Republic of the Philippines
REGIONAL TRIAL COURT
                                            11TH Judicial Region
                                                  Branch 2
                                                 Tagum City
                                                    -oOo-
RE:   PETITION   FOR    THE                                    MSC Case No. ____________________
CORRECTION OF ENTRIES IN
THE CERTIFICATE OF LIVE
BIRTH OF SOCRATES Q. CRUZ.
SOCRATES Q. CRUZ,
               Petitioner.
                  -VERSUS-
THE LOCAL CIVIL REGISTRAR,
TAGUM CITY.
                    Defendant.
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                                                     PETITION
     COMES NOW, the herein petitioner through counsel and unto the
 Honorable Court, most respectfully states:
    1. Petitioner is of legal age, Filipino, married, and a resident of
Dumanlas, Buhangin, Davao City, where he maybe serve with summons and
other processes of the Honorable Court.
    2. Named nominal party defendant is the Office of the Local Civil
Registar, City of Tagum, with address at Tagum City Hall, Tagum City, in
charge of registration of birth, where it may be serve with summons and
other processes.
    3. The Certificate of Live Birth of petitioner contained erroneous data,
hereunder indicated, compared with the correct one:
                ERRONEOUS ENTRIES                                  CORRECT ENTRIES
A] Name of Child: SOCRATES Q. CROSS                                 SOCRATES Q. CRUZ
B] Date of Birth: Feb. 28, 1992                                     Feb. 29, 1992
     4. Petitioner needs to correct the erroneous entries, to conform with the
data he used in all records of his dealings with the government.
                                                        1
    5. Attached are the following documents to support the petition:
    Annex “A”           -     NSO Copy of Certificate of Live Birth of Socrates
                              Cruz y Quambot; and the Receipt.
    Annex “B” & “B-1” -       Marriage Contract of Petitioner indicating
                              Correct Entries and Receipt.
    Annex “C”, D” & “E”-      UMPC ID; Professional Driver’s License; and
                              TIN No. 123-456-789 of petitioner indicating
                              Correct name and date of birth.
                                      PRAYER
    Premises considered, it is most respectfully prayed of the Honorable
Court, that after trial:
    1. An order be issued directing the Local Civil Registrar, Tagum City
and the Philippine Statistics Authority (PSA) to effect corrections on the
Certificate of Live Birth of Petitioner as follows:
           ERRONEOUS ENTRY                              CORRECT ENTRY
A] Name of Child: SOCRATES Q. CROSS                     SOCRATES Q. CRUZ
B] Date of Birth: Feb. 28, 1992                         Feb. 29, 1992
    2. Other reliefs just and equitable under the premises are likewise
prayed for.
     Panabo City this ________ day of August, 2019.
     RESPECTFULLY SUBMITTED.
                                                  HYDEE P. RINTUAYA
                                                      Counsel of Petitioner
                                             PTR No. 987346* 01-03-19* Tagum City
                                             IBP No. 336789* 12-05-17* Tagum City
                                                    Roll of Atty. No. 091692
                                              MCLE Compliance V-00482* 12-04-15
                                               2nd Floor, Room 1, Pilandas Bldg.,
                                                   Bonifacio St., Tagum City
                                                    Cellphone No. 0915882547
                                                      Tel. No. (084)3090143
                                                          TIN 385-992-293