REPUBLIC OF THE PHILIPPINES NOT FOR SALE

DEPARTMENT OF FOREIGN AFFAIRS

AFFIDAVIT OF SUPPORT

DATE
Foreign Service Post: (Ex. January 01, 2012)

AFFIDAVIT OF SUPPORT

I, , citizen,

of legal age, holder of passport no. , and presently residing at

after having been duly sworn to in accordance with the law, do hereby depose and say:

1. That I am presently working as a/an

at with address at

2. That I would like to invite my ,

Filipino national, of legal age, and presently residing at

, Philippines,

to come and visit in ;

3. That I will take full responsibility for all his/ her expenses, subsistence and accommodation
throughout the duration of his/her stay and ensure that he/she will not become a public
charge while on travel;

4. That I am executing this affidavit for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this day of

in the year in .

PHILIPPINE EMBASSY )
CONSULAR SECTION ) S.S. Signature of Affiant
__________________ )

SUBSCRIBED AND SWORN to before me this day of in the year

in , affiant having exhibited to me his/her passport no.

issued in on and valid until .

Doc. No: ________________________

Service No.: _____________________
O.R. No.:________________________
Fee Paid: _______________________