Republic of the Philippines)

Cainta Rizal ) S.S.

I, ___________________________, certify this is a true and perfect copy of the

original document: Certificate of Live Birth of _________________________ (born on
__________________ to the parents _______________ and ______________)
issued by the National Statistics Office, presented to me this ___________.

Doc. No.__;
Page No. __;
Book No.__;
Series of 2018.