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REPUBLIC OF THE PHILIPPINESREGIONAL TRIAL COURT

SECOND JUDICIAL REGIONBranch ________

Cauayan City, Isa!"a

IN THE #ATTER OF CANCELLATION$CORRECTION OF ENTRIES IN THECERTIFICATE OF LI%E BIRTH OFCHARITO C& #ALI#ALI

CHARITA C& #ALI#ALI P!titi'n!r,

((()!rsus((( S*!cia" Pr'c& N'&

_________

CI%IL REGISTRAR OF CAUA+AN CIT+,

ISABELA AND ALL PERSONS$ENTITIESHO$HICH #A+ BE AFFECTED THEREB+, R!s*'n-!nts&

.((((((((((((((((((((((((((((((((((((((.

PETITION

P!titi'n!r, thr'u/h th! un-!rsi/n!- c'uns!" an- t' thisH'n'ra"! C'urt, 0'st r!s*!ct1u""y stat!s that2

3& P!titi'n!r is '1 "!/a" a/!, Fi"i*in', sin/"!, a r!si-!nt'1 4356 R'.as Str!!t, Dist& 5, Cauayan City, Isa!"a an- th!0'th!r an- /uar-ian '1 h!r 0in'r chi"- 7 CHARITOCANDELARIA #ALI#ALI8 9h!r!as R!s*'n-!nt ( Ci)i" R!/istrarar! *u"ic ':c!r in(char/! '1 th! r!/istrati'n an- archi)in/

'1 ci)i" r!/istry -'cu0!nts in th! ci)i" r!/istrar ':c! 9h!r!th! 1act '1 irth '1 th! sai- 0in'r chi"- 9as r!/ist!r!-, 9hichsai- ':c! is "'cat!- at Gr'un- F"''r, City Ha"", City '1Cauayan8

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5& P!titi'n!r c'nc!i)!- an- /a)! irth t' h!r chi"- 7CHARITO CANDELARIA #ALI#ALI 'n N')!0!r 36, 5;;< atCauayan City, #!-ica" S*!cia"ist Cauayan City, Isa!"a,9hich 1act '1 irth 9as r!/ist!r!- 'n N')!0!r 3cat! '1 "i)! irth?COLB) sh! -isc')!r!-!rr'n!'us !ntri!s in his COLB *articu"ar"y, that '1 th!G!n-!r '1 h!r chi"- r!*r!s!nt!- y Entry No. 2 9asinst!a- '1 FEMALE, !ca0! MALE.Attach!- h!r!in is th!Auth!nticat!- C'*y '1 th! C!rti>cat! '1 Li)! Birth '1 Charit'

C& #a"i0a"i issu!- y Nati'na" Statistics O:c!, as Ann!. @A,an- Entry No. 21urth!r su 0ar as ann!. @A(3

& #'r!')!r, P!titi'n!r a"s' 1'un- 'ut that EntryNo. 3 9hich c'rr!s*'n-s t' th! irth -at! '1 th! sai- chi"-9as !rr'n!'us, inst!a- '1 Novemer !3, 2""#, th! sa0!9as Novemer !3, 2""$. Attach!- h!r!in is th!Auth!nticat!- C'*y '1 th! C!rti>cat! '1 Li)! Birth '1 Charit'C& #a"i0a"i issu!- y Nati'na" Statistics O:c!, as Ann!. @A,

an- Entry No. 31urth!r su 0ar as ann!. @A(5

& In 'r-!r t' c'rr!ct th! a1'r!0!nti'n!- !rr'n!'us!ntri!s in th! C!rti>cat!s '1 Li)! Birth '1 h!r 0in'r chi"-,P!titi'n!r h!r!t' >"!s th! instant P!titi'n *ursuant t' %&'e!"( o the %evise* %&'es o Co&rt8

P%A+E%

HEREFORE, *r!0is!s c'nsi-!r!-, it is 0'str!s*!ct1u""y *ray!- t' this H'n'ra"! C'urt that an Or-!r !issu!- -ir!ctin/ th! h!r!in R!s*'n-!nt 7 Ci)i" R!/istrars t'orret Entry No. 2, *articu"ar"y th! -en*er '1 th!0in'r chi"- '1 h!r!in P!titi'n!r 1r'0 MALE to FEMALE an-t' c'rr!ct Entry No. 3, *articu"ar"y th! Birth -at! '1 th!H!r!in P!titi'n!r 1r'0 Novemer !3, 2""$ to Novemer!3, 2""# in th! C!rti>cat! '1 Li)! Birth '1 h!r 0in'r chi"-

Charit' C& #a"i0a"i&

Oth!r r!"i!1s ust an- !uita"! ar! "i!9is! *ray!- 1'r&

Cauayan City& N')!0!r 5

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ATT+. PAL AN-ELO +C'uns!" 1'r th! P!titi'n!r

356 Da"u*an/ St& Cauayan City Isa!"a,Phi"i**in!s

PTR N'& ;;====$Jan& 6, 5;3$CauayanCity

IBP NO& ======$Jan& 6, 5;3$Isa!"aCha*t!r

R'"" N'& =====$#CLE C'0*"ianc! II(;;====

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REPUBLIC OF THE PHILIPPINESCIT+ OF CAUA+AN SS

%ERIFICATION AND CERTIFICATIONAGAINST FORU#(SHOPPING

I, CHARITA C& #ALI#ALI, 0arri!-, '1 "!/a" a/!, Fi"i*in'

an- a r!si-!nt '1 4356 R'.as Str!!t, Dist& 5, Cauayan City,Isa!"a, a1t!r ha)in/ !!n -u"y s9'rn t' in acc'r-anc! 9ith"a9, -' h!r!y -!*'s! an- stat! that2

3& I a0 th! P!titi'n!r in th! 1'r!/'in/ P!titi'n an- Iha)! caus!- th! *r!*arati'n '1 th! sa0!, th! c'nt!nts '19hich ar! a"" tru! an- c'rr!ct t' th! !st '1 0y *!rs'na"n'9"!-/!, in1'r0ati'n an- !"i!18

5& I c!rti1y that n!ith!r ha)! I c'00!nc!- n'r isth!r! any *!n-in/ P!titi'n '1 si0i"ar natur! !1'r! any c'urt,triuna" 'r uasi(u-icia" a/!ncy, an- i1 I sh'u"- h!r!a1t!r"!arn that th! sa0! 'r si0i"ar P!titi'n has !!n >"!- 'r is*!n-in/ in any c'urt, triuna" 'r uasi(u-icia" a/!ncy, I sha""r!*'rt th! 1act 9ithin >)! ? -ays th!r!1r'0 t' thisH'n'ra"! C'urt&

IN ITNESS HEREOF, I ha)! h!r!unt' s!t 0y han-this 5

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