(VISA ISSUING COUNTRY)
MINISTRY
OF INTERIOR / DEPARTMENT OF IMMIGRATION
(Date of Signing)
Subject: WAIVER OF PARENTAL CUSTODY IN LINE WITH APPLICATION OF CHILD FOR RESIDENT VISA
TO WHOM IT MAY CONCERN:
I, (NAME OF PARENT/FATHER), of legal age, Filipino, and a resident of (Residence of Parent), Philippines, and holder of (Government ID of Parent e.g. LTO Driver's License or Passport), hereby WAIVE my right to parental custody of my son/daughter, (NAME OF SON/DAUGHTER), who was born on (Date of Birth of Child) and with Philippine Passport No. _________________; and I therefore fully consent to allowing his/her mother, (NAME OF MOTHER), holder of (Issuing State/Country) Resident Visa Permit No. _______________, to take full custody of our son/daughter, and to sponsor his/her RESIDENT VISA application.
Thank you.
Yours truly,
(NAME OF PARENT/FATHER)
Contact Details
ACKNOWLEDGEMENT
Republic of the Philippines )
City of ______________ ) S.S.
BEFORE ME A NOTARY PUBLIC, for and in the City of _______________, on (Date of Notarization), personally appeared (Name of Parent/Father) who presented his (ID Details), valid until (Date of Expiry), an identification document that bears his signature and photograph, and being informed by me of the contents of the foregoing instrument, he acknowledged before me that he executed the same on his own free will and deed.
WITNESS MY HAND AND SEAL on the date and place first above written.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.
