REPUBLIC OF THE PHILIPPINES

Municipality/City of ____________ )

AFFIDAVIT OF CONSENT

We, the relatives on the paternal side of the minor Maxine ___________:
___________., grandfather; ________, grandmother; _______, uncle; all of legal age,
Filipinos, and residents of Ziminila, Camalaniugan, Cagayan , under oath, hereby
depose and state - That

1. We are the relatives on the paternal side of the minor, _____________ who is
the subject of a Petition for Guardianship filed by her maternal aunt, _______;

2. We are voluntarily giving our consent to the Petition for Guardianship of the
minor ____________ filed by _____________

3. We are executing this Affidavit of Consent willingly for whatever legal purpose
this may best serve.

4. We hereby attest to the truthfulness of the foregoing facts and circumstances.

EXECUTED on ______________, 2019, in ___________________, Philippines.

PEDRO. CONCHITA
Affiant Affiant
_______________ ________________

EDGAR
Affiant
_________________

SUBSCRIBED AND SWORN to before me this ___________, 2019, in

____________________, Philippines. Affiants having exhibited to me their
valid/competent Identification Card/s No./s indicated below their names. I hereby
certify that I have examined the affiants and that I am satisfied that they voluntarily
executed and understood their affidavit of consent.

Doc. No. ________;

Page No. _______;
Book No. _______;
Series of 2019.