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Petition For Change of Name
Petition For Change of Name
JOVER HORTELANO,
Petitioner,
-versus-
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PETITION
COMES NOW the Petitioner, by the undersigned counsel and unto this Honorable Court, respectfully
avers that:
1. Petitioner is 30 years of age, married, Filipino and a resident of Poblacion, Carmen, Cebu,
Philipines;
2. Respondent is a government official whose functions include the custody of birth records as well as
registration thereof. Respondent is holding office at Municipal Hall Compound, Poblacion, Carmen,
Cebu, Philippines where summons and other court processes can be served;
3. Petitioner was born on December 8, 1980 in Carmen, Cebu and duly recorded in the Local Civil
Registry of Carmen, Cebu as evidenced by the Certificate of Birth issued by the Local Civil
Registrar of Carmen, Cebu herein attached as Annex “A”;
4. Petitioner has made himself known to the public for the past thirty (30) years and continues to do so
as JOVER POGOY, as shown by his school diploma. Attached herein and made integral part of this
Petition is his Secondary Diploma issued by Carmen National High School marked as Annex “B”;
5. Recently, Petitioner secured an authenticated copy of his birth record from the National Statistics
Office. Attached and made an integral part of this Petition is the Certificate of Live Birth of JOVER
C. POGOY marked as Annex “C”;
6. To the dismay of the herein Petitioner, it appears that there were errors in the entry of his record,
particularly:
7. After the discovery of the erroneous entries in his birth record, Petitioner secured a birth certificate
from the Carmen Civil Registrar’s Office and the same errors were discovered;
8. In order to avoid confusion and to straighten the entries in his birth record, Petitioner filed this
instant Petition in order to have the erroneous entries rectified and further reflect his correct surname
and the surname of his father which should be entered as:
9. Petitioner ahs no derogatory record in his character as evidenced by the clearances issued by the
proper authorities herein attached as Annex “D”, “E”, “F”, “G”, “H”, and “I”, respectively;
PRAY E R
WHEREFORE, it most respectfully prayed that, after the due notice and publication, and hearing, this
Honorable Court adjudge and order herein Respondent to effect the rectification of the Birth Record of JOVER
C. POGOY pertaining to the entries in the surname of the child from JOVER C. PUGOY to JOVER C. POGOY
and the surname of the father from CELESTINO PUGOY to CELESTINO POGOY.
Other reliefs just and equitable under the circumstances are likewise prayed for.
RESPECTFULLY SUBMITTED.
DEPARTMENT OF JUSTICE
PUBLIC ATTORNEY’S OFFICE
Danao City District Office
COUNSEL FOR PETITIONER
By:
MARISSA M. BERING
Public Attorney II
Attorney’s Roll No. 88888
IBP No. 88888, 02.28.14, Cebu
MCLE Compliance No. III-88888888/03.24.14
VERIFICATION and CERTIFICATION
OF NON-FORUM SHOPPING
I, JOVER C. POGOY, after being sworn to in accordance with law, deposes and states:
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this August 04, 2014
in Danao City, Cebu, Philippines.
JOVER C. POGOY
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, this August 04, 2014 in Danao City, Philippines.
Affiant appeared and exhibited his Community Tax Certificate No. 27111827 issued on August 2, 2014 in
Carmen, Cebu.
MARISSA M. BERING
Public Attorney II
(Subscribed pursuant to R.A. 9406)
Copy furnished via registered mail due to the distance of the offices: