Form No. 1 (NEGATIVE CERTIFICATION OF BIRTH) 3 Repatblic of the Philippines PHI writes ‘ATISTICS AUTHORITY Manila OFF IE CIVIL REGISTRAR GENERAL. July 22, 2019 TO WHOM IT MAY CONCERN We certify that we do not have any record of birth of: Name MARITES M. CANCERAN Date of Birth — : March 01, 1972 Place of Birth: Santa Maria, Isabela Father : AVELINO TELAN CANCERAN Mother BALBINA PERPINA MACATIGGAY Further verification may be made from the Loeal Civil Registry Office of Santa Maria, Isabela. If available, the documen: may be requested for endorsement to the Office weithe Civil Registrar General (OCRG). Otherwise, any interested party may apply for delayed registration. Issued upon the request of CRISAMAE FRANCISCO for General Purpose. CLAIRE DENNIS S. MAPA, Ph. D. National Statistician and Civil Registrar General Philippine Statistics Authority Documentary Stamp Tax Paid or alterations. Note: This certification is not valid if it contains erasu o7142.WG- 1EMD-02442-B1002