Professional Documents
Culture Documents
AND
SPECIAL POWER OF ATTORNEY
4) That I/We am/are willing and able to support him/her/them while in the United Kingdom;
5) That my/our child/children will live and stay with me/us at the above address;
7) That I/We am/are giving my/our full consent to the travel of the aforementioned child/children abroad to be
accompanied by ______________________________________________ / ________________________________;
(name of person accompanying and relationship to the child/children)
8) That this affidavit was executed for the purpose of attesting to the truth of the facts above stated and for whatever
legal purpose it may serve:
IN WITNESS WHEREOF, I/We have hereunto signed this Affidavit this ______ day of _________________ 20___ at
London, United Kingdom.
______________________________ ______________________________
(father’s signature) (mother’s signature)
Philippine/UK Passport No. __________ Philippine/UK Passport No. __________
Date of Issue _______________ Date of Issue _______________
Place of Issue _______________ Place of Issue _______________
ascspa form revised 10/08 – Philippine Embassy, London This form is not for sale and can
be reproduced