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Republic of the Philippines REGIONAL TRIAL COURT Judicial Region, Branch ___

IN THE MATTER OF CORRECTION OF ENTRIES IN THE CERTIFICATE OF LIVE BIRTH OF MINOR RICO B. BLANCO RIOS AS TO HIS DATE OF BIRTH FROM OCTOBER 3, 2001 TO OCTOBER 5, 2001, SP. PROC. NO. SP-1234 RICO B. BLANCO RIOS, Represented by his father Jose A. Blanco Rios, Petitioner, -versus OFFICE OF THE CIVIL REGISTRAR OF SAN PABLO CITY, LAGUNA and NATIONAL STATISTICS OFFICE (NSO), Respondents, x----------------------------------------x

PETITION
COMES NOW Petitioner, by counsel and unto this Honorable Court most respectfully states: 1. Petitioner is a minor, a Filipino citizen, duly represented by his father Jose A. Blanco Rios, a resident of 20 th Street, City Subd., San Pablo City, Laguna; while, the respondent Local Civil Registrar of San Pablo City and the National Statistics Office (NSO) are both government agencies and with address at San Pablo City and East Avenue Diliman, Quezon City, respectively where they may be served with the processes of this Honorable Court and said respondents are impleaded herein as necessary parties pursuant to the Rules of Court; 2. Petitioner was born on October 5, 2001, at San Pablo City and his parents are Jose A. Blanco Rios and Amada E. Burgos, however, his date of birth was registered as October 3, 2001 instead

2 of October 3, 2001, photocopy of his Certificate of Live Birth is hereto attached as Annex "A", and made part hereof; 3. Petitioner was actually using October 5, 2001, as his true and correct date of birth, photocopy of petitioner's school records is hereto attached as Annex "B"; 4. That petitioner desires to correct the erroneous entry in his Certificate of Live Birth, as to his date of birth from "October 3, 2001" to "October 5, 2001", to straighten his official records and to avoid future confusion;

PRAYER
WHEREFORE, its is respectfully prayed of this Honorable Court that after due publication and hearing, an order be issued for the correction of petitioner's Certificate of Live Birth as to his date of birth from "OCTOBER 3, 2001" TO "OCTOBER 5, 2001". San Pablo City, February 15, 2012. ANTHONY T. MATEO Counsel for Petitioner 2nd Fl., Regina Bldg., Rizal Ave. San Pablo City IBP OR No. _____________ PTR No. ________________ Atty. Roll No.____________ MCLE Compliance_________ ------------------------------------------------------------------------

VERIFICATION/CERTIFICATION
I, Jose A. Blanco Rios, of legal age, Filipino, married and a resident of 20th Street, City Subd., San Pablo City, after having duly sworn to in accordance with law, do hereby depose and state: 1. That I am the father of the, petitioner in the above-entitled Petition; 2. That I caused to be prepared the foregoing Petition; 3. That I have read the same and that the allegations therein are true and correct of my personal knowledge and based on authentic records;

4. That I have not therefore commenced any action or filed any claim involving the same issues in any court, tribunal or quasijudicial agency and, to the best of my knowledge, no such other action or claim is pending therein; 5. That if I should thereafter learn that the same or similar action or claim has been filed or is pending, I shall report that fact within five (5) days therefrom to this Honorable Court.

JOSE A. BLANCO RIOS Affiant IN WITNESS WHEREOF, I have hereunto set my hand this 15 th day of February 2012, San Pablo City. JOSE A. BLANCO RIOS Affiant SUBSCRIBED AND SWORN to before me, this 15 th day of February 2012, at San Pablo City, affiant known to me/identified by his SSS ID No. 00-3451342-1 and avows under penalty of law to the whole truth of the contents of the instruments or document. ANTHONY T. MATEO Counsel for Petitioner 2nd Fl., Regina Bldg., Rizal Ave. San Pablo City IBP OR No. -----------PTR No. ________________ Atty. Roll No.____________ MCLE Compliance_________

Doc. No. _______ Page No. _______ Book No. _______ Series of _______ Copy furnished:
Local Civil Registrar San Pablo City Office of the City Prosecutor San Pablo City National Statistics Office (NSO) East Avenue, Quezon City The Solicitor General Amorsolo Street, Makati City

EXPLANATION
Due to distance and for expediency, the parties above stated shall be furnished by registered mail with return card. ANTHONY T. MATEO

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