Affidavit of Consent
Affidavit of Consent
Affidavit of Consent
City of Manila……………..)
This consent is declared to the authorized Civil Registrar for their application for
marriage license as requirements for their marriage and to the Solemnizing Officer that
is in charge of this matter;
We are aware of the fact that our declaration of consent becomes irrevocable
once it has been received by the Civil Registrar and Solemnizing Officer.
NOTARY PUBLIC
DOC.NO__
PAGE NO.___
BOOK NO___
SERIES OF 2009
Republic of the Philippines)
City of Manila……………..)
AFFIDAVIT/DECLARATION OF CONSENT
I am the mother of Patricia Escalante y Deguiño, who was born on July 26, 2002;
I have duly noted that my sister, Mrs. Antonietta Schirmann nee Escalante, born
of 12 June 1971, and her husband, Mr. Bernd Schirmann, born on 4 th March 1962,
th
both residing in the Federal Republic of Germany, 23684 Gleschendorf, Aublick I, are
desirous to adopt my natural daughter, Patricia Escalante Deguiño;
My husband has died and I am solely responsible for the parental care and
custody of my child;
This consent is declared to the guardianship court that is in charge of this matter;
NOTARY PUBLIC
DOC.NO__
PAGE NO.___
BOOK NO___
SERIES OF 2008