Republic of the Philippines

Local Civil Registry Office

Carmen, Davao del Norte

Republic of the Philippines}

Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, JOZEL GAMINO SANCHEZ, of legal age, Filipino, and resident of San

Isidro, Tagum City, Davao del Norte, after having been duly sworn to in
accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live Birth.

I was born on August 24, 1990 at San Isidro, Carmen, Davao del
Norte;

The fact of my birth was duly recorded at the Local Civil Registrar’s
Office, Carmen, Davao del Norte under Registry No. 90-1212.

The entry/entries sought to be corrected is/are:

Item
No.
Entry
No. Description
From To

1 1 Child’s Last Name

GAMENO GAMINO

3 9 Father’s Last Name

GAMENO GAMINO

1) The facts/reasons for filing this petition are the following:

a. To avoid confusion;
b. To conform with other pertinent documents; and
c. To keep the records straight.

2) I submit the following documents to support this petition;

a. Petitioner’s certificate of live birth;

b. Petitioner’s baptismal certificate;
c. Marriage contract of petitioner’s parents;
d. Certificate of live birth of Joy Mendez Gamino;
e. Certificate of live birth of Joerhey Mendez Gamino;
f. Petitioner’s National ID and Community Tax Certificate;

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

4) I am filing this petition at the LCRO of Carmen, Davao del Norte in

accordance with R.A. 9048 and its implementing rules and regulations.

Tagum City, Philippines, March 29, 2023.

JOZEL GAMINO SANCHEZ

Petitioner

VERIFICATION
 I, JOZEL GAMINO SANCHEZ, the petitioner, hereby certify that the
allegations herein are true and correct to the best of my knowledge and
belief.

JOZEL GAMINO SANCHEZ

Affiant
PhilID No. 3243-1830-4791-5069

SUBSCRIBED AND SWORN TO BEFORE ME this 29th day of March 2023

at
Tagum City, Davao del Norte, Philippines.

______________________________________________________________________________
For C/MCR use only
ACTION TAKEN BY THE C/MCR
(provide basis for the action taken)

Granted denied

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Date ___________________________ ________________________________________

City/Municipal Civil Registrar General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Date ___________________________
______________________________________
Civil Registrar General
______________________________________________________________________________
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ________________________

Amount Paid ___________________
Date Paid ______________________
 Republic of the Philippines
Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x
PETITION FOR CORRECTION OF CLERICAL ERROR
IN THE CERTIFICATE OF LIVE BIRTH

I, PROVENS OPAMIN CALAG, of legal age, Filipino and resident of Prk. 2O,
Katipunan, Madaum, Tagum City, Davao del Norte, after having been duly sworn
to in accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live
Birth.

I was born on March 27, 2004 at Prk. 19, Katipunan, Madaum, Tagum City;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 2004-2711. Copy of my certificate
of live birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To
Child’s Full Name (Blurred)
1 1 (To read as) PROVENS OPAMIN CALAG
2 2 Child’s Sex FEMALE MALE

3 3 Child’s Date of Birth (To read as) 27 MARCH 2004

(Blurred)

4 4 Child’s Place of Birth (To read as)

PRK. 19, KATIPUNAN, MADAUM, TAGUM
(Blurred)
CITY
Mother’s First and Last
5 6 Names (Blurred) (To read as) MERLINDA OPAMIN
Mother’s Residence
6 12 (Blurred/Offline) (To read as) PRK. 19, KATIPUNAN, MADAUM, TAGUM
CITY
Father’s Full Name
7 13 (Blurred/Offline) (To read as) SAMUEL BULADACO CALAG
Parents’ Citizenship
8 7 & 14 (Blurred/Offline) (To read as) FILIPINO
Parents’ Religion
9 8 & 16 (Blurred/Offline) (To read as) ROMAN CATHOLIC
Date and Place of Marriage
10 18 of Parents (Blurred) (To read as) OCTOBER 4, 2001/TAGUM CITY
Informant’s Full Name
11 20 (Blurred/Offline) (To read as) SAMUEL B. CALAG
4) The facts/reasons for filing this petition are the following:
d. To avoid confusion;
e. To conform with other pertinent documents; and
f. To keep the records straight.

5) I submit the following documents to support this petition;

g. Petitioner’s Certificate of Live Birth issued by LCRO;

h. Petitioner’s Certificate of Baptism;
i. Petitioner’s Elementary School Permanent Record;
j. Petitioner’s Urinalysis;
k. Petitioner’s National Police Clearance;
l. Petitioner’s NBI Clearance;
m. Certification issued by City Health Office, Tagum City;
n. Certificate of marriage of petitioner’s parents;
o. Certificate of live birth of petitioners’ father;
p. Certificate of live birth of petitioner’s brother, Samuel Opamin
Calag, Jr.;
q. Certificate of live birth of petitioner’s sister, Angel Cris Opamin
Calag;

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

4. I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, August 26, 2022.

PROVENS OPAMIN CALAG

Petitioner

VERIFICATION

I, PROVENS OPAMIN CALAG, the petitioner, hereby certify that the

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

PROVENS OPAMIN CALAG

Affiant
PhilID No. 3954-2045-7815-0943
(proof of identity)

SUBSCRIBED AND SWORN to before me this 26th day of August 2022 at

Tagum City,
Davao del Norte, Philippines.

___________________________________________________________________________
For C/MCR use only
ACTION TAKEN BY THE C/MCR
(provide basis for the action taken)

Granted denied

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Date ___________________________
_________________________________________
City/Municipal Civil Registrar
General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Date ___________________________ _______________________________________
Civil Registrar General
___________________________________________________________________________
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ______________________

Amount Paid ___________________
Date Paid _____________________

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, YONEL FUENTES UGNAY, of legal age, Filipino and resident of Prk. 1A,
Katipunan, Nabunturan, Davao de Oro, after having been duly sworn to in
accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live
Birth.

I was born on June 6, 1973 at Christ the King Hospital, Tagum, Davao;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 659-(F-73). Copy of my certificate
of live birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To
 Child’s Place of Birth
1 1 (Blurred/Offline) (To read as) CHRIST THE KING HOSPITAL, TAGUM,
DAVAO
Child’s Middle and Last
2 3 Names (Blurred) (To read as) FUENTES / UGNAY
Child’s Sex (Blurred)
3 4 M MALE
Child’s Date of Birth
4 6 (Blurred) (To read as) JUNE 6, 1973
Father’s Full Name (Blurred)
5 7 (To read as) LEON MONERA UGNAY
Mother’s Full Name
6 12 (Blurred/Offline) (To read as) GUADALUPE BIGTASIN FUENTES
Parents’ Religion
7 R.C. ROMAN CATHOLIC
8 & 13
8 Parents’ Nationality FIL. FILIPINO
Date and Place of Marriage
9 24 of Parents (Blurred) (To read as) JANUARY 21, 1967/NABUNTURAN, DAVAO
Date and Place of Marriage
10 of Parents (Registry Book) NABUNTURAN NABUNTURAN, DAVAO

7) The facts/reasons for filing this petition are the following:

g. To avoid confusion;
h. To conform with other pertinent documents; and
i. To keep the records straight.

8) I submit the following documents to support this petition;

r. Petitioner’s Certificate of Live Birth issued by LCRO;

s. Petitioner’s Certificate of Baptism;
t. Petitioner’s Certificate of Marriage;
u. Certificate of live birth of petitioner’s son, Neil Allen Ordeniza
Ugnay;
v. Certificate of live birth of petitioner’s daughter, Patricia Gabraille
Ordeniza Ugnay;

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

10) I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, August 12, 2022.

YONEL FUENTES UGNAY

Petitioner

VERIFICATION

I, YONEL FUENTES UGNAY, the petitioner, hereby certify that the

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

YONEL FUENTES UGNAY

Affiant
DL# L06-12-000155
(proof of identity)

SUBSCRIBED AND SWORN to before me this 12th day of August 2022 at

Tagum City,
Davao del Norte, Philippines.

___________________________________________________________________________
For C/MCR use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Granted denied

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Date ___________________________
_________________________________________
City/Municipal Civil Registrar
General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Date ___________________________ _______________________________________

Civil Registrar General
___________________________________________________________________________
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ______________________

Amount Paid ___________________
Date Paid _____________________

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, JOEVANY FELICIDARIO DIEZ, of legal age, Filipino and resident of Prk.

Talisay, Brgy. Magugpo North, Tagum City, Davao del Norte, after having been
duly sworn to in accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live Birth.

I was born on December 4, 2000 at Tagum City, Davao del Norte;

 The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 2000-7031. Copy of my certificate
of live birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To

1 2 Child’s Sex (Blurred) (To read as) MALE

Child’s Date of Birth
2 3 (Blurred/Offline) 04 DEC. 2000 04 DECEMBER 2000
Child’s Place of Birth
3 4 (Blurred) (To read as) DAVAO REGIONAL HOSPITAL, TAGUM CITY
Mother’s Full Name
4 6 (Blurred) (To read as) JOANAVIE JOSEPH FELICIDARIO
Father’s Full Name
5 13 (Blurred) NICASIO CALIO DIEZ NICASIO CALLO DIEZ, JR.
Informant’s Full Name
6 20 (Blurred/Offline) NICASIO C. DIEZ NICASIO C. DIEZ, JR.

11) The facts/reasons for filing this petition are the following:
j. To avoid confusion;
k. To conform with other pertinent documents; and
l. To keep the records straight.

12) I submit the following documents to support this petition;

w. Petitioner’s Certificate of Live Birth issued by LCRO;

x. Certificate of Marriage of petitioner’s parents;
y. Certificate of death of petitioner’s father, Nicasio Callo Diez Jr.;
z. Certificate of live birth of petitioner’s brother, Nickle Jhones
Felicidario Diez;
aa. Philhealth ID of Nicasio Callo Diez, Jr.;

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

14) I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, August 3, 2022.

JOEVANY FELICIDARIO DIEZ

Petitioner

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x
PETITION FOR CORRECTION OF CLERICAL ERROR
IN THE CERTIFICATE OF LIVE BIRTH

I, GENEREY REBLORA ALPUERTO, of legal age, Filipino and resident of Prk.

3A, La Filipina, Tagum City, Davao del Norte, after having been duly sworn to in
accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live
Birth.

I was born on February 2, 1995 at Trebajo Village, Magugpo South, Tagum,

Davao;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum, Davao under Registry No. 95-862. Copy of my certificate of live birth is
hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To
Child’s Full Name
1 2 (Blurred) (To read as) GENEREY REBLORA ALPUERTO
2 2 Child’s Sex MALE FEMALE

Child’s Date of Birth

3 3 (Blurred/Misplaced) (To read as) 02 FEBRUARY 1995
Child’s Place of Birth
4 4 (Blurred) (To read as) TREBAJO VILLAGE, MAGUGPO
SOUTH, TAGUM, DAVAO
Mother’s Full Name
5 6 (Blurred) GEMMA REBOTADA ALPUERTO GEMMA REBUTADA REBLORA
Mother’s Residence
6 12 (Blurred) (To read as) TREBAJO VILLAGE, MAGUGPO
SOUTH, TAGUM, DAVAO
Father’s Full Name
7 13 (Blurred) RIMANDO DONAYRE ALPUERTO RIMANDO DONAIRE ALPUERTO
8 7 & 14 Parents’ Nationality (To read as) FILIPINO
(Blurred)

9 8 & 15 Parents’ Religion R.C. ROMAN CATHOLIC

Date & Place of
10 18 Marriage of Parents JANUARY 18, 1990/TAGUM, JUNE 8, 1991/TAGUM, DAVAO
DAVAO
Informant’s Full Name
11 20 (Blurred) (To read as) RIMANDO D. ALPUERTO

15) The facts/reasons for filing this petition are the following:
m. To avoid confusion;
n. To conform with other pertinent documents; and
o. To keep the records straight.

16) I submit the following documents to support this petition;

bb. Petitioner’s Certificate of Live Birth issued by LCRO;

cc. Petitioner’s Certificate of Baptism;
dd. Petitioner’s Elementary School Permanent Record;
ee. Petitioner’ National Police Clearance;
ff. Petitioner’s NBI Clearance;
gg. Certification issued by Tagum City Health Office;
hh. Marriage contract of petitioner’s parents;
ii. Certificate of live birth of petitioner’s brother, Jemis Reblora
Alpuerto;
jj. Certificate of live birth of petitioner’s brother, Jaypee Reblora
Alpuerto;

17) I have not filed any similar petition and that to the best of my
knowledge, no other
similar petition pending with any LCRO, Court of the Philippine Consulate.
 18) I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, August 3, 2022.

GENEREY REBLORA ALPUERTO

Petitioner

VERIFICATION

I, GENEREY REBLORA ALPUERTO, the petitioner, hereby certify that the

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

GENEREY REBLORA ALPUERTO

Affiant
PhilID No. 3906-9714-9617-0192
(proof of identity)

SUBSCRIBED AND SWORN to before me this 3rd day of August 2022 at

Tagum City,
Davao del Norte, Philippines.

_____________________________________________________________________________________
_
For C/MCR use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Granted denied

_____________________________________________________________________________________
_
_____________________________________________________________________________________
_
_____________________________________________________________________________________
_
_____________________________________________________________________________________
_

Date ___________________________
_________________________________________
City/Municipal Civil Registrar
General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Date ___________________________ _______________________________________

Civil Registrar General
_____________________________________________________________________________________
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ________________________

Amount Paid ___________________
Date Paid ______________________

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, ALEJANDRO RUBILLA AYUBAN, of legal age, Filipino and resident of

Apokon, Tagum City, Davao del Norte, after having been duly sworn to in
accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live Birth.

I was born on November 23, 1965 at Tagum City, Davao del Norte;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 1154. Copy of my certificate of live
birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To

1 Child’s Middle Name OBILLA RUBILLA

2 Mother’s Full Name SENISA FUERZAS OBILLA CENIZA FUERZAS RUBILLA

3 Child’s Date of Birth 23 NOV. 1965 23 NOVEMBER 1965

19) The facts/reasons for filing this petition are the following:
p. To avoid confusion;
q. To conform with other pertinent documents; and
r. To keep the records straight.

20) I submit the following documents to support this petition;

kk. Petitioner’s Voter’s Certification;

ll. Petitioner’s Secondary Student’s Permanent Record;
mm. Marriage Contract of petitioner’s parents;
nn. Certificate of live birth of petitioner’s sister, Anabel Rubilla Ayuban;
oo. Certificate of live birth of petitioner’s sister, Ana Marie Rubilla
Ayuban;
pp. Certificate of live birth of petitioner’s brother, Alfredo Rubilla
Ayuban;
qq. Certificate of live birth of petitioner’s sister, Alona Rubilla Ayuban;
 21) I have not filed any similar petition and that to the best of my
knowledge, no other
similar petition pending with any LCRO, Court of the Philippine Consulate.

22) I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, August 1, 2022.

ALEJANDRO RUBILLA AYUBAN

Petitioner

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . . .}S.s.
Davao del Norte. . . . . . . . .}
x - - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, JEFFREY JUSAY SAYSON, of legal age, Filipino, and resident of Prk. 9,

Malinawon, La Filipina, Tagum City, Davao del Norte, after having been duly sworn
to in accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my

Certificate of Live
Birth;

I was born on May 16, 1993 at Mirafuentes, Magugpo North, Tagum,

Davao;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 97-507. Copy of my certificate of
live birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item Entry
No. No. Description From To

1 3
Child’s Date of Birth (To read as) 16 MAY 1993
(Blurred)
2 2 M MALE
Child’s Sex (Registry
Book)
3 4 M. MIRAFUENTES, MAGUGPO
Child’s Place of Birth
(Blurred/Offline) (To read as) NORTH, TAGUM, DAVAO
4 6
Mother’s Full Name (To read as) JENITA TOLIBAS JUSAY
(Blurred)
5 12 M. MIRAFUENTES, MAGUGPO
Mother’s Residence at
the time of Birth (To read as) NORTH, TAGUM, DAVAO
(Blurred)
6 13 ALFREDO DUROL SAYSON ALFREDO DUROL SAYSON, JR.
Father’s Full Name
7 20
Informant’s Full Name ALFREDO D. SAYSON ALFREDO D. SAYSON, JR.
8
Parents’ Religion (To read as) ROMAN CATHOLIC
(Blurred)
23) The facts/reasons for filing this petition are the following:
s. To avoid confusion;
t. To conform with other pertinent documents; and
u. To keep the records straight.

24) I submit the following documents to support this petition;

rr. Petitioner’s Certificate of live issued by LCRO;

ss. Certificate of marriage of petitioner’s parents;
tt. Birth certificate of petitioner’s father, Alfredo D. Sayson Jr.;
uu. Certificate of death of petitioner’s father, Alfredo Durol Sayson, Jr.;
vv. SSS ID of petitioner’s father, Alfredo D. Sayson Jr.;
ww. Certificate of live birth of petitioner’s sister, Joy Ann Jusay
Sayson;

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

26) I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, July 20, 2022.

JEFFREY JUSAY SAYSON

Petitioner

VERIFICATION

I, JEFFREY JUSAY SAYSON, the petitioner, hereby certify that the

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

JEFFREY JUSAY SAYSON

Affiant
DL# L06-16-000827
(proof of identity)

SUBSCRIBED AND SWORN to before me this 20th day of July 2022 at Tagum
City,
Davao del Norte, Philippines.

_____________________________________________________________________________________
____
For C/MCR use only
 ACTION TAKEN BY THE C/MCR
(provide basis for the action taken)

Granted denied

_____________________________________________________________________________________
_____
_____________________________________________________________________________________
_____
_____________________________________________________________________________________
_____
_____________________________________________________________________________________
_____

Date ___________________________
_________________________________________
City/Municipal Civil Registrar
General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

_____________________________________________________________________________________
______
_____________________________________________________________________________________
______
_____________________________________________________________________________________
______
_____________________________________________________________________________________
______

Date ___________________________
_______________________________________
Civil Registrar General
_____________________________________________________________________________________
______
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ______________________

Amount Paid ___________________
Date Paid _____________________
 Republic of the Philippines
Local Civil Registry Office
Tagum City, Davao del Norte

Republic of the Philippines.}

Tagum City . . . . . . . . . . . . }S.s.
Davao del Norte. . . . . . . . . }
x - - - - - - - - - - - - - - - - - - -x

PETITION FOR CORRECTION OF CLERICAL ERROR

IN THE CERTIFICATE OF LIVE BIRTH

I, ISABEL VILLARUZ CANDIA, of legal age, Filipino and resident of Prk.

Durian, Brgy. East, Tagum City, Davao del Norte, after having been duly sworn to in
accordance with law hereby depose and say THAT:

I am the petitioner seeking for the correction of clerical error in my Certificate of

Live
Birth.

I was born on October 14, 1992 at Tagum City, Davao del Norte;

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum
City, Davao del Norte under Registry No. 92-4406. Copy of my certificate of live birth is
hereto attached.

The entry/entries sought to be corrected is/are:

Item
No. Entry
No. Description
From To

1 1
Child’s Full Name I S A B E L VILLARUIZ CANDIA ISABEL VILLARUZ CANDIA
2 6
Mother’s Full Name ELSA REPALDA VILLARUIZ ELSA REPALDA VILLARUZ
Father’s Full Name
3 9
(Blurred) (To read as) DIOSDADO SEQUINA CANDIA
4 14 Informant’s First and
Last Name (Blurred) (To read as) ELSA CANDIA

27)The facts/reasons for filing this petition are the following:

v. To avoid confusion;
w. To conform with other pertinent documents; and
x. To keep the records straight.

28)I submit the following documents to support this petition;

xx. Petitioner’s certificate of live birth issued by LCRO;

yy. Certificate of live birth of Cris Villaruz Candia;
zz. Birth certificate of Diosdado V. Candia, Jr.;
aaa. Certificate of live birth of Miko Jay Candia Tagaod;
bbb. Certificate of live birth of Zhia Candia Tagaod;
ccc. Petitioner’s marriage contract;
ddd. Petitioner’s voter’s ID;

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

30)I am filing this petition at the LCRO of Tagum City, Davao del Norte in
accordance
with R.A. 9048 and its implementing rules and regulations.

Tagum City, Davao del Norte, Philippines, May 27, 2022.

ISABEL VILLARUZ CANDIA

Petitioner

VERIFICATION

I, ISABEL VILLARUZ CANDIA, the petitioner, hereby certify that the

allegations
herein are true and correct to the best of my knowledge and belief.
 ISABEL VILLARUZ CANDIA
Affiant
VIN: 2319-0049A-J1492lVC20000
(proof of identity)

SUBSCRIBED AND SWORN to before me this 27th day of May 2022 at Tagum
City, Davao
del Norte, Philippines.

______________________________________________________________________
_____
For C/MCR use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Granted denied

______________________________________________________________________
_____
______________________________________________________________________
_____
______________________________________________________________________
_____
______________________________________________________________________
_____

Date ___________________________
_________________________________________
City/Municipal Civil Registrar General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

______________________________________________________________________
_____
______________________________________________________________________
_____
______________________________________________________________________
_____
______________________________________________________________________
_____

Date ___________________________
_______________________________________
Civil Registrar General
______________________________________________________________________
_____
Payment of filing fee (Please attach copy of the Official Receipt)
O.R. No. ______________________
Amount Paid ___________________
Date Paid _____________________

Republic of the Philippines

Local Civil Registry Office
Tagum City, Davao del Norte
Republic of the Philippines}
Tagum City . . . . . . . . . . . }S.s.
Davao del Norte. . . . . . . . }
x - - - - - - - - - - - - - - - - - -x
PETITION FOR CORRECTION OF CLERICAL ERROR
IN THE CERTIFICATE OF LIVE BIRTH

I, SHIRLY SOCO RODADO, 54 years old, Filipino, and resident of Pasig City,
Metro Manila, after having been duly sworn to in accordance with law hereby depose
and say THAT:

I am the petitioner seeking for the correction of clerical error in my Certificate of

Live Birth.

I was born on February 2, 1968 at Tagum, Davao del Norte.

The fact of my birth was duly recorded at the Local Civil Registrar’s Office,
Tagum City, Davao del Norte under Registry No. 390. Copy of my certificate of live
birth is hereto attached.

The entry/entries sought to be corrected is/are:

Item From To
No. Entry Description
No.

1 Child’s Full Name

SHIRLY SOCO PALARAN SHIRLY PALARAN SOCO

2 Child’s Sex (Burred)

(To read as) FEMALE
Child’s Date of Birth FEB. 2, 1968 FEBRUARY 2, 1968
3 (Blurred)

Father’s Full Name DELFIN PENE PALARAN DELFIN PENE SOCO

4 (Burred)
Mother’s Full Maiden NORMA POLIDO SOCO NORMA POLIDO PALARAN
5 Name (Blurred)

6 Parents’ Religion
CATHOLIC ROMAN CATHOLIC

7 Parents’ Nationality
FIL. FILIPINO
Child’s Place of Birth SOBRECARY ST., TAGUM TAGUM, DAVAO DEL NORTE
8 (Registry Book)
31)The facts/reasons for filing this petition are the following:
y. To conform with other pertinent documents;
z. To avoid confusion; and
 aa. To keep the records straight.

32)I submit the following documents to support this petition;

eee. Petitioner’s marriage contract;

fff. Petitioner’s certificate of baptism;
ggg. Petitioner’s voter’s ID;
hhh. Marriage contract of petitioner’s parents;
iii. Valid IDs of Norma Palaran Soco;
jjj. Certificate of death of Norma Palaran Soco;
kkk. Certificate of live birth of Maria Christina Palaran Soco;

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

I am filing this petition at the LCRO of Tagum City in accordance with R.A. 9048
and its implementing rules and regulations.

Tagum City, Philippines, April 6, 2022.

SHIRLY SOCO RODADO

Petitioner

VERIFICATION

I, SHIRLY SOCO RODADO, the petitioner, hereby certify that

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

SHIRLY SOCO RODADO

Affiant
VIN: 7403-0724A-B0268SSR20001-5

SUBSCRIBED AND SWORN to before me this 6th day of April 2022 at Tagum
City, Davao del Norte, Philippines.

____________________________________________________________________________________
_____
For C/MCR use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Granted denied

____________________________________________________________________________________
______
____________________________________________________________________________________
______
_____________________________________________________________________________________
_____
____________________________________________________________________________________
______

Date _____________________________
______________________________________________
City/Municipal Civil Registrar General
For CRG use only

ACTION TAKEN BY THE C/MCR

(provide basis for the action taken)

Affirmed impugned

____________________________________________________________________________________
______
____________________________________________________________________________________
______
_____________________________________________________________________________________
_____
____________________________________________________________________________________
______

Date _____________________________ _______________________________________

Civil Registrar General

____________________________________________________________________________________
______
Payment of filing fee (Please attach copy of the Official Receipt)

O.R. No. ______________________

Amount Paid ___________________
Date Paid _____________________