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Republic of the Philippines

4th Judicial Region


REGIONAL TRIAL COURT
Branch ___
Lipa City, Batangas

IN THE MATTER OF THE PETITION SP. PRO. No. ________


FOR THE CORRECTION OF ENTRIES
IN THE REGISTRATION OF LIVE
BIRTH OF ROWENA MARAMO
MANCERA,

ROWENA MARAMO MANCERA,


Petitioner,

-versus-
OFFICE OF THE CIVIL REGISTRAR OF
LIPA CITY, BATANGAS AND ALL
PERSONS IN INTEREST WHO MAY BE
AFFECTED THEREBY.

Respondent.
x------------------------------------------x

PETITION

PETITIONER, through the undersigned counsel, unto this Honorable


Court, most respectfully alleges – THAT:

1. Petitioner, ROWENA MANCERA MARAMO, Filipino, of legal age,


married, and a resident of Barangay Bagongpook, Lipa City Batangas, who
can be served with the Court’s notices and other legal processes through
the undersigned Counsel at 255-A Macasaet Street, Bagongpook, Lipa
City, Batangas;

2. The OFFICE OF THE CIVIL REGISTRAR OF LIPA CITY, BATANGAS


is being impleaded as required by law, which holds office at the vicinity of
the City Hall of Lipa, with an address of Main Building, Maraouy
Highway, City Hall Compound, Lipa City, Batangas, where it may be
likewise served with summons and other legal processes of this Honorable
Court respondents Other Persons are parties in interest who may be
affected by this instant petition and herein impleaded in compliance to
Section 3, Rule 108 of the Rules of Court;

3. Petitioner is one of the children of Spouses _________ and ________ who


were married on ___________.

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4. Petitioner was born on “August 27, 1969” at their residence house in Brgy.
Bagongpook, Lipa City, Batangas, through the help of a local
“manghihilot”.

5. Petitioner’s fact of birth was belatedly registered on May 16, 1970 but
erroneously entered “April 5, 1970” as petitioner’s date of birth, before the
Office of the Civil Registrar’s Office of Lipa City, Batangas under Civil
Registrar-General No. 1106212. A duly authenticated copy of the
Certificate of Live Birth of ROWENA MARAMO MANCERA is hereto
attached as Annex “A” and made an integral part hereof;

6. Petitioner had been using her correct date of birth ever since in all her
records including petitioner’s Government ID’s such as Philippine Health
Insurance Corporation (PhilHealth) ID, Professional Regulation
Commission (PRC) ID, Unified Multi-Purpose ID, Certificate of Marriage,
MEC Form 137, and Report of Rating for National Board for Teachers a
copy thereof are hereto attached as Annexes “B”, “ C”, “D” and “E” and
made an integral part hereof;

7. A Judicial Affidavit of __________________ and ____________ was issued


by in support to this petition. A copy of the Judicial Affidavit is hereto
attached as Annex “F” and “G” and made an integral parts hereof;

8. In order to correct the aforementioned misinformation and erroneous


entry in her Certificate of Live Birth, Petitioner files the instant Petition
pursuant to Rule 108 of the Revised Rules of Court;

PRAYER

WHEREFORE, premises considered, it is most respectfully prayed to this


Honorable Court that after due notice and hearing, an Order be issued directing
the herein Respondent Office of the Civil Registrar of Lipa City to correct the
information supplied in item “6. Date of Birth” from “April 5, 1970” to “August
27, 1969” in the Certificate of Live Birth under Registry No. 1106212 of Petitioner.

Other reliefs consistent in law and equity are also sought.

This ___ day of September 2023 at Lipa City, Batangas, Philippines.

ATTY. KARL ROVIN L. VILLAPANDO


Counsel for Petitioner
Roll of Attorney No. 87849
IBP No.
PTR No. 6410715/September 7, 2023/PTO Lipa
MCLE Compliance:
Copy Furnished:

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OFFICE OF THE CIVIL REGISTRAR OF LIPA
Lipa City Hall, Ayala Highway, 987 President
Jose P. Laurel Hwy, Lipa, 4217 Batangas

Republic of the Philippines)


Province of Batangas )
City of Lipa )S.S

VERIFICATION/CERTIFICATION OF NON-FORUM SHOPPING

I, ROWENA MARAMO MANCERA, of legal age, Filipino citizen, married


and a resident of Brgy. Bagongpook, Lipa City, Batangas, after having been duly
sworn to in accordance with law do hereby depose and say that:

1. I am the petitioner in the above-entitled case; that I have caused the


preparation of the foregoing petition and have read the allegations
contained therein; that the allegations in the said petition are true and
correct of my own knowledge and authentic records in my possession; I
hereby certify that I have not commenced any other action or proceeding
involving the same issues in any court, tribunal or quasi-judicial agency
and, to the best of my knowledge, no such other action or claim is pending
therein;

2. If I should learn thereafter that a similar action or proceeding has been


filed or is pending, I hereby undertake to report that fact within five (5)
days therefrom to the court or agency where the original pleading and
sworn certification contemplated herein have been filed; that I executed
this verification/certification to attest to the truth of the foregoing facts and
to comply with the provisions of Adm. Circular No. 04-94 of the
Honorable Supreme Court.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day


of September 2023, in Lipa City, Batangas.

ROWENA MARAMO MANCERA


Affiant

SUBSCTIBE AND SWORN to before me this ___ day of September 2023


affiant exhibited to me her competent evidence of identity Registration No.
0213308 issued by the Professional Regulation Commission to me known to be
the same person who executed the foregoing Verification/Certification.

Doc No. ___


Page No. __
Book No. __
Series of 2023

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