CATE OF LIVE BIRTH Regiaty No JE — 2022 - 42428 Eiiyitunicipaliy E. 7 RAE a aa sap KARL XYRUS LABUCAY GARING ol? ser 3 REOF Fa, 5 HV RIAcEOF —“rame a rapaare ose ae pn fENERAV HOSPITAL Taft Avenue, Manila b |= necoreRna ST EROEE STH crows | Fan ormcnaccawme— [NECA ORTH Single ‘ ON Secsau | 2325 ae = | gave 7 woe aa twaaey ts alte Orelona Pacure Labucay [BCIZENSHP Filining a | SRELIGONRELICI tT ae 2 Filipino Roman Catelic 1H [10e oa arte of] 10 to o onsen a] fo oan am 7.OGOURATON a Bag teat “hee noyirgomeen | mere | Housefe Rita RESIDENCE (House No. St. Baranaiay) (Cityiunicipaity) (Province) (Country) 8-11 L-15 Village Homes, Molino 3, Bacoor City, Cavite + Philippines Tape rie ay rr F Antonine Asentista Garing \ [A | iegmizensee — “TIS REUGIONRELGIOUSSECT —_—_—|i7.CCCUPATION 7 «| 18. AGE ww areca T | “fpine | “Roman catholic GSnstrction Worker gees Er aaioe mao cane R Beli L-19 Village Homes; Molino 3, Bacoor Thy ewite (reves) phillppines IMARRIAGE OF PARENTS cena mora, seconetin atari heiwasperantAiraion of Paumiy tte beck) lice bare (ann) 2DPLACE (Cit Honocaig)—— Provnes) (Gero) r January 19 Las Pifas city Philippines na, ATTENDANT ¢ 7 ee a <2 Wide __4 ho Craatona ex Atsnent) —_ 5 Otter (Speci 2tb CERTIFICATION OF ATTENDANT AT BIRTH (> Name Pr Tha rt a nods bn ern OLS TPE ay ¥ ORY OF TM RRB Ee, a prec ao gy Tne TatEANS ants Ce De of bith spected above. | atiigpoital | Physician, a Sao a, eee tee Ee paris Le ceRTFICATONOF ay seiner sit me on ae ANAM ‘Sonate ———— oministagiive wrrieen WY Name in Print ANTONINO A. GARING ¢ “| . IOV C., _ Father cae ae Assi To esse Sage Hares, MaNTaHRCOTENY, ERE Peter on Tyee yy 2077 2 November 23,2022 — one s 2 meceNeDey a 9s necsTeReD Ar THe orice cise Signature —__ENRI Signature __ Maria Josefa Encarnacion A. Ocampo. ‘Name in Pont ___ REGISTRATION OFFICER II! ‘Name in Print City Civil Registrar ‘ive or Postion December 02,2022. ae ta December 02, 2022 = Date La Pee ns a |REMARKS/ANNOTATIONS (For LCROOCRG Use Only) ‘copy tan not be reproauces without the consent of this office [TO BE FILLED-UP AT THE OFFICE OF THE CIVIL REGISTRAR eho a 3 Verified by: Machine oa ioe gn)? 19