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Republic of the Philippines]

City of Legazpi ] s.s.


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

AFFIDAVIT OF PARENTAL CONSENT

I, JENNY ROSE B. DAVID, of legal age, Filipino, married, a resident of Purok 4


Brgy. San Isidro, Sto. Domingo, Albay, after having been duly sworn to in accordance
with law, do hereby depose and states that:

1. That I am the biological mother of MENARD GABRIEL DAVID and was born on
November 25, 2004. Attached is a copy of his birth certificate as Annex A;

2. That I am separated in fact with Menardo C. David, my husband and biological


father of Menard since 2013 and we dont have any communication to him;

3. That I freely and voluntarily give my consent to my mother, MARIETTA BATAS,


brother, BERCELITO BATAS, JR. and his wife CHRISTINE JANE BATAS, to
accompany my son Menard Gabriel David to Macau for a vacation on April to May
2017;

4. That during such vacation, they will shoulder all the expenses of my son needed for
vacation;

5. That this affidavit is executed to attest to the foregoing statements and for
whatever legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of November,
2016 at Legazpi City, Philippines.

JENNY ROSE B. DAVID


Affiant
ID No. EB9048825
Issued By: DFA

SUBSCRIBED AND SWORN to before me this 25th day of November, 2016 at


Legazpi City, Philippines, affiant exhibited herself to me her Philippine Passport
bearing her photograph and genuine signature as competent proof of her identity
pursuant to the 2004 Rules on Notarial Practice.

Doc. No. ____;


Page No. ___;
Book No. ___;
Series of 2016.

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