Control No.

O.R No.

AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

I
, of legal age, single/married/widowed, Filipino citizens, and
presently residing in the Philippines, after having been duly sworn in accordance with law, do
hereby depose and state:

THAT I am the father of

born in
, on
.d
THAT my daughter/son is intending to contract marriage with
born in
, on

in

THAT I am giving my consent to my daughter/son,

marrying

THAT I am executing this Affidavit for the purpose of informing the authorities concerned in the
veracity of the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS THEREOF, I have signed this AFFIDAVIT on this
in the City of
, Philippines

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this

exhibiting his

day of

20

, affiant

Issued on
, in
, known to me to be the same person who executed
the foregoing instrument, and they acknowledged to me that the same is their free and voluntary
act and deed.