You are on page 1of 2
Fa ia oe + Saeed eaten ag ect rom Ne fe ot the Phiipenes : fa | ener ‘OFFICE OF THE CIVIL REGISTRAR GENERAL = CERTIFICATE OF LIVE BIRTH ; | ‘MBTRO MANILA Re | fs Te | Po ar GT PeVB- 11949 | 7 ANE a ‘ie cot AoE seuss ur iar reunion le egg Se = e cere | Rae ERR re 0 EAs ere eae ar ett ON MEN pe maraRe ‘SINGLE A | ao aa lyse mamas eines BEE ae ee | Sapper] oe Pee e| : "| smeasomacere errr | "3 [R [73 RESIOENCE (louse No. Si, Bereneey) Sintec Prone oan it 40%, SOQUR DRING TAMDANG SORA QURIOM OOTY METRO MANILA RELLTPEINES.__| spe e ea a lal ARIES ABARABAR ‘VELLATLOR \ Accra enemas et co aS 4] PIktEMIO oanHOLe ‘SaLns AORNE oo |E [Ta REBOENCE Giese Wo. 8, Benger ‘Biatne iy) ‘Proves eam R| You soqus DATWE TANoANG AORA GUEIGN OTEY HERO MANTIA PRILIFINES ABREAGE OF PARENTS retro sero a dense aly fa cate omati tomy (rain PLACE —Chawnsbany Trove) Cast ‘MARRIED , fre AEN SS eee ee ee eee fe cacATON OF ATTENGAIT AT SRTH Pt ina win, Taal Ge Ama, They oot ba ure te ous ro na bo sive hg ZAM, BP fede of sno sore, iran __ 46; BORTONON 20 Joo B10 TFEBRGART 28,2020 > a GRRexTONGr Non EDF : Toy ety ut titan ped a nd cones oon Roce ) some —_O=. en a a ‘Gx Dh LzoM | "ores Qed O« wan ica ; ee Ea pasees _ QUBRON OEE Dae. x oie _EMRUARY 23,2028 oe Oy Causes, ' fx aaene ov freee RSTO TERS cece | | sown ESSIEN. aMMRAS. | Sev. a a ie nr. CLERIC | neve ie ERERDE Cryo | ARNEDONOTATINS (or [ERDTOGRG Ue Om) [one RULGDUPAT HE OFROEOF THE GML REGRTROR ian Heal {ole ee ohio (08209-1A-003AAD-01227-B1004 BReN COM ‘BEST POSSIBLE IMAGE 07404-B20CQ0N-3 CLAIRE DENNIS S.. a ae a I tional Statistician and Civil istrar Generz FEAR AEE] occumentany ee sry Tax Paid *7993082090030122706232022001 Stamp Tax SOOT BEST POSSIBLE IMAGE ——-—Page 2 0f 2-+-Gopy "AFFIDAVIT OF ACKNOWLEDGMENTIADMISSION OF #ATERNITY vin, te ME SEHR” of legal age, arwvare the ratural moiner andlor fiher ot Inncinith Tumisant. “Da Teon _yillagfeacho was ea aay grein tis atid alata he rhkshose ofthe regolng ststemants ap opposes of \ suBscriseD AND SWORN io betre mes cayt_- WAR OG 1A yy ed — aio ORE ar crema ee Ty e iesved on FebRyey 18. 2020 a oC No, BOOK NO, FOR DELAYED REGIST (eben ye he cia hn mapa ep Be pe eo oftegal ae, siolelmarrdtdworceatvidomwicower, wih tesidence and postal accross ae ‘ter having been duly swom i ecsordance with aw, do hereby depose and s9y 1. Tt | ar the apptcant forthe delayed registaon of Coy tit in on Tine bit of ‘who was born In 2. That thelshe was atenéed st bith by ho esos a ‘3. That | amielabe Isa tizen of 4. That myfiamorpovonts ware) married on at oot marie but iets nas acknowedgesinat acknowledged by . hie father whose nama 5. Thal the season forthe delay le roystring mpi ith was (Fort eppfcant ony) That | mata to (ihe applicant i tte than the document owner) That | am the ofthe ais person, 7. That am exaouting thi aida 1.8 ‘nents and purposes: fo tha tantuness of he foregoing statements fra In tnth whereof, | havo attvod my signature below tis day of at Pappas eos ce tae SUBSCRIBED AND SWORN to belore me ths day of Priigaloes, aan who rae si rss ms —— / (08209-1A-003AAD-01227-B1001 BReN CORE 07404-B20CQ0N-3 \ braid DENNIS one Ph fa ‘National Statistician and Civi istrar Genera ea MoR ME NEM e, | “Rr

You might also like