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007404-A67UB0Y-7

Municipal Form No. 102 v.o bv -ccotnplished in ouadraplicaie using blacK ink)
Q, 31
Q. tRcvisc<I Augusl2016J
o Republic of Ibe Philippines
J * OFFICE OF THE CIVIL REGISTRAR GENERAL
●St 0
CERTIFICATE OF LIVE BIRTH
O' urM'i'''.''
Ml Y
Registry No.
Province METRO kfaNILA

City/Municipality QUEZON City


20 2 1 - 1 9 1 6 7
t. NAME (First) (MidCle) (Last)
I
iUCKY. SAPO
2. SEX (Male/Female) 3. DATE OF (Day) (Month) (Yoa»)
C BIRTH
MALE 11 OCTOBER 1967
H ●1. PLACE OF (Nome of Hospitai/Ct'nio/tnstitution/ (Cily/Municipalily) (Province)
BIRTH House No., SI., Batangay)
L 7 RAI FTP ST PALANAS B. BRRV VASRA QUEZON CITY METRO MANILA
6a. TYPE OF BIRTH ●
D (Smjle.Twin.TnplEl, etc.)
5b IF MULTIPLE BIRTH. CHILD WAS
(Fjrst. Second, Third, elc )
5c. BIRTH ORDER *(&two^TnUm to
ive C>fth$ od jd fetot Oestri)
^.●WEIGHT AT BiRTH

(First, Second, Thjfd. Clt.)


SINGLE N/A SECOND 2722 grams
7. MAIDEN (First) (Miaoio) (Last)
NAME
TERE5ITA SAPO
M
a.crrtzENSHip 9. REUGION/RELIGIOUSSECT
0
FILIPINO CATHOLIC
T
H 10a. Total numboi o( 'lObr No. ol cni'Orcn sUl
cnitdmn bom ebve Irving incruOir^ true bvin
lOc. No. Ol chJOton bom
alve bul are now doao
11.OCCUPATION , 12 AGE aUTe une ci Ovs
binri (comiilorad years)
E 2 2 0 NONE 30
R 13. RESIDENCE (House No., St.. Barangay) (Cily/Municipality) (Province) (Counlry)

7 BALEIEST.PAIAWASB BSGY. VASRA QUEZON CITY METRO MANILA PHILIPPINES

14, NAME (First) (Middle) (Last)


F N/A
A
15. CITIZENSHIP ■16 RELIGION.RELIGIOUSSECT 17,'OCCUPATION ...' 18 AGE a; ino Irro d mis
T &«n (oompraind years)
H N/A N/A N/A
N/A
E
19. RESIDENCE (House No., St. Barangay) (Cily/Mun Ideality) (Province) (Counlry)
R
N/A

vlARRIAGE OF-PARENTS (ifnoi irticd, aceompiisri Affieav:! of Acimov.li>CgerenyAdmission olPatainity ol inc McK.) .
;Ca DATE (Wonlh) . (Day) (Year) 20b. PLACE (Cily/Municipalily) (Province) (Counlry)

N/A N/A

Ha ATTENDANT

X
.1 Physician .2 Nurse 3 Midwile 4 Hilol (Tradilional Birin Ailendanlj ● 5 Others (Specify)
21b. CERTIFICATION OF ATTENDANT AT BIRTH (Physiojan, Nurse, Mid^'ife, Tradiliorwl Birth AtteodanirHIot. etc)
I natoby certify that I attended ihe birtli of me child who was born niive at om/pm on ihc dale ol birth specified above.

Signature Address
UNKNOWN
Name in Pent
HILOT
Tiile or Position Dale
I
22 CERTIFICATION OF INFORMANT 23 PREPARED8Y-
I 1
I hereby cenily that alt inlormaiicn supplied are true and
correct to my own knowledge an lief.

Signature Signature
Name in Print Rl cp: RICKY SAPO
Name in Print _. 1

Rolalionship lo Ihe Child. APPLICANT APPLICANT


I Title or Position
Address BRGY VASRA QUEZON CITY JUNE 14,2021
Dale
Dale JUNE 14, 2021
24.RECE1VEDBY 25. REGISTERED ATTHE OFFICE OF THE CIVIL REGISTRAR -
I'jiwirtrOIy Slvi) I^gisy
FOHTHE CITY CJVILRLGlSl'HAk
Signature Signature
TTDKpTANN^.-TnflCHETS
Name in Print [ISU ;XlX\'EAIDEIV—.. Name in Print 15
■■RTTTT
Tide or Position >., Q.C.M.M. Title or Posilion GL' . ■fTTr"

Dale Dale OUN 2 8 2021


U-JM21 --
REMARKS/ANNOTATiONS (For LCRO/OCRG Use Only) ' ’
DELAYED REGISTRATION

\\
TO BE FILLEO-UP ATTHE OFFICE OF THE CIVIL REGISTRAR -
9 11 13 IS 1$ 17 19

0\ 0^ OOU>0 (p (P 2 jC ^

08487-5C-003CBC-01674-BI001
BEST POSSIBLE IMAGE
CLAIRE DENNIS S. MAPA, Ph, D.
National Statistician and Civil Registrar General
T001084870030167403282023001 Philippine Statistics Authorih/

JQ900205812 I
Documei imp Tax Paid BReN Page 2 of 2
007404-A67UB0Y-7

c I AFFIDAVIT OF ACKHOWLEDGMENT/ADMISSION OF PATERNITY


(For birlhs b*(oi* 3 August 1SU{ (^Of births on or aAor 3 August 1996)
f.
l/We, _ and t&Npea
'. who was
of legal age, am/are the natural mother and/or father of foC,.t>-V jCA^S
born on _O.Cr0^^i^_U-» -. 3* _GnW€:'iC»J ..035i

1 am / We are executing this affidavit to attest to the truthfulness of the foregoing statements and for purposes of
acknowledging m//our child.

fJ/A, >sApo
(Signature Over Prnied Name of Father) (Signature Over Printed Narra ol Mother)

SUBSCRIBED AND SWORN to before me (his day of by

and ,, who exhibited to me his/her


CTC/valkJ ID issued ort at

Signature ot the Adm.nijlenng oriicer Pos<li6h /1 >iie r uesignaiion*

■Hame m Knni Addiess

AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH


(To be accomplistiod by the hospital/dinle adminisiraior, father, mother, or guardian or the person hirrself it 18 years old or over.)

RICKY SAPO . of legal age. single/married/divoroed/widow/widower. with

residence and postal address at_ 7 BALETE ST, PALANAS B BRGY. VASRA QUEZON CITY

after having been duly sworn in accordance with law. do hereby depose and say:

1. That I am the applicant for the delayed registration of:

0 my birth in
QUEZON CITY METRO MANILA on
OCTOBER 11, 1967

the birth of who was born in

on

PHYSICIAN who resides at


2. That I/he/she was attended at birth by

3. That I am/he/she is a citizen of THE PHILIPPINES

4. That my/his/her parents were married on at

j nof manied but W«/she was ackncwledged/not acknoiwtedged by my/his/her


father whose name is

NEGLIGENCE
5. Thai the reason for the delay in registering my/his/her birth was

6. (For me applicant only) That I am married to

APPLICANT
(If the applicant Is other than the document owner) That I am the of the said person.

7. That! amexecuting this affidav:i to attest to the truthfulness ol the foregoing statements for all legal intents and purposes.

^(51.
In truth whereof. I have affixed my signature below this -
at Philippines.

RICKY SAPO

/ (Signature Over Printed Name of Affiant)

J at
SUBSCRIBED AND SWORN to before me
/vatid to
* Philippines, AffiJY*OEC fe CtJSjfy
issued on NpTARY
ATTORNP'^^—^ HTY
NQ IBPNO. ia4P?ir . .79
_ PTR, Nposilion/Tille/OesignaUon
-5021 Q.a'
Signature of QeMSilnisI
COMMISS.'OM' Q.C
MCvC hi 4 D:-C. 3i, 202
Address
OFFlCSADt^fi:
f^WTAiJN 4:«:c TEMPLE
T.,D.vi t,V
;r<W CiTV

08487-5C-003CBC-01674-BI001
BEST POSSIBLE IMAGE
CLAIRE DENNIS S. MAPA, Ph, D,
National Statistician and Civil Registrar General
T001084870030167403282023001 Philippine Statistics Authority
JQ100205811
<

N
Rnpublic of ttia Riillppin»s
PHILIPPINE STATISTICS AUTHORITY

OFFICIAL RECEIPT

OR No. 230328-003-27-KRC-00309
sApa
F»CKY

AMOUNT

Tran No. aS487-G03-01674*Q0T


RICKY BAPO 10/1i;i967
COPY ISSUANCE - BIRTH CERTIFICATE

Unit Cost; 155.00 Qby: 1 155.00


TOTAL 155.00

AMOUNT TENDERED 155.00

CHANCE 0.00

CASH

INCLUDES DOCUMENTARY STAMP TAX


OF PHP 30.00/COPY

ColletSing Officer: JuSe C.Berfandlno


TftfT7wn<5l Code; 27
Dste-TImft. C3/28/2023 02.37:12 PM
fi lSIRlCIsB
ij ’-*‘●0 ^li-pp-nc*s
nai:onal pouce commission.
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camr fv>r T Cranw. i>,r?r>n

October 7, 2022

SPECIAL ORDERS
NUMBER S36

AM£flPMECrr
1 Nan---* Ct NUP Rk*y SApO, NCRPO as SC No f>S9
1 2015 periii’.ninq to ●'ts &P0f>rTmenl 3i> 'wxJt- “Ricl<y Sapo Bautista' is
a1teMU-<l 'o ekl: "Rkcky Sapo".

2 ^ i*St !>*●■'»< u! NUP RosemaOe Corpur SanU», PRO 1 as rj SO No


;i 't M-*Q P*^ daied Msv 1*?, 1999 pcrjirjn.; *r her ;rppotn‘m**m as “Rosemarie'*
Awridrvi to mad: "Belina Rosemarie".

3 NUP Aaron Nemonjo Baiane, PRO 7 as puD-s^eeJ n SO No.


346S NHt; PNP ‘TriNx: May li. 20LS petaicH«: tc his <33i)o*r>Li»e!.l as 'edds. “Nemeoeo" is
aiTiended to "Nemeruo".

BY COMMAND OF POLICE GENERAL A2URIN. 3R.

'^F‘=ICiAi ; ARTHUR VBISNAR


.% Po'K.c Md-tir :.jOr«rdI
t
} "■f>e Actjr>5 C'lu** o* Di'ecloi'di St.j’*

ROBERT tj^DRJGUeZ
W' :J
Thr' for P'irson'X^i
and PncxTtcJs

mvt.' ibh/ :>d;V

DlSTF.IBi.T10N
9'

SISIRICTEQ
It <M.
CONFIDENTIAL

Republic of the Philippines


National Police Commission
PHILIPPINE NATIONAL POLICE
National Capital Region Police Office
Camp Bagong Diwa, Bicutan, Taguig City

DPRMIO PPF - SAPO, R .(NUP)

SERVICE RECORD
March 23, 2023

This is to certify that according to the available records (PPF) of NUP RICKY . SAPO on file in this Headquarters, the
following data exists:
Unit: National Capital Region Police Office
Birthday/BirthPlace : 11 October 1967/PONSO POLANGUI, ALBAY Gender: Male
Present Address : SMILE cmHQME BLDG D332. NOVALICHES. Kaiiaavahan.
QUEZON CITY METRO MANILA
Compulsory Retirement Date : October 11, 2032 Highest Training :
Highest Education Attainment: Hioh-School - Highest Eligibility ;

SERVICE
POSITION SG-ST STATUS SALARY OFFICE AUTHORITY
(Inclusive Dates)
Dec 22, 2014 Dec 31, 2015 ADMIN AIDE V TEMP 144,228 NCRPO SO - 689 NHQ PNP Feb 03, 2015
Jan 01, 2016 Jun 23, 2016 ADMIN AIDE V TEMP 149,856 NCRPO
Jun 24, 2016 Dec 31, 2016 ADMIN AIDE V PERM 149,856 NCRPO SO 6373 NHQ PNP Aug 05,
2016
Jan 01, 2017 Dec 31, 2017 ADMIN AIDE V PERM 155,700 NCRPO
Jan 01,
i 2018 To Date ADMIN AIDE V PERM 161,772
i NCRPO

ON DUTY/ACTIVE
For 201 Fite.
No leave of absence without pay granted

CONFIDENTIAL Page 1 of 1

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