Republic of the Philippines )

City of El Salvador, Misamis Oriental ) S.S.

AFFIDAVIT

I, LEONCIO TAROY TAGUN, legal age, married, Filipino, and resident of

Blk 21, Lot 30, Phase II, VTS, Bugo, Cagayan de Oro City, Misamis
Oriental, after having been duly sworn to an oath in accordance with the
law, hereby depose and say:

1. That I am applying for the Late Registration of my Birth;

2. That upon checking by the Office of the Local Civil Registrar of the
Municipality of Alubijid, it appears that my youngest sister,
GILDEGONDA TAROY TAGUN, mistakenly indicated her birth order
as the fourth among seven siblings;

3. That, in fact, I am the fourth among seven siblings;

4. That I am executing this Affidavit to attest to the truthfulness of the

facts of the above-mentioned matters and for the purpose of Late
Registration of Birth.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

26th of May 2023 in El Salvador City, Misamis Oriental, Philippines.

LEONCIO TAROY TAGUN

Affiant
VIN 4305-0238B-I1149-(LTT1001-9

SUBSCRIBED AND SWORN TO before me this 26th of May 2023 in

El Salvador City, Misamis Oriental, Philippines, affiant exhibiting his valid
Government-issued ID for identification.

WARNING:
TAMPERING WITH THIS PUBLIC DOCUMENT IS A CRIMINAL OFFENSE