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    Petition For Correction

    Uploaded by

    Karl Pagz
    This document is a petition for the correction of a clerical error in a birth certificate. Specifically, it details a request to correct an erroneous entry in the birth certificate of the petitioner's daughter, born on November 15, 2009. The petition lists the clerical error to be corrected, provides supporting documents, and notes that no similar petitions have been previously filed. It requests that the local civil registry office review and approve the requested correction.

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

    Petition For Correction

    Uploaded by

    Karl Pagz
    91 views3 pages
    This document is a petition for the correction of a clerical error in a birth certificate. Specifically, it details a request to correct an erroneous entry in the birth certificate of the petitioner's daughter, born on November 15, 2009. The petition lists the clerical error to be corrected, provides supporting documents, and notes that no similar petitions have been previously filed. It requests that the local civil registry office review and approve the requested correction.

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    This document is a petition for the correction of a clerical error in a birth certificate. Specifically, it details a request to correct an erroneous entry in the birth certificate of the petitioner's daughter, born on November 15, 2009. The petition lists the clerical error to be corrected, provides supporting documents, and notes that no similar petitions have been previously filed. It requests that the local civil registry office review and approve the requested correction.

    Copyright:

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

    Petition For Correction

    Uploaded by

    Karl Pagz
    This document is a petition for the correction of a clerical error in a birth certificate. Specifically, it details a request to correct an erroneous entry in the birth certificate of the petitioner's daughter, born on November 15, 2009. The petition lists the clerical error to be corrected, provides supporting documents, and notes that no similar petitions have been previously filed. It requests that the local civil registry office review and approve the requested correction.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    You are on page 1of 3

    RA 9048 Form No. 1.

    1 (LCRO)

    Republic of the Philippines


    Local Civil Registry Office
    Province: Cebu
    City: Mandaue City

    Republic of the Philippines) Petition No.: ________________


    Municipality of Consolacion ) SS

    PETITION FOR CORRECTION OF CLERICAL ERROR IN THE


    CERTIFICATE OF LIVE BIRTH

    I, age, Filipino, and a resident of Cambanay, Danao City, Cebu, after having been sworn
    to in accordance with law, hereby declare that:
    1) I am the petitioner seeking the correction of entry in:
    a) The Certificate of Live Birth of my daughter She was born on November 15,
    2009 at Fatima Birthing Center, Canduman, Mandaue City, Cebu.

    2) The birth was recorded under registry number 20097281.

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


    ITEM NO. DESCRIPTION FROM TO

    4) The facts/reasons for filing this petition are the following: (use additional sheets if
    necessary)
    To correct the erroneous entry to coincide with her other documents.

    5) I submit the following documents to support this petition: (use additional sheets if
    necessary)
    a) Copy of my Certificate of Live Birth
    b) Copy of the Certificate of Live

    6) 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.

    7) I am filing this petition at the LCRO of Mandaue City, Province of Cebu in accordance
    with RA 9048 and its implementing rules and regulations

    ___________________
    Signature over Printed Name

    VERIFICATION

    1
    I,
    1.
    2. 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 30th day of March, 2019 at
    Consolacion, Cebu, Philippines.

    ________________________
    Signature over printed name
    SUBSCRIBED AND SWORN to before me this 30th

    ________________________
    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

    For CRG use only

    ACTION TAKEN BY THE CRG

    Affirmed Impugned

    2
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    _____________________________________________________________________________.

    Date: ____________ _______________________


    City Registrar General

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

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