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    OLORVIDA

    Uploaded by

    Anne Vernadice Areña-Velasco
    This document is a petition filed with the Local Civil Registry Office of Ormoc City, Province of Leyte, Philippines requesting correction of a clerical error in a birth certificate. Specifically, the petitioner, Jollibee Florentino Olorvida, is requesting to change the last name entered as "VVV" to "FFF" to correctly reflect his father's surname. The petition provides details of the clerical error to be corrected, reasons for the request supported by documents, and spaces for the Local Civil Registry Office and City Registrar General to take action and provide their decision on the petition.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    OLORVIDA

    Uploaded by

    Anne Vernadice Areña-Velasco
    58 views3 pages
    This document is a petition filed with the Local Civil Registry Office of Ormoc City, Province of Leyte, Philippines requesting correction of a clerical error in a birth certificate. Specifically, the petitioner, Jollibee Florentino Olorvida, is requesting to change the last name entered as "VVV" to "FFF" to correctly reflect his father's surname. The petition provides details of the clerical error to be corrected, reasons for the request supported by documents, and spaces for the Local Civil Registry Office and City Registrar General to take action and provide their decision on the petition.

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    OLORVIDA.docx

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    This document is a petition filed with the Local Civil Registry Office of Ormoc City, Province of Leyte, Philippines requesting correction of a clerical error in a birth certificate. Specifically, the petitioner, Jollibee Florentino Olorvida, is requesting to change the last name entered as "VVV" to "FFF" to correctly reflect his father's surname. The petition provides details of the clerical error to be corrected, reasons for the request supported by documents, and spaces for the Local Civil Registry Office and City Registrar General to take action and provide their decision on the petition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    58 views3 pages

    OLORVIDA

    Uploaded by

    Anne Vernadice Areña-Velasco
    This document is a petition filed with the Local Civil Registry Office of Ormoc City, Province of Leyte, Philippines requesting correction of a clerical error in a birth certificate. Specifically, the petitioner, Jollibee Florentino Olorvida, is requesting to change the last name entered as "VVV" to "FFF" to correctly reflect his father's surname. The petition provides details of the clerical error to be corrected, reasons for the request supported by documents, and spaces for the Local Civil Registry Office and City Registrar General to take action and provide their decision on the petition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines

    Local Civil Registry Office


    Province: Leyte
    City/Municipality: Ormoc

    Republic of the Philippines ) Petition No.: ________________


    Ormoc City ) SS

    PETITION FOR CORRECTION OF CLERICAL ERROR IN THE


    CERTIFICATE OF LIVE BIRTH

    I, XXX of legal age, Filipino, and a resident of Brgy. Ipil, Ormoc City, after having been
    sworn to in accordance with law, hereby declare that:
    1) I am the petitioner seeking the correction of entry in:
    a) my certificate of live birth
    b) The certificate of live birth of _____________ who is my ______.

    2) I/He/She was born on YYY at Brgy. Ipil, Ormoc City.

    3) The birth was recorded under registry number VVV.

    4) The clerical error(s) to be corrected is/are (use additional sheets, if necessary)


    ITEM NO. DESCRIPTION FROM TO
    1 Last Name VVV FFF

    5) The facts/reasons for filing this petition are the following: (use additional sheets if
    necessary)
    a. I recently found out that my last name was entered as VVV instead of YYY which
    is my father’s surname.
    b. My Father acknowledged my birth as evidenced by the Affidavit of Late
    Registration signed by him, as attached in my Certificate of Live Birth.
    c. I have been using the said surname in all my existing records.

    6) I submit the following documents to support this petition: (use additional sheets if
    necessary)
    a) Certificate of Marriage
    b) Certificate of Live Birth
    c) Voter’s Certification
    d) Police Clearance

    7) I have not filed any similar petition and that to the best of my knowledge, no other similar
    petition is pending with any LCRO or Court of the Philippine Consulate.

    8) I am filing this petition at the LCRO of Ormoc, Province of Leyte in accordance with RA
    9048 and its implementing rules and regulations

    JOLLIBEE F. OLORVIDA

    1
    VERIFICATION

    I, JOLLIBEE FLORENTINO OLORVIDA, under oath, states:


    1. I am the petitioner
    2. I have caused the preparation of this petition
    3. I have read the petition and all the facts stated here are true and correct to the best of my
    personal knowledge and based on authentic records.

    IN WITNESS WHEREOF, I have affixed my signature this 2nd day of March 2019 at
    Ormoc City, Leyte, Philippines.

    DDD
    Signature over printed name
    SUBSCRIBED AND SWORN to before me this 2nd day of March 2019 at Ormoc City,
    Leyte, Philippines, petitioner exhibited to me his/her Voter’s Certification with Voter’s
    Identification number BBB issued at Ormoc City, Leyte as proof of identity.

    ________________________
    Administering Office
    Doc No.: ____
    Page No.: ____
    Book No.: ____
    Series of: ______

    For C/MCR use only

    ACTION TAKEN BY THE C/MCR

    Granted Denied (Provide basis for denial)

    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ____________________________________________________________________________.

    Date: ________ ________________________


    City/Municipal Civil Registrar

    2
    For CRG use only

    ACTION TAKEN BY THE CRG

    Affirmed Impugned

    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    _____________________________________________________________________________.

    Date: ____________ _______________________


    City Registrar General

    OR No.: _________________________
    Amount Paid: _____________________
    Date Paid: ________________________

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