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    The Municipal Civil Registrar of Santa Barbara, Iloilo is sending an application for Out-of-Town Delayed Registration of Birth to the City Civil Registrar of Bacolod City, Negros Occidental. The application is for Angel Agsam who was allegedly born in Rizal St. Brgy. 27, Bacolod City. Attached to the application are documents supporting the delayed registration including a negative certification from NSO, a completed application form, a certificate of baptism, a sworn statement from the applicant with corroboration from two others, and an information sheet. The Municipal Civil Registrar requests that the application be endorsed to NSO Manila for issuance of a Certificate

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    The Municipal Civil Registrar of Santa Barbara, Iloilo is sending an application for Out-of-Town Delayed Registration of Birth to the City Civil Registrar of Bacolod City, Negros Occidental. The application is for Angel Agsam who was allegedly born in Rizal St. Brgy. 27, Bacolod City. Attached to the application are documents supporting the delayed registration including a negative certification from NSO, a completed application form, a certificate of baptism, a sworn statement from the applicant with corroboration from two others, and an information sheet. The Municipal Civil Registrar requests that the application be endorsed to NSO Manila for issuance of a Certificate

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    4 views1 page

    Republic of The Philippines

    Uploaded by

    ibuknang
    The Municipal Civil Registrar of Santa Barbara, Iloilo is sending an application for Out-of-Town Delayed Registration of Birth to the City Civil Registrar of Bacolod City, Negros Occidental. The application is for Angel Agsam who was allegedly born in Rizal St. Brgy. 27, Bacolod City. Attached to the application are documents supporting the delayed registration including a negative certification from NSO, a completed application form, a certificate of baptism, a sworn statement from the applicant with corroboration from two others, and an information sheet. The Municipal Civil Registrar requests that the application be endorsed to NSO Manila for issuance of a Certificate

    Copyright:

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    Republic of the Philippines Provence of Iloilo Municipality of Santa Barbara oOo

    OFFICE OF THE MUNICIPAL CIVIL REGISTRAR

    February 20, 2012

    The City Civil Registrar Bacolod City, Negros Occidental

    Sir/Madam, Pursuant to Rule 20 of Administrative Order No. 1, Series of 1993, we are sending herewith the application for Out-of-Town Delayed Registration of birth Of ANGEL AGSAM alleged to have been in born Rizal St. Brgy. 27, Bacolod City, Negros Occidental. Please find attached document, to wit: 1. 2. 3. 4. 5. Negative Certification from NSO; Duly accomplished Mun. Form No. 102; Certificate of Baptism; Sworn Statement of the Applicant with corroboration of two disinterested person; Information sheet.

    It is requested that the OCRG copy be endorsed ahead to NSO, Manila for issuance of the same COLB in form of Security Paper (SECPA).. Thank you very much in anticipation of your and appropriate action.

    Very truly yours,

    MA. MAE H. LORILLA Municipal Civil Registrar

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