2980ABD20000-2

SUBSCRIBED AND SWORN to before me this March 9, 2017 in Tagum City,


Philippines, affiant exhibited to me her proof of identification as above-mentioned.

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