Republic of the Philippines)

City of Butuan ) S.S.

AFFIDAVIT OF INFORMANT

I, DARSIE LABAJO VALIENTE, of legal age, Filipino, married, and a

resident of P-18 B2 L9, Princess Homes 5, San Vicente, Butuan City, under oath,
hereby depose and state that:

1. I am the daughter of CONRADO SARIO LABAJO JR. and MARIA

LIDIA RICONALLA LIBRE;
2. I am the one processing the application for my parents’ Late Registration of
Birth due to their age and my mother was the one taking care of my father
who currently suffering mild stroke;
3. I am executing this affidavit to attest to the veracity of the foregoing and to
support the application for Late Registration of Birth, CONRADO SARIO
LABAJO JR. and MARIA LIDIA RICONALLA LIBRE.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th

day of March 2022 at Butuan City, Philippines.

DARSIE LABAJO VALIENTE

Affiant
LTO: K01-21-201121

SUBSCRIBED AND SWORN TO BEFORE ME this 15th day of March

2022 at Butuan City, Philippines.

Doc. No. ________;

Page No. ________;
Book No. _________;
Series of 2022.