Page 1 of 3, 1 Copy Oe ya onto Reputie of the Prigginas OFACE OF THE CL REGIBTAAR. GENEBAMET CERTIFICATE OF LIVE BIRTH na PELAYED REGISTRATION BIRTH ORDER bisa ou aaa "reesegeincelrey) FOUREE_ twa tecna tua. cy Seen Meatoaciene "| © wootamaen ba meses nse ‘eins | sw sete 4 | Serorae: [fa- OCCUPATION Ti ean tre it Terao, i 4 yes TE RESIDENCE (een, Seem Beer urona) oven 1 [pf ne coe on a —subaa [tf emnansrie 16. REUGON ¥ EIN Asta [16 occuPRTION Ti? maxnsene [a wages Shree @ DATE AND PLACE. OF NABBIAGE OF PARENTS (ent ravad carota Dito ‘ekg Merson of Fea tba bah) JaNvARY 28, 1967 DANY SSMANI. DASHARIMAS. CAYE TE, | Ta arrenoane ft Poss 2 sane age Toast awe) 5 Soom aoe) \ 18 CERTIACATION OF BATH : f "aay ey tate Ratemct oe sat wentonienls 8:38 Be Hets wien ainamgee — soo LoL RAL LTO Nicenhin STD ADA — —basanias, cavren — ‘Tipo Pasion —MLLO2.. _———— un Mat 20, 20.0 —____ 22. NFORNANT c ee — aoe Akad tek Dae 5H} neranan prarsrearraeren rrr ria Felaecatiptoiecdis SLSERR __ ue BOE 28, 2018 CAYTTE Fr PREPARED BY @ RECEWED WHE OFFICE OF P HE CNY. REGISTRAR Naina OLE F-CLIRAGAM ren. SAN GABRIEL Posten RDBM-ORFTCRR ‘ovo Poeien Cay Coal Registrar —_— Stare ane |S agg, Cote BReN BESTPOSSGLEWAGE (02108-ASBMEOL-7 CLAIRE DENNIS S. MAPA, Ph. D.Page 2 of 3, 1 Copy Der 8 et en rr Hoge ee ATHDAVIT OF ACKNOWLEDGMENTIADMISSION OF PATERNITY pe ‘prentsarent of the ck mentioned in this Crifuae of Live Birth, do wereby solemnly star Wat the Infomation contained’ Pere are tut and caret to the Best of exrimy Knoleige end bei (Basten of nao AFRIDAVIT FOR DELAYED REGISTRATION OF BIRTH (ether pn Nat FF yl or fbr een ptan ay secompah het) 1 race ttt eaten pal a at sna fe ih ios a pet (oe Terug van aay com with few "do fps an ay ‘That 1 am the applicant for the delayed registration of my birth/of the birth of ‘That The hn ee a ‘That I/be/she was attended at PR ESSA DANTE EATEN BA bhai rhehibed heey eh ‘That The/she 8 0 Gino & “paage eRe Tat epee porns es Behe eel cd AN Ly) RRR BGT GT er he 6 Tat the ron for the day in egies my TRE Bh was Be ape gaemee—— a's coy ot my Tie aoc sel fp SNA He 8D tw te opin way tam ed Cite ex Saeereceseyeccea el Uae ba pee =e ae ape oan (Community Tax No, 2207 we Date amt lin 33,20 07969-2D-733CCL-00380-BI001 BReN CORE ‘BEST POSSIBLE WAGE (02106-A9EMEOL-7 CLAIRE DENNIS S. MAPA, Ph, D.Municipal Form No. 102 {Revised January 1993, attachment) Province Page 3 of 3, 1 Copy SAIS, IN THE NAME OF ALLAH THE MERCIFUL, THE COMPASSIONATE Registry No. 2011 2026 (Middle) MUSMINA RIMBANG SULTAN DATE OF BIRTH oy) (onthi (Ye eaten vars ___14 JUNE 1996 iran. Calendar ETHNIC AFFILIATION OF THE FATHER MARANAO INFORMANT Signature iil ETHNIC AFFILIATION OF THE MOTHER MARANLO. Adee SOK-AG Ln) SULDAN-SSMAFS— Name in Print MUST IMA RSULDAN. CITY _O5_DASMARENAS,CAYESE 07969-2D-733CCL-00380-B1001 ‘BEST POSSIBLE MAGE Date BReN 02106-AS6MEOL-T COG CLAIRE DENNIS S. MAPA, Ph. D.