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Sample - Petition For Correction of Birth Certificate
Sample - Petition For Correction of Birth Certificate
-versus-
PETITION
COMES NOW, the Petitioner, through the undersigned counsel and unto this
Honorable Court respectfully states that:
1) Petitioner is of legal age, married, and a resident Baquiran Street, Linao Norte,
Tuguegarao City, where she may be served with notices, orders, resolutions and
court processes;
3) That the petitioner has been a bona fide resident of the Province of Cagayan since
birth up to this time;
4) That the fact of birth of EDITH Q. DURUIN was registered on 21 December 1976
at the Local Civil Registrar of Baggao, Cagayan bearing Local Civil Registrar No.
1221. A copy of her Birth Certificate issued by the Philippine Statistics Authority
(PSA) is hereto attached as Annex “A”;
5) That there are misspelled and omitted entries in the Birth Certificate of EDITH Q.
DURUIN, which are as follows:
d) The middle name “PALAD”, of petitioner’s father, was also omitted on the
space provided therefor;
7) The middle name of petitioner is “QUIBOL” but this was omitted on the space
provided therefor in her Birth Certificate. This can be proved by the Birth Certificate
of petitioner’s mother LUZ PEŇALBER QUIBOL. Attached as Annex “G” is the
Birth Certificate of petitioner’s mother;
9) On the Birth Certificate of the petitioner, the middle name “PALAD” of her father
JOSE PALAD DURUIN was omitted, on the space provided therefor. The Birth
Certificate of petitioner’s father (ANNEX “H”) readily proves that his middle name
is PALAD his late mother’s name being HERMINIGILDA PALAD;
11)That there is a need to correct the erroneous entry and misspelled entries on the
Birth Certificate of the petitioner, particularly, to wit:
13)That this petition is filed in order to straighten petitioner’s record of birth and to
avoid confusion as to the record of birth of EDITH Q. DURUIN (now, EDITH Q.
DURUIN-NARAG);
14) This is not filed to avoid any criminal prosecution or any obligation of whatever
nature. Attached as Annexes “I” and “J”, respectively, are copies of the NBI
Clearance and Police Clearance of the petitioner.
Other forms of relief just and equitable under the premises are likewise prayed
for.
18 June 2020 at Tuguegarao City,
ATTY.ALONA D. GAZMEN-HOWARD
For the Petitioner
Ground Floor St.Peter’s Cathedral Compound,
Rizal Street,Tuguegarao City
Roll No.47876
MCLE Compliance No. VI-0007475
Issued 04/18/2018 Pasig City
IBP Lifetime No. 9466850
Issued 06/26/2015 Tuguegarao City
PTR No.10134209
Issued 1/02/2020
Tuguegarao City
Copyfurnished:
OFFICE OF THE SOLICITOR GENERAL
134 Amorsolo Street, Legaspi Village, Makati City
4
OF NON-FORUM SHOPPING
I, EDITH Q. DURUIN- NARAG, Filipino, of legal age, single, and a resident Baquiran Street, Linao Norte,
Tuguegarao City, Cagayan, after having been duly sworn in accordance with law, hereby depose and state that:
EDITH Q. DURUIN-NARAG
Petitioner
SUBSCRIBED AND SWORN TO BEFORE ME, this _________ day of June 2020 at Tuguegarao
City, Cagayan, by Petitioner who exhibited her NBI Clearance, a competent evidence of identity bearing her
photo and signature.
NOTARY PUBLIC
Doc. No.______;
Page No.______;
Book No.______;
Series of 2020.