REPUBLIC OF THE PHILIPPINES

PHILIPPINE STATISTICS AUTHORITY

BIRTH REGISTRATION ASSISTANCE PROJECT 2022
BARANGAY JALIOBONG, KITCHARAO, AGUSAN DEL NORTE
APRIL 7, 2022

DEMOGRAPHIC CHARACTERISTICS REGISTRATION OF BIRTHS

Are you registered If NO, Why was your birth RESIDENTIAL ADDRESS PHILSYS RESULT OF
NO. NAME SEX DATE OF BIRTH PLACE OF BIRTH with the Local Civil not registered? REGISTERED OCCUPATION REMARKS
FATHER'S NAME MOTHER'S MAIDEN NAME (Purok/Street Name) (YES/NO)
VERIFICA-TION
(Surname, First Name, Middle Name) (M/F) (mm/dd/yyyy) (City/Municipality/Province) Registrar Office?
YES/NO PLEASE SPECIFY

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (12)

1 Mosende, Zack Brion M 01/20/2018 Manila _ Mosende, Rose Ann NO Walay eplete P-3 Jaliobong, Kadn NO Student No Record of
child and parent

2 Mosende, Samantha Zhed F 03/19/2018 Jaliobong, Kitcharao _ Mosende, Rose Ann NO Wala mahikay P-3 Jaliobong, Kadn NO Student No Record of
child and parent

3 Casil, Jessel N. F 10/07/2014 Jaliobong, Kitcharao Casil, Jessrhel Navarez Navarez, Saturnina NO Wala pamasahe P-5A Jaliobong, Kadn NO Student No Record of
child

4 Cabalhin, Jackelyn Dalagan F 11/11/1991 P-5A, Jaliobong, Kitcharao Cabalhin, Domingo Jolibaya Cabalhin, Exuperia Dalagan NO Wala mahikay P-5A Jaliobong, Kadn NO Housekeeper No Record of
child and parent

5 Pegte, Ryan M 01/05/2000 P-5A, Jaliobong, Kitcharao _ Pegte, Amelia Dalagan NO Wala mahikay P-5A Jaliobong, Kadn NO Student No Record of
child and parent

6 Pegte, Mark Ian M 11/19/2002 P-5A, Jaliobong, Kitcharao _ Pegte, Amelia Dalagan NO Wala mahikay P-5A Jaliobong, Kadn NO Student No Record of
child and parent

7 Pegte, Ramel M 01/26/1996 P-5A, Jaliobong, Kitcharao _ Pegte, Amelia Dalagan NO Wala mahikay P-5A Jaliobong, Kadn NO Driver No Record of
child and parent

8 Paniamogan, Vina F 03/02/2007 Jaliobong, Kitcharao _ Paniamogan, Myrna NO Walay eplete P-5A Jaliobong, Kadn NO Student No Record of
child and parent

9 Paniamogan, Bejay F 06/08/2012 Jaliobong, Kitcharao _ Paniamogan, Myrna NO Walay eplete P-5A Jaliobong, Kadn NO Student No Record of
child and parent

10 Paniamogan, Princess Rona F 7/11/2021 RHU Kitcharao _ Paniamogan, Myrna NO Wala mahikay P-5A Jaliobong, Kadn NO Student No Record of
child and parent

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5 Casil, Saturnina N. F 8/4/1995 Jaliobong, Kitcharao Navarez, Lorenzo Padollen, Lydia NO Walay eplete P-5A Jaliobong, Kadn NO Student No Record of
child

10 Dalagan, Exuperia Dalagan M 12/28/1958 P-5A, Jaliobong, Kitcharao Dalagan, Marcelo Doria Timkang, Nemesia Genobes NO Wala mahikay P-5A Jaliobong, Kadn NO Housekeeper No Record of
child

16 Paniamogan, Myrna F 12/19/1975 Jaliobong, Kitcharao _ _ NO Walay eplete P-5A Jaliobong, Kadn NO Housewife No Record of
parent

17 Romero, Rodrigo M 02/16/1966 Jaliobong, Kitcharao _ Paniamogan, Myrna NO Walay eplete P-5A Jaliobong, Kadn NO Farmer No Record of
child and parent

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