Petition For Correction of Entry Birth Certification
Petition For Correction of Entry Birth Certification
Petition For Correction of Entry Birth Certification
SUPREME COURT
REGIONAL TRIAL COURT
City of Malaybalay
Branch ________
-versus-
PETITION
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respondents Other Persons are parties in interest who may be
affected by this instant petition and herein impleaded in compliance
to Section 3, Rule 108 of the Rules of Court;
5. Petitioner had been using her correct date of birth ever since in all her
records including petitioner’s school records and Baptismal
Certificate a copy of thereof are hereto attached as Annexes “B”, and
“C” respectively and made integral parts hereof;
PRAYER
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correct the information supplied in item “3. Date of Birth” from ”18
September 1973” to ”18 September 1993”, in item “11. Age at the time of
this birth:” from “21“ to “41“ and in item “17.Age at the time of this birth:”
from “30“ to “50“ in the Certificate of Live Birth under Registry No. 2003-
386 of Petitioner.
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Republic of the Philippines )
Province of Bukidnon )
Municipality of Don Carlos ) S.S.
1. I am the petitioner in the above-entitled case; that I have caused the preparation
of the foregoing petition and have read the allegations contained therein; that the
allegations in the said petition are true and correct of my own knowledge and authentic
records in my possession; I hereby certify that I have not commenced any other action
or proceeding involving the same issues in any court, tribunal or quasi-judicial agency
and, to the best of my knowledge, no such other action or claim is pending therein;
2. If I should learn thereafter that a similar action or proceeding has been filed or is
pending, I hereby undertake to report that fact within five (5) days therefrom to the
court or agency where the original pleading and sworn certification contemplated
herein have been filed; that I executed this verification/certification to attest to the truth
of the foregoing facts and to comply with the provisions of Adm. Circular No. 04-94 of
the Honorable Supreme Court.
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PTR No. 5690403, 01-04-2017; TIN-199-588-890
Don Carlos, Bukidnon, Philippines
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