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[RA 9048 Form Na 12 bE Crests) (Geneed 10 00 2001) Repl of te Fiipines Philppne Consulta cigs Const =e ee Pet N, ‘PETITION FOR CORRECTION OF CLERICAL ERROR IN THE CERTIICATE OF LIVE BIRTH 1 —_ gan, aaa a ee ae ee ee eae afer having ten dly ovr fapcurdnoce wih, bly dee hat 1) Tam the poner geomet of ie eel eri 2) O my OxtifateofLive Bink 1) D the Cite oflive Bh of__, who, Tea 2) Wielsae as borne, = aaa aay a EE 3) The ir yas ade der ely amber . . 4) Tha clerical ent be coed is Tae Ta ‘The fcuhcazes eg hs pon are bellowing: (Ce dion sheet, Yscezsry) a ForerrorNok —— —— For erroro.2 = Oo Bor error No. 6) ashi te flowing documents to supper ptton: Ce onl shes, rece) ‘ThavlilSbebas pt fledany sla ptton a uo he bet of my nowt, no sar pallens pdng vt 29) LCR, Cet or Pipe Coes, 1), Tam ling ie tie tee Ofc othe Coa Gea Tiger ‘acordioe wih RA No, 048 adits inpleoeng rs adept Te oe parame a ‘VERIFICATION 1 1 Be pon Ay cn at algae let een Si ears By Tp Fp yet Pains eaihiny Be Faspat Wo. Tae Oe Dee Na Bagot ek, \Seieot

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