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REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT


SECOND JUDICIAL REGION
Branch ________
Cauayan City, Isabela

IN THE MATTER OF CANCELLATION/


CORRECTION OF ENTRIES IN THE
CERTIFICATE OF LIVE BIRTH OF
CHARITO C. MALIMALI
CHARITA C. MALIMALI
Petitioner,
---versus--_________

Special

Proc.

No.

CIVIL REGISTRAR OF CAUAYAN CITY,


ISABELA AND ALL PERSONS/ENTITIES
WHO/WHICH MAY BE AFFECTED THEREBY,
Respondents.
x--------------------------------------x

PETITION
Petitioner, through the undersigned counsel and to this
Honorable Court, most respectfully states that:
1.
Petitioner is of legal age, Filipino, single, a resident
of #123 Roxas Street, Dist. 2, Cauayan City, Isabela and the
mother and guardian of her minor child CHARITO
CANDELARIA MALIMALI; whereas Respondent - Civil Registrar
are public officer in-charge of the registration and archiving
of civil registry documents in the civil registrar office where
the fact of birth of the said minor child was registered, which
said office is located at Ground Floor, City Hall, City of
Cauayan;

2.
Petitioner conceived and gave birth to her child
CHARITO CANDELARIA MALIMALI on November 13, 2007 at
Cauayan City, Medical Specialist Cauayan City, Isabela,
which fact of birth was registered on November 17, 2007
before the Office of Respondent Civil Registrar of Cauayan
City, Isabela under Civil Registry No. 88-8888.
3.
When Petitioner applied for an authenticated copy
of her child Certificate of live birth(COLB) she discovered
erroneous entries in his COLB particularly, that of the
Gender of her child represented by Entry No. 2 was
instead of FEMALE, became MALE. Attached herein is the
Authenticated Copy of the Certificate of Live Birth of Charito
C. Malimali issued by National Statistics Office, as Annex A,
and Entry No. 2 further sub mark as annex A-1
4.
Moreover, Petitioner also found out that Entry
No. 3 which corresponds to the birth date of the said child
was erroneous, instead of November 13, 2007, the same
was November 13, 2009. Attached herein is the
Authenticated Copy of the Certificate of Live Birth of Charito
C. Malimali issued by National Statistics Office, as Annex A,
and Entry No. 3 further sub mark as annex A-2
5.
In order to correct the aforementioned erroneous
entries in the Certificates of Live Birth of her minor child,
Petitioner hereto files the instant Petition pursuant to Rule
108 of the Revised Rules of Court;
PRAYER
WHEREFORE, premises considered, it is most
respectfully prayed to this Honorable Court that an Order be
issued directing the herein Respondent Civil Registrars to
correct Entry No. 2, particularly the Gender of the
minor child of herein Petitioner from MALE to FEMALE and
to correct Entry No. 3, particularly the Birth date of the
Herein Petitioner from November 13, 2009 to November
13, 2007 in the Certificate of Live Birth of her minor child
Charito C. Malimali.
Other reliefs just and equitable are likewise prayed for.
Cauayan City. November 27,

ATTY. PAUL ANGELO UY


Counsel for the Petitioner
123 Dalupang St. Cauayan City Isabela,
Philippines
PTR No. 008888/Jan. 3, 2014/Cauayan
City
IBP NO. 888888/Jan. 3, 2014/Isabela
Chapter
Roll No. 88888/MCLE Compliance II-008888

REPUBLIC OF THE PHILIPPINES)


CITY OF CAUAYAN
)SS
VERIFICATION AND CERTIFICATION
AGAINST FORUM-SHOPPING
I, CHARITA C. MALIMALI, married, of legal age, Filipino
and a resident of #123 Roxas Street, Dist. 2, Cauayan City,
Isabela, after having been duly sworn to in accordance with
law, do hereby depose and state that:
1.
I am the Petitioner in the foregoing Petition and I
have caused the preparation of the same, the contents of
which are all true and correct to the best of my personal
knowledge, information and belief;
2.
I certify that neither have I commenced nor is
there any pending Petition of similar nature before any court,
tribunal or quasi-judicial agency, and if I should hereafter
learn that the same or similar Petition has been filed or is
pending in any court, tribunal or quasi-judicial agency, I shall
report the fact within five (5) days therefrom to this
Honorable Court.
IN WITNESS WHEREOF, I have hereunto set my hand
this 27th day of November, 2014 in Cauayan City.
CHARITA

CANDELARIA

MALIMALI
Affiant

SUBSCRIBED AND SWORN before me this 27th day of


November 2014, in Cauayan City City, affiant
exhibiting to me his Drivers License with No. 654321
issued in Cauayan City.

Doc. No.___;
TAMAD
Page No.___;
Book No.___;
Series of 2014.

ATTY. JUAN
Notary Public
Roll No. 77777
PTR No. 007777
MCLE No. II-7777

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