PSA Serbilis Acknowledgement

Your online application has been submitted.

Your Batch Request Number is 0695-6011-2600-0105.

Please read the Payment and Delivery instructions.

Print two (2) copies of this page         Print

Delivery Information

Requester's Name: QUINES, LODINCIO S.

Delivery Address: ZONE 2 M. ROXAS ST (BEHIND MASON BUILDING)

DILAN-PAURIDO
URDANETA CITY, PANGASINAN
PHILIPPINES 2428

Request Date: 01/17/2019

Batch Request Number: 0695-6011-2600-0105

Total No. of Copies Requested: 1

Total Amount Due: PHP 330.00

Requests Summary

Request Reference
Type Name Event Date Event Place Copies Amount Due
Number

URDANETA CITY,
QUINES, LODINCIO
0695-6011-2600-1110 BIRTH 03/01/1965 PANGASINAN, 1 PHP 330.00
DELOS SANTOS
PHILIPPINES

Important

FOR BIRTH CERTIFICATES: AUTHORIZATION LETTER and ID of the document owner together with the requester’s ID are
required if the requester is NOT any of the following:

the owner of the document

his/her parent
his/her spouse
his/her direct descendant
his/her legal guardian/institution-in-charge, if minor

If you are the document owner and you are unable to receive the birth certificate, you may authorize a representative to do
so on your behalf. Your authorized representative will have to present the following to the courier:

1. your signed authorization letter

2. your valid ID (with photo and signature)
3. the valid ID (with photo and signature) of your authorized representative

Payment and Delivery

1.  Print two (2) copies of this page

You will be asked for a copy of this page when paying for your requests in our designated banks. The other copy is
your personal copy.

This acknowledgement has also been sent to you through email.

2.  Pay through any of the following:

 Credit Card

Banco De Oro: BDO branches, BDO Online Banking (BDO account holders only), BDO ATM (BDO account holders only)

UnionBank: UnionBank branches, UnionBank Online Banking (UnionBank account holders only), UnionBank ATM
(UnionBank account holders only)

Bayad Center

Use the Batch Request Number when paying for all requests in the batch.

Use the Request Reference Number when paying for a particular request only.
.
3.  Wait for delivery

Go to the Delivery page to know when your document will be delivered.

You can also check the status of your request on the PSA Serbilis home page.