Affidavit of Support

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DSWD-GF-010A | REV 00 | 22 SEP 2023

AFFIDAVIT OF SUPPORT

I/We___________________________________ and _______________________________ of


legal age, _______________ (civil status) ______________ (nationality) and a resident of
_________________________________________ and with tel. no.___________________
after having been sworn to in accordance with the law do hereby depose and state;

1. That I am/we ___________________ over minor(s) _______________________

2. That the child/children will travel to _______________________ (country) for the following
reason/s _________________________________________________
_________________________________________________________________.

3. That the mentioned child/children will be leaving on __________________________ and


stay in the said country for a period of __________________________ and will be taken
care of by ___________________________________________________.

4. That I am/we cannot personally travel with my child/children due to the following
reason/s_________________________________________________________.

5. That I am/we are giving my/our full consent for the minor child/children to travel abroad
accompanied by _______________________________________________.

6. That I/We personally guarantee the 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 of any authority of any country he/she/they
may happen to pass en route to his/her destination.

7. That this affidavit was executed for the purpose of attesting to the truth of the foregoing
facts and for whatever legal purpose it may serve and

8. Affiant further sayeth naught.

IN WITNESS HEREOF, I have hereunto set my hand this ___th day of _____, 20___ in
_________________, Philippines.

__________________________________
AFFILIANT

Subscribe and sworn to before me……………..)


Notary Public
Date__________________
Doc. No_____________
Page No.____________
Book No.____________
Series ______________

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DSWD Field Office X, Masterson Ave., Upper Carmen, Cagayan De Oro City Philippines (9000)
Website: https://fo10.dswd.gov.ph Tel Nos.: (088) 565 5795

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