Petition For Correction of Clerical Error in The Certificate of Live Birth
Petition For Correction of Clerical Error in The Certificate of Live Birth
Petition For Correction of Clerical Error in The Certificate of Live Birth
1(LCRO)
(Devised 10 October 2001)
I, , of legal age,
(complete name of petitioner) (Nationality/citizenship)
and a resident of
(complete address)
after having been duly sworn to in accordance with law, hereby declare that:
5) The facts/reason for filing this petition are following:(Use additional sheets,if necessary.)
6) I submit the following documents to support this petition:( Use additional sheets, if nessary.)
a)
b)
c)
d)
7) I have/He/She has not filed any similar petition and that, to the best of my knowledge,
no other similar petition is pending with any LCRO, Court or Philippine Consulate.
VERIFICATION
I, the petitioner, hereby certify that the allegations herein are true
and correct to the best of my knowledge and belief.
Administering Officer
Doc. No.
Page No.
Book No.
Series of
Date:
Municipal Civil Registrar
ACTION TAKEN BY THE CRG
(Provide the basis for the action taken .)
/ / Affirmed / / Impugned
Date:
Civil Registrar General
O.R. No.
Amount Paid
Date Paid
the corrrect
municipality