RA 9048 Form No. 1.
1 (LCRO)
Republic of the Philippines
Local Civil Registry Office
Province: Cebu
Municipality of Balamban
Republic of the Philippines ) Petition No.: ________________
Municipality of Balamban ) SS
PETITION FOR CORRECTION OF CLERICAL ERROR IN THE
CERTIFICATE OF LIVE BIRTH
I, MERALYN DELA PAZ MALIG-ON, of legal age, Filipino, and a resident of
Barangay Cambuhawe, Municipality of Balamban, Cebu after having been sworn to in
accordance with law, hereby declare that:
1) I am the petitioner seeking the correction of entry in:
a) The certificate of live birth of ERIC MERCADER PANGANDOYON, birth
X
certificate of my husband.
2) He was born on August 14, 1983 in Municipality of Balamban, Cebu.
3) The birth was recorded under registry number 867 (I-83).
4) The clerical error(s) to be corrected is/are (use additional sheets, if necessary)
ITEM NO. DESCRIPTION FROM TO
Surname PANGDOGON PANGANDOYON
5) The facts/reasons for filing this petition are the following:
Correction of erroneous entry to reflect the correct spelling of his surname in his
birth certificate.
6) I submit the following documents to support this petition: (use additional sheets if
necessary)
a) Certificate of Live Birth of my husband, Eric Mercader Pangandoyon issued by the
Philippine Statistics Authority;
b) Certificate of Marriage issued by the Office of the Local Civil Registrar of Balamban;
c) Certificate of Baptism issued by San Francisco De Assisi Parish;
d) Corroborating Affidavit issued by the Municipal Mayor;
e) Joint Affidavit of Eric Pangandoyon and Meralyn Malig-on;
7) I have not filed any similar petition and that to the best of my knowledge, no other
similar petition is pending with any LCRO or Court of the Philippine Consulate.
8) I am filing this petition at the LCRO of Municipality of Balamban, Province of Cebu in
accordance with RA 9048 and its implementing rules and regulations.
MERALYN DELA PAZ MALIG-ON
Affiant
1
VERIFICATION
I, MERALYN DELA PAZ MALIG-ON, under oath, states:
1. I am the petitioner of the above petition for correction of clerical error of entries of the
birth certificate of my husband;
2. I have caused the preparation of this petition;
3. I have read the petition and all the facts stated here are true and correct to the best of my
personal knowledge and based on authentic records.
IN WITNESS WHEREOF, I have affixed my signature this 8 th day of July 2022 at
Municipality of Balamban, Cebu.
MERALYN DELA PAZ MALIG-ON
Affiant
SUBSCRIBED AND SWORN to before me this 8th day of July 2022 at Municipality of
Balamban, Cebu, petitioner exhibited to me her National identification no. 3518-4104-8320-
8260 issued at Balamban, Cebu, as proof of identity.
Doc No.: ____
Page No.: ____
Book No.: ____
Series of: ______
2
For C/MCR use only
ACTION TAKEN BY THE C/MCR
Granted Denied (Provide basis for denial)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________.
Date: ________ ________________________
City/Municipal Civil Registrar
For CRG use only
ACTION TAKEN BY THE CRG
Affirmed Impugned
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
Date: ____________ _______________________
City Registrar General
OR No.: _________________________
Amount Paid: _____________________
Date Paid: ________________________
3
4
