AFFIDAVIT OF PARENTAL CONSENT FOR TRAVEL OF MINOR
We sand
(Name of Mother) (Name of Father)
Years old respectively, with residence address at
Se
South Korea, after
Filipinofs)__and
having been duly sworn to before competent authority, depose and say:
That, /We, the Mother/Father/parents of the minor.
(Name of Minor)
born on in
(Date of Birth) (Place of Birth)
That, Me hereby give my/our consent to my/our son/daughter who will be traveling to the pj
on with Mr. /Ms
(Bate of Travel) (Name of traveling companion)
with residence address at |
a
That I/we personally know the traveling companion, she/he being my/our.
: (Relationship)
sane that Re/she will take care and protect the aforesaid minor ‘or the duration of the travel until the later is tuned
over to Mr/Ms Years old and who is related to me/us
ee
(Name of Minor’s custodian/guardian)
with residence address at i
oo
'N WITNESS WHEREOF, /We sign these presents on this day of, 20,
os re
at the Philippine Embassy, Seoul, South Korea,
(Signature over Printed Name of Mother) {Signature over Printed Name of Father)
Mobile Number: Mobile Number:
a es
CONFORME BY TRAVELING COMPANION: :
(Signature over Printed Name)
Mobile Number:
ee
WITNESSES
(Signature over Printed Name)
{Signature over Printed Name)