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    Petition For Change of First Name

    Uploaded by

    Charlie Pein
    This document is a petition for the removal of a middle name from a birth certificate filed with the Local Civil Registrar of San Jose del Monte, Bulacan, Philippines. It states that the petitioner seeks to remove the middle name "M." from the birth certificate of Jerone M. Cillano, who was born on July 16, 1993. The petitioner declares that the grounds for the name change is that the middle name causes confusion. The petitioner must submit supporting documents with the petition and certifies that the allegations in the petition are true.

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    Petition For Change of First Name

    Uploaded by

    Charlie Pein
    800 views2 pages
    This document is a petition for the removal of a middle name from a birth certificate filed with the Local Civil Registrar of San Jose del Monte, Bulacan, Philippines. It states that the petitioner seeks to remove the middle name "M." from the birth certificate of Jerone M. Cillano, who was born on July 16, 1993. The petitioner declares that the grounds for the name change is that the middle name causes confusion. The petitioner must submit supporting documents with the petition and certifies that the allegations in the petition are true.

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    Petition for Change of First Name

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    This document is a petition for the removal of a middle name from a birth certificate filed with the Local Civil Registrar of San Jose del Monte, Bulacan, Philippines. It states that the petitioner seeks to remove the middle name "M." from the birth certificate of Jerone M. Cillano, who was born on July 16, 1993. The petitioner declares that the grounds for the name change is that the middle name causes confusion. The petitioner must submit supporting documents with the petition and certifies that the allegations in the petition are true.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    800 views2 pages

    Petition For Change of First Name

    Uploaded by

    Charlie Pein
    This document is a petition for the removal of a middle name from a birth certificate filed with the Local Civil Registrar of San Jose del Monte, Bulacan, Philippines. It states that the petitioner seeks to remove the middle name "M." from the birth certificate of Jerone M. Cillano, who was born on July 16, 1993. The petitioner declares that the grounds for the name change is that the middle name causes confusion. The petitioner must submit supporting documents with the petition and certifies that the allegations in the petition are true.

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    Republic of the Philippines

    LOCAL CIVIL REGISTRAR


    Bulacan
    CITY OF SAN JOSE DEL MONTE

    Republic of the Philippines )


    Province of Bulacan ) Petition No. _______
    City of San Jose del Monte ) SS

    PETITION FOR CHANGE OF NAME

    I, (name of petitioner), of legal age, Filipino and a resident of


    ___________________________ after having been duly sworn to in accordance with
    law, hereby declare that:

    1. I am the petitioner seeking the removal of middle name in the Certificate of Live Birth
    of Jerone M. Cillano, who is my nephew.

    2. He was born on July 16, 1993 at _______________________.

    3. The birth was recorded under registry number ___________________

    4. The grounds for filing this petition are the following: (ground selected should be
    explained in a separate sheet of paper to be attached to this form.)

    a) The first name is extremely difficult to write or pronounce;


    b) He is habitually and continuously used ______________and is publicly known in
    the community known with that first name;
    c) The first name is ridiculous;
    d) The first name is ridiculous;
    e) The first name causes confusion;

    6. I submit the following documents to support this petition: (Use additional sheet, if
    necessary.)
    a) ____________________
    b) ____________________
    c) ____________________
    d) ____________________

    7. I have not filed and similar petition and that, to the best of my knowledge, no longer
    similar petition is pending with any LCRO, Court or Philippine Consulate.

    8. I am filing this petition at the LCRO of __________________, _______________ in


    accordance with RA No. 9048 and its implementing rules and regulations.

    ______________________
    Signature over printed name of petitioner

    VERIFICATION

    I, _______________________________, the petitioner, hereby certify that the


    allegations herein are true and correct to the best of my knowledge and belief.
    _______________________________
    Signature over printed name of petitioner

    SUBSCRIBED AND SWORN to before me this ______ day of ________ in the


    city of __________________, petitioner exhibiting his Community Tax Certificate No.
    _________________ issued at _______________ on _____________.

    Doc. No. ___________________


    Page No. ___________________ _______________________
    Book No. __________________ Administering Officer
    Series of ________

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