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    RA 9048 Form No-Clerical Error in Birth Cert

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    Anonymous K286lBXoth
    This document is a petition form for correcting a clerical error in a certificate of live birth in the Philippines. It contains sections for the petitioner's information, description of the clerical error to be corrected, facts and reasons for filing the petition, supporting documents, verification, and spaces for the local and city registrars to take action and provide comments. The petitioner is seeking to change their first name and has filled out the form providing details of the error to be fixed and swearing to the truth of the information.

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    © All Rights Reserved
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    RA 9048 Form No-Clerical Error in Birth Cert

    Uploaded by

    Anonymous K286lBXoth
    1K views2 pages
    This document is a petition form for correcting a clerical error in a certificate of live birth in the Philippines. It contains sections for the petitioner's information, description of the clerical error to be corrected, facts and reasons for filing the petition, supporting documents, verification, and spaces for the local and city registrars to take action and provide comments. The petitioner is seeking to change their first name and has filled out the form providing details of the error to be fixed and swearing to the truth of the information.

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    RA 9048 Form No-clerical Error in Birth Cert

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    This document is a petition form for correcting a clerical error in a certificate of live birth in the Philippines. It contains sections for the petitioner's information, description of the clerical error to be corrected, facts and reasons for filing the petition, supporting documents, verification, and spaces for the local and city registrars to take action and provide comments. The petitioner is seeking to change their first name and has filled out the form providing details of the error to be fixed and swearing to the truth of the information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views2 pages

    RA 9048 Form No-Clerical Error in Birth Cert

    Uploaded by

    Anonymous K286lBXoth
    This document is a petition form for correcting a clerical error in a certificate of live birth in the Philippines. It contains sections for the petitioner's information, description of the clerical error to be corrected, facts and reasons for filing the petition, supporting documents, verification, and spaces for the local and city registrars to take action and provide comments. The petitioner is seeking to change their first name and has filled out the form providing details of the error to be fixed and swearing to the truth of the information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    1

    RA 9048 Form No. 1.1. (LCRO)


    (Devised 10 Aug. 2011)

    Republic of the Philippines


    Local Civil Registry Office
    Province:
    City/Municipality:

    Republic of the Philippines )


    ) SS Petition No.

    PETITION FOR CORRECTION OF CLERICAL ERROR


    IN THE CERTIFICATE OF LIVE BIRTH

    I, of legal age, ,
    (Complete name of petitioner) (Nationality/Citizenship)
    and a resident of ,
    (Complete address)

    after been having duly sworn to in accordance with law, hereby declare that:

    1) I am the petitioner seeking the change of first name in:


    a) my Certificate of Live Birth
    b) The Certificate of Live Birth of
    (Complete name of owner)

    who is my .
    (Relation of owner to the petitioner)

    2) I/He/She was born on at ,


    (Date of Birth) (City/Municipality)
    , .
    (Province) (Country)
    3) The birth was recorded under registry number .
    4) The clerical error(s) to be corrected is (are): (Use additional sheets, if necessary.)
    Item No. Description From To

    5) The facts/reasons for filling this petition are the following: (Use additional sheets, if necessary.)

    6) I submit the following documents to support this petition: (Use additional sheets, if necessary.)
    a)
    b)
    c)
    d)
    e)
    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, Court of Philippine Consulate.
    8) I am filing this petition at the LCRO of ,
    (City/Municipality) (Province)

    in accordance with R.A. No. 9048 and its implementing rules and regulations.

    Signature Over Printer Name of Petitioner

    VERIFICATION
    2

    I, , the petitioner, hereby certify that the allegations


    Herein are true and correct to the best of my knowledge and belief.


    Signature over Printed Name of Petitioner

    SUBSCRIBED AND SWORN to before me this day of


    in the city/municipality of , petitioner exhibiting his Community Tax Certificate
    No. issued at on .

    Administering Office

    Doc. No. ___________


    Page No. ___________
    Book No. ___________
    Series of ___________

    ___________________________________________________________________________________

    For C/MCR use only

    ACTION TAKEN BY THE C/MCR

    Granted Denied (Provide the basis for denial.)

    Date:
    City/Municipality Civil Registrar

    _____________________________________________________________________________________

    For CRG use only

    ACTION TAKEN BY CRG

    Affirmed Impugned

    Date:
    City Registrar General

    CBL/11Aug01

    O.R. No.:
    Amount Paid:
    Date Paid:

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