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Registry No a oe = 2022 - 42428 fone ityitdunicipalty —_ MANILA T NAME Fan Tiradey Tos KARL XYRUS LABUCAY GARING re Ee jaioercor ss nae a ol? titer ae ay November 2653 Ha pAGE OF "Rae arragpigrcanerrstinon? OW Prvinsy 3 | 88% PHICIPFINE GENERAT HOSPITAL Taft Avenue, Manila p|S=TeEoraRTH Ter woLTILE BIRTH CHLDWAS | apie ere aca Grdigfontere ce) | Mra Beco tr 2) | Sinele | 2325 = | a _ ens aa = Tan) e Tai wnat Oreylona Pacure Labucay BOTZENSHP Fitipi ae ORELIGIONRELIGIQUSsecr. ~=*~*~“‘é‘t*~*~*d# 9 Filipino joman Cathotie a ns waa OE Raf cakion bon_ |W OGUPATION ——————]7a-aetame peat E] sep etene| hacen te | Sta on NO ceuife tie cong as Riis RESDENCE (House No, St, Barangay) (CiyiMuncpaity) Teerieds Cone 8-11 L-15 Village Homes, Molino 3, Bacoor City, Cavite + Philippines Ty NAME Firs) “waaay (est) F | Antonio Asentista Garing YS.CITZENSHIP ~ 716: RELIGIONREN|GIOUS SECT TT QCCUPATION Va [18 AGE athe ie ota i “ping “Roman Catholic |" Gonstruetion Worker Secgpaens E 7a RESIDENCE (ieusana, 9, Oxomay (Cea Proaeoe Camm R B-11 L-15 Village Homes, Molino 3, Bacoor City, Cavite ? philippines [MARRIAGE OF PARENTS (rt mari secnpieh Ase of AinowesaevertAsain f Plone bck) fo ont (North) my) (Yea) | 2ORPLACE (Cly/Munugaiy- (Provice) (Coun) January 192015 Las Pifias City Philippines a ATTENDANT % 1 Physician 2 Nuse 3. Mice pie cERnFIcAnONOATENDATAT ERT issn Tosi | hereby certify rat attended An bith of gat fey bet GS A amid Neate of ort specitod ado Sonat. a oe *) eenririco TRUE CORY OF TAKIARSAIY Mec atacotal {WEL oA TT eens Trait avs_tvanil cn a uendant) 5. Overs (Spacy) Name i Pai — Physician smber 23, 2022 ee DELA, 2 ceRTncanONo = ee on wv mw GE ON Saare x AMWINISHA QUANG WFFISER ID ‘Name in Print. ANTONINO A” GARING manature: a — | Name in Pont Relnorao tw cag, Father pecan 11 L-15 Village Homes, Molino 3, Bacoor Cit Poston a eB 11 LIS Vilage Homes, Molino 3, Bacoor city, Cali Noverhber 23, 2022 Bo (a Sovemberzs,2022——— | Date oa es rec aY AN 2 6 20235 recenenar corr ALANNA aes Signature _Marla Josefa Encarnacion A. Ocampo ee city Cv Registrar me octet December 02, 2022 Date Es 2 28 ‘copy tan not be reprouuce without the consent of this office Verified by: Machine Copidg by:____—-» Signature Nome io Pont __ REGISTRATION OFFICER Ill Tite or Positon December 02, 2022. bate REMARKS/ANNOTATIONS (For LCROIOCRG Use Only) [TO BEFILLED-UP AT THE OFFICE OF THE CIVIL REGISTRAR ae ‘eal

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