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Welcome : DACARA,SHARLYN CALIS

1. PERSONAL INFORMATION ABOUT YOU

Female
PERSONAL DATA
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CATHOLIC
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SINGLE/NEVER MARRIED
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NCR FOURTH DISTRICT
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CITY OF LAS PIÑAS, (NCR FOURTH DISTRICT)
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NCR FOURTH DISTRICT
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Last Name: DACARA * Suffix Name (Jr./Sr./III) :

First Name: SHARLYN * Sex Female *

Middle Name: CALIS * Date of Birth 10/10/1994 (mm/dd/yyyy) Age 23 *

Birth Place Civil Status: SINGLE/NEVER MARRIED *

Province: NCR FOURTH DISTRICT *

Town/City: CITY OF LAS PIÑAS, (NCR *

ADDITIONAL DATA
Birth Order: * No. of Siblings: * Education: *
Occupation
Religion: CATHOLIC * *
( in the last 6 months )

ADDRESS AND CONTACT DETAILS IN THE PHILIPPINES

517 FALCON STREET, GATCHALIAN SUBDIVISION, MANUYO DOS
House no. / Street /
Telephone Num.: 02 *
Barangay:
* Area Code Number

Province: NCR FOURTH DISTRICT * Cell Number: 639053517988 *

i.e. :09#########
City / Municipality: CITY OF LAS PIÑAS, (NCR * Email Address: sharlyn.dacara23@yahoo.com *
Zip Code: 1745 *

NEAREST RELATIVE NAME, CONTACT AND ADDRESS IN THE

PHILIPPINES
Last Name: * First Name: * Middle Name:
 *

House no./Street/
Relationship: *
Barangay:
*

Province: * Telephone Num.: *

Area Code Number

City/Municipality: * Cell Number: *

i.e. :09#########
Zip Code: * Email Address: *

CHILDREN FROM PRESENT PARTNER

Full Name Sex BirthDate
* * (MM/DD/YYYY) * Add

CHILDREN FROM PREVIOUS PARTNER

Full Name Sex BirthDate Citizenship of the Other Parent
* *
* * Add
(MM/DD/YYYY)

2. PETITIONER'S INFORMATION (Fiancé/Spouse)

PETITIONER'S PERSONAL DATA
Last 05/28/1973 Age: 45 *
BRUNSON Suffix Date of Birth:
Name: (mm/dd/yyyy)
* Name(Jr./Sr./III):

First DONALD * Place of Birth: *

Name:
Middle
Name: RAY * Sex: * Mother's Maiden Name:
*

PETITIONER'S ADDRESS AND CONTACT DETAILS

Apt/House/Street No.: Telephone Num.:

*
*

Country: * Cell Number:

*

State/Province/Region: * Email Address:

*
ZipCode: *

PETITIONER'S ADDITIONAL DATA

Citizenship: AMERICAN (UNITED STATE * Occupation: * Religion: *

Civil Status * Education: *

Prior to
present
relationship:

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