Professional Documents
Culture Documents
FORM Change of Name
FORM Change of Name
(CAPTION)
PETITION
COMES NOW Petitioner, by the undersigned counsel and unto this Honorable Court, most
respectfully states:
That petitioner is a Filipino, female, of legal age, single, and a resident of _____________,
Philippines. For purposes of this petition, petitioner may be served with all notices,
orders, and other processes thru the office address of the undersigned counsel indicated
below;
However, when petitioner's birth was registered with the Office of the Civil Registrar of
_____________ City on July 12, 1952, the data for registration were supplied only by
the attending physician, Dr. _____________, who was also the signatory of Petitioner's
Birth Certificate, thus causing three inadvertent and unintentional ERRORS, to wit:
Petitioner's parents were still undecided about what name they would give to
Petitioner or that they failed to communicate the name they have given to the
"MALE"; and
C. Lastly, Petitioner's mother's name was recorded as "Magdalena Quijano-Cruz"
The intended First or Given Name of the Petitioner is "MARIA" and not "BABYGIRL".
Petitioner grew up being called "MARIA" by her own parents and the people around
her. Petitioner used the first name "MARIA" when she attended school and the
university and she still uses the said first name in all her business and official
transactions, identifications and records, like in her records with the Social Security
(DFA), and Commission on Elections (COMELEC). As such, Petitioner prays that the
first name "BABYGIRL" recorded in the Civil Registry and appearing in her Birth
As to her Sex or Gender, Petitioner is a FEMALE, not MALE. Thus, the entry of Male
registered in her records of birth in the Civil Registry and appearing in her Birth
Lastly, as to her mother's name, what was registered was "Magdalena Quijano-Cruz".
Petitioner's mother's maiden name was "Magdalena Quijano Pilapil", i.e., before her
marriage to Petitioner's father, and after her marriage to the latter, it became "Magdalena
Pilapil-Cruz". As such, the entry on Petitioner's Mother's Name recorded in the Civil
Registry and appearing on her Birth Certificate is wrong and must be corrected to
That the above-discussed errors in the entries in the Civil Registry were all innocently,
marked:
Annex "A" - Certified true copy of Petitioner's Birth Certificate issued by the Office
of the Civil Registrar-General;
Annex "B" - Photocopy of Petitioner's SSS Personal Data Record (Form E-1);
Annex "C" - Photocopy of Petitioner's Intermediate Pupil's Record issued by the
University of _____________;
Annex "D" - Photocopy of Petitioner's Secondary Student's Permanent Record
issued by the University of _____________;
Annex "E" - Photocopy of Petitioner's Voter Affidavit / Certification issued by the
Commission on Elections;
Annex "F" - Photocopy of Petitioner's Voter's Identification Card issued by the
Commission on Elections;
Annex "G" - Photocopy of Petitioner's Taxpayer's Identification Number (TIN)
Card;
Annex "H" - Photocopy of Birth Certificate of Marilyn Cruz, Petitioner's sister.
PRAYER
issued directing the Local Civil Registrar of the City of _____________ to make the following
corrections and/or changes in the entries in the Civil Registry and in the Birth Certificate of the
Petitioner, viz.:
1. The entry on Petitioner's First Name which says "BABYGIRL" should be corrected
2. The entry on Petitioner's Sex which states "Male" should be corrected and/or changed to
"FEMALE"; and
3. The entry on Petitioner's Mother's Name, which says "Magdalena Quijano-Cruz", must
Petitioner prays for such other reliefs as may be just and equitable in the premises.
(COUNSEL)
(VERIFICATION)