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REPUBLIC OF THE PHILIPPINES )

CITY OF DASMARINAS, CAVITE. . . . . . . ) S. S.

AFFIDAVIT OF CONSENT

WE, SPS. JAIME GOBOTIA & EVELYN GOBOTIA, Filipinos, both of legal
age, and residents of Purok 5, Bautista, Dasmarias City, Cavite, after being
duly sworn to in accordance with law, depose and state: That - -

1. That we are the biological parents of ELVIEVANE GOBOTIA who


was born on March 8, 2000 in Vinzon, Camarines Norte;

2. The said child will be travelling to Singapore for ASEAN SCHOOL


GAMES and will be accompanied by her coach FERNANDO DAGASDAS;

3. That we, as parents hereby give our full consent and conformity
to the said travel of our above-mentioned child to the said country.

4. We are executing this affidavit to attest to the truth and veracity


of the foregoing and for whatever legal purpose the same may serve;

IN WITNESS WHEREOF, we have hereunto affixed our signature this 14th


day of June 2017 in Dasmarias, Cavite.

JAIME GOBOTIA EVELYN GOBOTIA


Affiant Affiant
VOTERS ID # 1606-0070A-G1261JEG10000 ID# ________________

SUBSCRIBED AND SWORN to before me this 14th day of June 2017 in


Dasmarias, Cavite affiant exhibiting to me their competent identification
cards above.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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