REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

AFFIDAVIT OF CONSENT

YVON REMONDEULAZ, a minor and residing at

___________________________, under oath hereby declare that:

1) I am a child of Ma. Constantina Remondeulaz having born on ____________:

2) I am willing to be adopted by my grandfather and my grandmother Yves
Remondeulaz and Ma. Teresa Ramos-Remondeulaz for they have been supporting
us and I consider them as my true parents, by providing me love and care.

YVON REMONDEULAZ
Affiant

Assisted by:

Ma. Constantina Remondeulaz

SUBSCRIBED AND SWORN to before me this _____ of _____, ______ , in the

City of Makati, Philippines.

NOTARY PUBLIC

Doc.No. : ____
Page No.: ____
Book No.: ____
Series of 2006