Download as pdf
Download as pdf
You are on page 1of 1
oe a am as hee «* . : : . ! wee fom ae {io be accomiaraa w qunarptcns) | ya, REMATIS/ANKO TARA a bile of the Phippines Acknovindged by Li io 4 vortes on Rapunio ose Cine Ostobor 1, 2003 Unier Nor. (+ 200—e_490 OFFICE OF THE civ nEGIGTRAR GENERAL Sot—bor ty *PA. talon Neds OSE CERTIFICATE OF LIVE BIRTH potonto on July 11, 2003. fd scorn, emt on ote, os era, A Gertithtd true cowy fran tho Province Bulel sn. RegistryNo. 7, kina - Cay nna STAT SIT BSS oe 7 NANE =" ay ll Ta ditlas 2, SEX fs DATE OF RTH aon rom gegy | L_______ | — 1 hve 2 aa OF vay Deere uaa Wwe C/G PLACE OF WwameotHossial/cinc/nsitton/ — (Ciy/Mniepatay) ——_(Ponnes) fecteiain H] "BIRTH bexseno, Sree ergs 1 Paiwaig, Linoboy Yolaybolay City, Bukddmon | Via TPE OF BT BF MULTPLE BIRTH, CHILD was TTT TT x1 Sepl 2s ine 3 ria ald ae © BIRTH ORDER tive nw andiouleans | & WEIGHT AT BIRTH Aovonth ay Jcono: tse) 2722 game 4 6. MAIDEN (Fiat) (wade) ‘ost J - | NAN, AMER sti ithaco (a] of aol slelolo) ul 7 ESP paste © FEUSION cs tnoase E 0] 9a Total numberof 'b. No.otchitaren stil No.of children sla] g abla T] earner ay Seed ya Sematmeost og ke trp tenon den & N 14 16 at the time —— as 1 BL ey COCUPATION —— pousexeeper otis RESIDENCE vse. She Sr aoe ie nafeybotay Clty, aw Tae a ron om sGJ2PEE] | | Al atte fee dales . | 2 o | 1 | 14. CIZENSHIP Filipino 18. REWRION cotnotie a] Ls | H i E fie ocouraTin 17 gett ame E warnerscorn oa gy ae i f a DHE POGE OF MRM OF FHENTS eottued noone anit | CELL 4 fob ctnonadgmen/sdissone!Patriy athe duly 1, 2003 = lialaybolay City, Bukidaon . = ‘Ga. ATTENDANT Sle nyse 2 he 2 mie) Letzte] GIs] wl TA treiion wants) ——S Onwrrtrec) {sb. CERTIFICATION OF BIRTH 2 ” ‘Inereoy certly that | atended the bid ofthe child wno was bom ahve at ooo) [a] 3]al2]8 smngzugy be tt se abe Peivmigy Lnaboy gate : ag ze fone AINE SEE Ni@iayeomy orey 7 ThocPoeton pars tober i, 2005 GQ 720. INFORMANT a (sD) Faivaic, Linabo oi Sere Ruth 0. CRICRIO ‘ettayeoTey City GE] Toth etaionshiptothechi Bi, PREPARED BY 22. RECEIVED AT THE OFFICE OF THE QIVIL REGISTRAR (saD) (sep) Sonsiwe ELTCADUMT Ay BOISE Herrin ERE Ty BGTEEE ‘yg otPosiion — ez TE ber 44 200; Date — Sonate a So ‘one Eft Cavin Regier wear el aver 26° 2004 07112003 15128 “| ro272004 Date October 14 2005 wm smal BS |

You might also like