AFFIDAVIT OF CONSENT

I, _____________________________________, of legal age,

single/married/widow/widower, citizen of ___________________ and presently
residing at _______________________________________________________,
after having been duly sworn to in accordance with law, do hereby depose and
say:

THAT I am a holder of _______________________ No. ______________

issued on _________________at ___________________.

THAT I am the mother/father of _________________________________

who is/are going to the Philippines for a visit on _________________________;

THAT I am giving full consent for my son/daughter/children to travel alone

and/or accompanied by __________________________________________;

THAT I am responsible in providing financial support and shelter to my

son/daughter/children during his/her/their stay in the Philippines.

THAT photocopy/ies of the pertinent page of the passport/s showing the

personal data of the abovementioned minor/s is/are hereto attached;

THAT I am executing this Affidavit for all legal intents and purposes and in
compliance with the requirements of the authorities concerned.

IN WITNESS WHEREOF, I have hereunto set my hand this

____________ at ___________________.

_______________________
(Affiant)

Signed in the presence of :

____________________________ __________________________
At the Philippine Consulate General, Toronto, Ontario, Canada