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    Change of First Name

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    Santos Jewel
    This document outlines the requirements for correcting clerical or typographical errors or changing a first name on a birth certificate in the Philippines. It lists 18 supporting documents that must be submitted in 4 copies, such as baptismal certificates, voter affidavits, medical records, and affidavits from witnesses. It also provides a sample petition form that must be filled out, notarized, and submitted to the local civil registry office along with the supporting documents and fees.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Change of First Name

    Uploaded by

    Santos Jewel
    232 views3 pages
    This document outlines the requirements for correcting clerical or typographical errors or changing a first name on a birth certificate in the Philippines. It lists 18 supporting documents that must be submitted in 4 copies, such as baptismal certificates, voter affidavits, medical records, and affidavits from witnesses. It also provides a sample petition form that must be filled out, notarized, and submitted to the local civil registry office along with the supporting documents and fees.

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    This document outlines the requirements for correcting clerical or typographical errors or changing a first name on a birth certificate in the Philippines. It lists 18 supporting documents that must be submitted in 4 copies, such as baptismal certificates, voter affidavits, medical records, and affidavits from witnesses. It also provides a sample petition form that must be filled out, notarized, and submitted to the local civil registry office along with the supporting documents and fees.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    232 views3 pages

    Change of First Name

    Uploaded by

    Santos Jewel
    This document outlines the requirements for correcting clerical or typographical errors or changing a first name on a birth certificate in the Philippines. It lists 18 supporting documents that must be submitted in 4 copies, such as baptismal certificates, voter affidavits, medical records, and affidavits from witnesses. It also provides a sample petition form that must be filled out, notarized, and submitted to the local civil registry office along with the supporting documents and fees.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Republic of the Philippines

    Office of the City Civil Registrar


    Kanhuraw Hill, City Hall Annex Bldg., Tacloban City
    Telephone No.: (053) 523-5948

    SUPPORTING PAPERS FOR CORRECTION OF CLERICAL OR


    TYPOGRAPHICAL ERROR AND/OR CHANGE OF FIRST NAME:
    ERROR       to      
          to      
     Certified machine copy of the certification containing the alleged
    erroneous entry of entries.
     Baptismal Certificate
     Voter’s Affidavit/Certification
     GSIS Record
     SSS Record
     Medical Record
     Business Record
     School Record (DECSS Form 137)
     Driver’s License
     Insurance
     Civil Registry Records of Ascendants
    -Marriage Contract
    -Birth Certificate
     Certificate of Land Titles
     Bank Passbook
     NBI Clearance
     PNP Clearance
     Employment Clearance (If employed)
     Affidavit of Two (2) Disinterested Persons
     Barangay Certificate
     Birth Certificate
     Other      
    s:

    THE SUPPORTING DOCUMENTS MUST BE SUBMITTED IN FOUR (4) COPIES DULY


    CERTIFIED BY ISSUING OFFICE:

    Filling Fee : P       PLEASE SUBMIT :


    Publication Fee : P       4 pcs. Long Folder
    Mailing Fee : P       4 pcs. Paper Fasteners
    Service Migrant : P      
    TOTAL : P      
    RA 9048 Form No. 4.1. (LCRO)
    (Devised 10 Aug. 2011)

    Republic of the Philippines


    Local Civil Registry Office
    Province:      
    City/Municipality:      

    Republic of the Philippines )


          ) SS Petition No.      

    PETITION FOR CHANGE OF FIRST NAME

    I,       of legal age,       ,


    (Complete name of petitioner) (Nationality/Citizenship)
    and a resident of       ,
    (Complete address)

    after been having duly sworn to in accordance with law, hereby declare that:

    1) I am the petitioner seeking the change of first name in:


    a) my Certificate of Live Birth
    b) The Certificate of Live Birth of      
    (Complete name of owner)

    who is my      .
    (Relation of owner to the petitioner)

    2) I/He/She was born on       at      ,


    (Date of Birth) (City/Municipality)
          ,      .
    (Province) (Country)
    3) The birth was recorded under registry number      .
    4) The first name to be changed is from       to      .
    5) The grounds for filling this petition are the following:
    a) The first name is extremely difficult to write or pronounce;
    b) I have/He/She has habitually and continuously used      
    and I/he/she is publicly known in the community with that first name;
    c) The first name is tainted with dishonour;
    d) The first name is ridiculous;
    e) The first name causes confusion;
    f) Others: (Specify)      
    6) I submit the following documents to support this petition: (Use additional sheets, if necessary.)
    a)      
    b)      
    c)      
    d)      
    e)      
    7) I have not filed any similar petition and that, to the best of my knowledge, no other similar
    petition is pending with any LCRO, Court of Philippine Consulate.
    8) I am filing this petition at the LCRO of       ,      
    (City/Municipality) (Province)

    in accordance with R.A. No. 9048 and its implementing rules and regulations.

    Signature Over Printer Name of Petitioner


    VERIFICATION

    I,       , the petitioner, hereby certify that the allegations


    Herein are true and correct to the best of my knowledge and belief.

         
    Signature over Printed Name of Petitioner

    SUBSCRIBED AND SWORN to before me this       day of      


    in the city/municipality of       , petitioner exhibiting his Community Tax Certificate
    No.       issued at       on      .

    Administering Office

    Doc. No. ___________


    Page No. ___________
    Book No. ___________
    Series of ___________

    ___________________________________________________________________________________

    For C/MCR use only

    ACTION TAKEN BY THE C/MCR

    Granted Denied (Provide the basis for denial.)

    Date:
    City/Municipality Civil Registrar

    _____________________________________________________________________________________

    For CRG use only

    ACTION TAKEN BY CRG

    Affirmed Impugned

    Date:
    City Registrar General

    CBL/11Aug01

    O.R. No.:
    Amount Paid:
    Date Paid:

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