AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

l/WE, of legal age, Filipino citizen/s, single/ married/

widowed and presently residing at , after having
been duly sworn to in accordance with law, depose and state THAT:

1. I am/We are the mother/ father/ parents of who was bom in on ;

2. My/Our child intends to contract marriage with in ;
3. I am/We are giving my/our consent to my/our child to marry;
4. I am/We are executing this Affidavit for the purpose of informing the authorities concerned of
the veracity of the foregoing facts and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, l/we hereby affix my/our signature(s) this day of

in Ottawa, Ontario, Canada.

Father’s Signature over Printed Name Mother’s Signature over Printed Name

SUBCRIBED AND SWORN TO before me this day of at the Philippine

Embassy in Ottawa, Canada, affiant(s) exhibiting to their valid proof of identification.

Administering Officer

Doc. No. :
Book No. :
Page No. :
Series of O.R. No. :
Service No. :
Fee Paid :