SAMPLE AFFIDAVIT OF CONSENT FOR DSWD MINOR TRAVEL CLEARANCE

As part of the requirements needed for applying for the DSWD Minor Travel Clearance is a notarized affidavit of consent from parents.

The letter must include: destination, date of intended travel, purpose, and name of companion/s. For a sample of affidavit of consent, please see below and hope this helps! (written by a single mom or parent)

REPUBLIC OF THE PHILIPPINES
PROVINCE OF CEBU

AFFIDAVIT OF CONSENT AND SUPPORT

I, JANE DE LA CRUZ, Filipino, of legal age, Filipino and resident of 123 BRGY POBLACION, CEBU CITY, CEBU 6000, duly sworn to in accordance with law do hereby say, that:

1) as the biological mother and sole parental authority of CALEB DE LA CRUZ, who was born on JANUARY 1, 2013 in CEBU CITY, CEBU PHILIPPINES, is a minor and Philippine passport holder of Passport number PP123456;

2) I am giving consent for my child to travel to SINGAPORE and accompanied by his grandfather LUCIANO DE LA CRUZ;

3) that I likewise guarantee the safety of my child and give full support and consent for said travel; and

4) that I am executing this affidavit to attest the veracity of the foregoing facts for whatever legal purposes this may serve.

IN WITNESS THEREOF, I sign my name below this SEPTEMBER 8, 2019 at CEBU CITY, CEBU PHILIPPINES

(NAME AND SIGNATURE of JANE DE LA CRUZ)

SUBSCRIBED AND SWORN before me in the City of CEBU this SEPTEMBER 8, 2019 by JANE DE LA CRUZ who satisfactorily prove to me through his Philippine Passport no. _______ issued by the Department of Foreign Affairs in CEBU CITY, personally known to be the same person who executed the foregoing affidavit and acknowledged that he executed the same.

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