ANNEX A

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

FIELD OFFICE_________________________

Name of Minor:
Age: Date of Birth:
Address:
Local Phone No.: Abroad Phone:
Address Abroad:
Status of Birth: Legitimate Illegitimate

If adopted or under Legal Guardianship, please indicate Special Proceeding No.

PARENTS:

Father: Age: Occupation: TIN:

Address:
Mother: Age: Occupation: TIN:
Address:

TRAVELLING COMPANION:

Name:
Address:

SPONSOR:

Name:
Address:
Relationship: Income Tel. No.
DESTINATION:
Length of Travel (Inclusive date)

Reasons for Travel Abroad (inclusive reason for bringing minor)

Reasons why parents or legal guardian cannot accompany minor

Where does minor intend to stay during his/her travel and with whom (please indicate names, complete
address and phone numbers.

I hereby certify that the information given above are true and correct. I further understand that my misinterpre-
tation yhat may have made will subject me to criminal and civil action provided for existing laws.

Siganature Over Printed Name

Date

Relationship to Minor

This portion is to be filled up by the Social Worker

Remarks to Applicable Documents

Travel Clearance for Minors Travelling Abroad

Parental Travel Permit
Date Reviewed
Reviewd by:
Desigantion
 ANNEX B

PARENTAL PERMIT

I of legal age
and a resident of
(Citizenship)
and with Tel. # and TIN No. after
having been duly sworn to in accordance to law do hereby depose and say

1. That I am the biological mother/father and/or person exercising parental authority of minor
born on and residing in

2. That my child will travel to

for

3. That said child will be leaving on and will stay in

(Date)
for a period of
(address)
and will be taken of by

4. That I cannot personally travel with with my child/children due to

5. That I am giving my full consent to the travel of the aforementioned child abroad and to be accompa-
nied by my spouse

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

Affiant further sayeth naught.

Signature of Affiant
Over Printed Name

Subcribed and sworn to before me this day of

in the City of .
 ANNEX D

REQUIREMENTS FOR MINORS

TRAVELLING ABROAD

I. Travel Clearance

(Minors unaccompanied by Parent/s or Person?S Exercising Parental Authority)

a) Birth Certificate on security paper (SECPA) of the minor;

b) Marriage certificate of minor’s parents, if appropriate;

c) Notarized affidavit of consent from parents/guardian authorizing a particular person to accom-

pany child in his/her travel abroad;

d) notarized affidavit of support of sponsor indicating employment and salary certified by the
employer, if appropriate;

e) Latest income Tax return of sponsoring person and/or parents with official confirmation
reciepts;

f) Two passport size pictures of minor;

g) Photo copy of passport and visa of travelling companion.

The following are the additional requirements:

a) For immigrants minors:

Visa petition approval

b) For minors to study abroad:

Acceptance from the school where the child is to be enrolled

c) For minors to attend conference, study tours, etc.

Certification from sponsoring organization

d) For minors going abroad for medical purposes:

medical certificate of child

e) For adopted minors:

certified copy of adoption decree