CONSULATE GENERAL OF THE

REPUBLIC OF THE PHILIPPINES

DUBAI, UNITED ARAB EMIRATES

AFFIDAVIT
Support and Consent/Parental Travel Permit

I/We, _________________________________, and _______________________________, of legal age,

_________________ nationals and presently residing _________________________________________
_________________________________________________ with telephone no. ___________________,
after having been duly sworn to in accordance with law, do hereby depose and say:

1. That I am/we are the parent/s of the following child/children:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

2. That the child/children will travel to __________________________________ (country/place of

destination) for the following reason/s: __________________________________________________;

3. That the child/children will leave the Philippines on (date)_______________________________and

will stay in the said place of destination for a period of ___________________________________and
will be taken care of by _____________________________________________________________;

4. That my/our child/children will be accompanied by ______________________________________;

5. That I/we 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 or burden in the United Arab Emirates or any country en route from or to the
Philippines.

6. 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 period only.

__________________________________ __________________________________
Name and Signature of Father Name and Signature of Mother

SUBSCRIBED AND SWORN to before me this ______________________at the Philippine Consulate General,
Dubai, United Arab Emirates, the affiant(s) having exhibited his/her valid passport, copy of which is attached.

Service no. : _________

Doc. No. : _________
Book No. : _________
Fee Paid : _________
O.R. No. : _________