Affidavit of Support

I, , residing at , do hereby solemnly affirm and declare as follows:

1. Information of the Sponsor

Full Name:

Date of Birth:

Address:

Contact Number:

2. Information of the Beneficiary

Full Name:

Relationship:

Date of Birth:

3. Statement of Support

I hereby undertake to provide financial support for during his/her stay in .

I understand that this affidavit is made for the purpose of assuring the government of that the beneficiary will not become a public charge during his/her stay.

4. Additional Information (if any):

Signature of Sponsor:
Date: