REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ____________ ) S.S.

x-------------------------------------x

AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

I/WE, ________________________ of legal age, Filipino citizen/s, single/married/widow 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 ______________________ born in ______________________ on ________________;

2. My/Our child is intending to contract marriage with ____________________ in ______________________;

3. I am/we are giving my/our consent to my/our child, ___________________, marrying said ________________;

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, I/we hereby affixed my/our signature/s this day of ___________________ in _______________, Philippines.

SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant/s exhibiting to me his/her/their valid proof/s of identification.

Notary Public

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 20____.