Civil Registry Form No.

1A
(Birth-available)

Republic of the Philippines

OFFICE OF THE CIVIL REGISTRAR
PUERTO GALERA

May 16, 2024

TO WHOM IT MAY CONCERN:

We certify that, among others, the following facts of birth appear in our Register
of Births on page 0109 of book number 008:

Registry number : 7100212

Date of Registration :FEB. 17, 1950
Population Reference No. : 0812-G74CQ03-4
Name of child : MARANAN, HEGINO BRUCAL
Sex : Male
Date of Birth : January 11, 1949
: PUERTO GALERA, ORIENTAL
Place of Birth
MINDORO
Name of Mother : SOFIA BRUCAL
Citizenship of Mother : FILIPINO
Name of Father : SEVERO MARANAN
Citizenship of Father : FILIPINO
Date of marriage of parents : March 22, 1986
: PUERTO GALERA ORIENTAL
Place of marriage of parents
MINDORO

This is certification is issued to HEGINO BRUCAL MARANAN. upon his/her

request.

ELSIE M. GARCIA
CIVIL REGISTRY CLERK

Verified by:

CARMELA L. DATINGUINOO
MUNICIPAL CIVIL REGISTAR

Amount paid : 140.00 PHP

O.R. Number : 3846300
Date Paid : 16th MAY 2024
Note: A mark, erasure or alteration of any entry invalidates this certification