Republic of the Philippines

FIFTH JUDICIAL REGION

REGIONAL TRIAL COURT
Legazpi City
Branch

RE: IN THE MATTER OF CORRECTION OF ENTRY IN THE

CERTIFICATE OF LIVE BIRTH OF JUAN P. LIPINO a.k.a JOHN P.
LIPINO

JUAN P.
LIPINO, Petitioner.
-versus- Spec. Pro. Case No.

THE LOCAL CIVIL REGISTRAR OF

DARAGA, ALBAY AND THE CIVIL
REGISTRAR GENERAL OF THE
PHILIPPINE STATISTICS AUTHORITY
(PSA), Quezon City,,

Respondents.
x--------------------------------------------------x

PETITION

PETITIONER, through the undersigned counsel and unto this Honorable Court most respectfully states
that:

1) Petitioner JUAN P. LIPINO, (JUAN ) is of legal age, Filipino, married, with residence and postal
address at Purok 4, Rawis, Legazpi City;

2) Respondent Municipal Civil Registrar of Daraga, Albay, is being impleaded in his official capacity,
being the public officer charged with the registration and recording of certificate of live birth of a person in Daraga,
Albay. It may be served with summons, notices , orders and other legal processes of this Honorable Court at the
Office of the Municipal Civil Registrar, Municipal Hall, Daraga, Albay,

3) Respondent Civil Registrar General of the Philippine Statistics Authority (PSA), is being impleaded
in his official capacity as the administrator of the agency mandated to carry out and administer the laws on civil
registration, including the archiving of birth death and marriage certificates. It may be served with summons,
notices
, orders and other legal processes of this Honorable Court at its address at the 3 rd Floor, Vibal Bldg., Times St. cor
EDSA, West Triangle, Quezon City;

4) Petitioner, JUAN P. LIPINO, was born on January 25,1983 in Daraga, Albay as shown in his Birth
Certificate issued by Municipal Civil Registrar of Daraga, Albay, copy of which is attached as ANNEX “A”;

5) The main subject matter of this petition is the correction of the DATE OF BIRTH of the Petitioner
as reflected in his PSA Certificate of Live Birth which must be changed from December 31, 1998 to December 31,
1990;

6) Petitioner was born on December 31, 1990 as shown in the Baptismal Certificate issued by the
Roman Catholic Diocese of Daraga, Albay, copy of said Certificate is attached as Annex “B”;

7) Petitioner has been using the birth date December 31, 1990 during his school years as well as in
his I.D. too, such as the Official Transcript of Records; Voter’s ID; Non-Professional Driver’s License; PhilHealth ID,
which are hereto marked as ANNEXES “C”, “D”, , “E” and “F”;

8) To avoid confusion and to put in proper order Petitioner’s Certificate of Live Birth which is the
legal basis of his true identity, there is a compelling legal need that the error in Petitioner’s Certificate of Live Birth
be corrected

Petition- Lipino Page 1 of 3

 PRAYER

WHEREFORE, premises considered, it is most respectfully prayed to the Honorable Court that a Decision
be rendered directing the Municipal Civil Registrar of Daraga, Albay, and the Civil Registrar General of the
Philippine Statistics Authority (PSA), to institute the correction in Petitioner’s Certificate of Live Birth as explained
in paragraphs 5,6,7 and 8 above.

Other reliefs that the Honorable Court may deem just and equitable are likewise prayed

for. Legazpi City for Legazpi City. February 14, 2021.

ABC Law Office

Rizal Street, Old Albay, Legazpi City
(02)481-2323
Counsel for the Petitioner
By:

ATTY. PEDRO A. MERIKANO

MCLE No. 0987654, August 22, 2018
IBP No. 000001, Jan. 04, 2021
PTR No. 987685 , Jan. 04, 2021
Roll No. 59142

VERIFICATION & CERTIFICATION

I, JUAN P. LIPINO, of legal age, Filipino, married, and with residence and postal address at Purok 4, Rawis,
Legazpi City, after been duly sworn to in accordance with law do hereby depose and state, that:
1. I am the petitioner in this case;
2. I have caused the preparation of the foregoing Petition and have read and understood the allegations
contained therein;
3. The allegations in the said Petition are true and correct based on my own personal knowledge and on
authentic documents;
4. The Petition is not filed to harass, cause unnecessary delay, or needlessly increase the cost of litigation;
5. That the factual allegations therein have evidentiary support or if specifically so identified, will likewise
have evidentiary support after a reasonable opportunity for discovery;
6. I hereby certify that I have not commenced any other action or filed any claim involving the same issues in
any court, tribunal or quasi-judicial agency, and to the best of my knowledge, no such other action or
claim is pending therein;
7. If I should thereafter learn that a similar action or claim has been filed, or, is pending before a court,
tribunal or quasi-judicial agency, I hereby undertake to report that fact within five (5) calendar days
therefrom to this court wherein the original pleading and sworn certification contemplated herein have
been filed; and
8. I executed this verification/certification to attest to the truth of the foregoing facts and to comply with the
provisions of Adm. Circular No. 19-10-20 of the Honorable Supreme Court.

IN WITNESS WHEREOF, I have hereunto affixed my signature this , at Legazpi City,

Philippines.
JUAN P. LIPINO
ID No.

SUBSCRIBED AND SWORN TO before me this 2020 at the City of Legazpi, Philippines.
Affiant is personally known to the notary public.

ATTY. EMMANUEL ESMER

NOTARY PUBLIC LEGAZPI CITY
UNTIL DECEMBER 31, 2021
PTR No. 1234567 ; 1/2/18; Legazpi City
IBP No. 57832; 1/2/18; Legazpi City
Attorney Roll No. 13602
Doc. No. ;
Page No. ;
Book No. ;
Series of 2021
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