; o bd o_o oft Pipi OFFICE OF THE CNL REGISTRAR GENERAL CERTIFICATE OF LIVE BIRTH ics Se opp ene a 2222 a) Province artes Regstry No 1. NAME 0 ase) Ts Matnanien Pah Basa. \niiptty Mapeaton 7 $ - fd, | chy/municpaty ite 2 Sex [a OATE OF BIRTH ~ Ga) tmone) bee) Page 1 of 2,1-Gopy (Copp 00) ‘REMARKS/ANNOTATION Te Oona use Om Popaatn efronce 1 ta Farle — “4 PLACE OF —tanect Hoga Gniemamuion/ (Chyna) Prose BIRTH Howe ne, Sueet rage |____fengeareng, __narantec, _tarias TOREFLLEOUPAT Te Sener ort conc 5g, NPE OF BIRTH 'b IF MULTIPLE BIRTH, CHILD WAS. BTN sro an paler ipellbae yo a 5 ipa we 3 of Srey (© BATH ORDER tease anata ante] ot WEIGHT AT BIRTHT ae ‘weigh darory ture ecco net) 315 __ sare MADEN pang aaa ta NAME Nes Deselie Dalingit va 7, OMZENSHIP . REUGION Titres unea_Catbelie Ae 7 iz 5 Teainanaeret B tectahisna nl = tecctenaren histor, ‘gina etal bot oe tient | ttenow dead: _ 10. OGCUPATION 1 Aaa Self Deployed | So anEaoE 12 RESIDENCE rouse Na, Svan aengap) Poe) Ta RANE a Wasi Sarpan 14, OFIZENSHP 18 OCCUPATION | Belt Eaployed 18. DATE AND PLACE OF MARRIAGE OF PARENTS. fect maa scopic Aran o ‘Acinonadgmant/Admislon Panny ib bask) SR NE Atta a paatg city | ‘8a. ATTENDANT | yen 2 mew 3 Mie <= 4 Wier tant want) IE Ohare onc) | 38 CERTIRCATION OF BATH ery ny at anand het tt ma oe ee vad tor ‘1 : ink 112 Lbey jase ‘naa amacapa oO Mwteageareng tepmters— 2 NFOmaNT soni, POMP Ray ee, rwntel Maeie 2 aagag YE ageerene, Ay | Mmionomontataer "aes aoe 21 PREPARED BY 7 RECENED AY Te OFFICE GF THE cnn ReoioRa een) 07254-37-989JLJ-06329-Bi001 | BREN BEST POSSIBLE WAGE 7 : 5908-8040701.2 CLAIRE DENNIS S, MAPA, Ph, D. LAAT CLEMO MANTMHOUHT TEL ozesrmeniny. None Sten an ease Coe T0#9072548800832011112019001 ‘YN500685323 Philippine Statistics Authority Tee Stamp Tax Paid