[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