DSWD PMB GF 002 - REV 02 - Affidavit of Undertaking
DSWD PMB GF 002 - REV 02 - Affidavit of Undertaking
DSWD PMB GF 002 - REV 02 - Affidavit of Undertaking
AFFIDAVIT OF UNDERTAKING
1. That I am/we are the foster father/mother and /or person exercising parental authority
over minor(s) _____________________________,
_________________________________.
4. That the travel expenses and other needs of the child/children will be shouldered by
__________________________________________ (name & relationship to the
child/children)
5. That I/We take full responsibility in personally presenting the child/children within 5
days upon return from the travel to the DSWD Field Office _____ for post-travel
assessment of the social worker pursuant to A.O 12, series of 2017 or the Omnibus
Guidelines on Minors Travelling Abroad.
6. That this affidavit was executed for the purpose of attesting to the truth of the foregoing
facts and for whatever legal purpose it may serve and
IN WITNESS HEREOF, I have hereunto set my hand this ___th day of _____, 20___ in
_________________, Philippines.
FATHER MOTHER
Date__________________
Doc. No_____________
Page No.____________
Book No.____________
Series ______________
PAGE 1 of 1
DSWD Field Office III, Government Center, Maimpis, City of San Fernando, Pampanga, 2000 Philippines
Website: www.fo3.dswd.gov.ph Tel Nos.: (045) 961-2143