REPUBLIC OF THE PHILIPPINES )
PROVINCE OF BOHOL)
MUNICIPALITY OF ______)
AFFIDAVIT OF GUARDIANSHIP
I, XXXX, of legal age, single and presently residing at
Brgy. XXXX, after being duly sworn to in accordance with law, depose and state:
1. That I am the cousin of the minor named below who is applying for
passport renewal on ________ at Department of Foreign Affairs DFA –
Cagayan de Oro City.
NAME OF MINOR : DATE OF BIRTH : PLACE OF BIRTH :
__________________ JULY 24, ____ _______
2. That his father ______________ has died already last
______________ while his mother _______________ is presently residing
at _____________ and is unable to accompany her minor son.
3. That I am the legal guardian of the above-named minor for the
sole purpose of processing for the renewal of his passport in Cagayan de
Oro City, Philippines.
4. That the said minor is applying for passport renewal in the DFA
Cagayan De Oro City and only I can accompany him due to the travel
restrictions imposed upon us here in _____________ caused by COVID-19.
5. That I shall fully commit to guide and support the above-named
minor in the processing for his passport renewal.
Done this _____________ at ___________________.
XXX
Affiant
SUBCRIBED AND SWORN to before me, this _____ at
______________, affiant exhibiting to me his valid government Divers
License (G_____________)issued by the Land Transportation Office on
____________ at ______________________.
NOTARY PUBLIC
Doc. No. __
Page No.___
Book No.____
Series of 2020.