REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CEBU )
CITY OF CEBU ) s. s.

AFFIDAVIT OF INTENT AND CONSENT

I, TEODORO I. LABAJO, JR., Filipino, of legal age, widower and presently residing at Tabunok, City
of Talisay, Cebu, after having been duly sworn in accordance with law, hereby depose and say, that-

1. I am the biological father of John Thed G. Labajo who was born on June 26, 1994 in Calape,
Bohol and Jhuelia Vhea Shaine G. Labajo, who was born on May 15, 1997 in Loon, Bohol.

2. Me and my wife, Eunice Theresa W. Garcia-Labajo, have long parted ways and lived separately
from each other since June of 2002.

3. During our de facto separation, my wife and our children have been living with and were
supported by my parents-in-law, spouses Epimaco P. Garcia, Jr. and Justina W. Garcia at Sta. Cruz,
Calape, Bohol.

4. On October 18, 2008, my wife Eunice Theresa W. Garcia-Labajo died in Calape, Bohol and was
buried at the Municipal Cemetery there.

5. After my wife’s death, my children continued to live with their grandparents who continually gave
them support and were responsible for rearing them. My parents-in-law also financed their schooling ever
since they started pre-school.

6. I was never really there for my children as it was my parents-in-law who practically raised them.
Thus, it is in this respect that I signify my written consent, freely, willingly and voluntarily to have my son
and daughter, John Thed G. Labajo and Jhuelia Vhea Shaine G. Labajo, be adopted by their grandparents,
in accordance with existing laws.

7. Moreover, I am financially, psychologically and emotionally unable to support said children and
that believing that it would be for their own interest and benefit, I, hereby signify my written intent, freely and
voluntarily to have my son and daughter John Thed G. Labajo and Jhuelia Vhea Shaine G. Labajo be
adopted as children of Spouses Epimaco P. Garcia, Jr. and Justina W. Garcia

8. I am ready and willing, freely and voluntarily to abdicate my parental authority over said children
in favor of their grandparents, spouses Epimaco P. Garcia, Jr. and Justina W. Garcia, who both possessed
all the necessary civil and legal rights as well as the psychological, spiritual and financial capacity to raise,
rear and support said children, after the adoption proceedings is instituted and an order of for their adoption
issued by the court of competent jurisdiction.

9. I execute this affidavit to declare my wholehearted intention and voluntary consent for the
adoption of my son and daughter, John Thed G. Labajo and Jhuelia Vhea Shaine G. Labajo by their
grandparents, spouses Epimaco P. Garcia, Jr. and Justina W. Garcia,

IN WITNESS WHEREOF, I have hereunto signed this AFFIDAVIT OF CONSENT FOR ADOPTION
this 11th day of March, 2011 in Cebu City, Cebu, Philippines.

TEODORO I. LABAJO, JR.

Affiant

SUBSCRIBED AND SWORN to before me this 11th day of March, 2011 at Cebu City, Cebu, Philippines,
affiant exhibited to me his her Passport numbered _____________________, issued at
________________________, on _________________ and expires on ____________________.

NOTARY PUBLIC

Doc. No.    ________

Page No.   ________
Book No.    ________
Series of 2011.