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(Petition for Correction of Entries in Civil Registrar)

(CAPTION) PETITION

COMES NOW Petitioner, by the undersigned counsel and unto this Honorable Court, most respectfully states: 1. That petitioner is a Filipino, female, of legal age, single, and a resident of _____________, Philippines. For purposes of this petition, petitioner may be served with all notices, orders, and other processes thru the office address of the undersigned counsel indicated below; 2. Petitioner was born on _____________ in the City of _____________ as the daughter of Mr. Juan Guzman Cruz and of Magdalena Quijano Pilapil - Cruz; 3. However, when petitioner's birth was registered with the Office of the Civil Registrar of _____________ City on July 12, 1952, the data for registration were supplied only by the attending physician, Dr. _____________, who was also the signatory of Petitioner's Birth Certificate, thus causing three inadvertent and unintentional ERRORS, to wit: A. Petitioner's first name was registered as "BABYGIRL CRUZ" because at the time Petitioner's birth was registered by the afore-named attending physician, Petitioner's parents were still undecided about what name they would give to Petitioner or that they failed to communicate the name they have given to the Petitioner to the said attending physician; B. Instead of female, petitioner's Sex or Gender was inadvertently registered as "MALE"; and C. Lastly, Petitioner's mother's name was recorded as "Magdalena Quijano-Cruz" instead of "Magdalena Pilapil-Cruz"; 1. The intended First or Given Name of the Petitioner is "MARIA" and not "BABYGIRL". Petitioner grew up being called "MARIA" by her own parents and the people around her. Petitioner used the first name "MARIA" when she attended school and the university and she still uses the said first name in all her business and official transactions, identifications and

records, like in her records with the Social Security Systems (SSS), Bureau of Internal Revenue (BIR), Department of Foreign Affairs (DFA), and Commission on Elections (COMELEC). As such, Petitioner prays that the first name "BABYGIRL" recorded in the Civil Registry and appearing in her Birth Certificate by corrected and/or changed to "MARIA"; 2. As to her Sex or Gender, Petitioner is a FEMALE, not MALE. Thus, the entry of Male registered in her records of birth in the Civil Registry and appearing in her Birth Certificate should be corrected to FEMALE to reflect her true sex or gender; 3. Lastly, as to her mother's name, what was registered was "Magdalena Quijano-Cruz". Petitioner's mother's maiden name was "Magdalena Quijano Pilapil", i.e., before her marriage to Petitioner's father, and after her marriage to the latter, it became "Magdalena Pilapil-Cruz". As such, the entry on Petitioner's Mother's Name recorded in the Civil Registry and appearing on her Birth Certificate is wrong and must be corrected to "Magdalena Pilapil-Cruz" to reflect Petitioner's true mother's name; 4. That the above-discussed errors in the entries in the Civil Registry were all innocently, unintentionally, and inadvertently made; 5. That in support of this petition, the following are hereto attached and correspondingly marked: Annex "A" - Certified true copy of Petitioner's Birth Certificate issued by the Office of the Civil Registrar-General; Annex "B" - Photocopy of Petitioner's SSS Personal Data Record (Form E-1); Annex "C" - Photocopy of Petitioner's Intermediate Pupil's Record issued by the University of _____________; Annex "D" - Photocopy of Petitioner's Secondary Student's Permanent Record issued by the University of _____________; Annex "E" - Photocopy of Petitioner's Voter Affidavit / Certification issued by the Commission on Elections; Annex "F" - Photocopy of Petitioner's Voter's Identification Card issued by the Commission on Elections; Annex "G" - Photocopy of Petitioner's Taxpayer's Identification Number (TIN) Card; Annex "H" - Photocopy of Birth Certificate of Marilyn Cruz, Petitioner's sister.

PRAYER

WHEREFORE, it is most respectfully prayed of this Honorable Court that an order be issued directing the Local Civil Registrar of the City of _____________ to make the following corrections and/or changes in the entries in the Civil Registry and in the Birth Certificate of the Petitioner, viz.: 1. The entry on Petitioner's First Name which says "BABYGIRL" should be corrected and/or changed to "MARIA"; 2. The entry on Petitioner's Sex which states "Male" should be corrected and/or changed to "FEMALE"; and 3. The entry on Petitioner's Mother's Name, which says "Magdalena Quijano-Cruz", must be corrected and/or changed to "Magdalena Pilapil-Cruz". Petitioner prays for such other reliefs as may be just and equitable in the premises. _____________, Philippines, __Date__.

(COUNSEL)

(VERIFICATION)

(CERTIFICATION OF NON-FORUM SHOPPING)