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Republic of the Philippines

Regional Trial Court


__Judicial Region
Kidapawan City, ______

RE: CORRECTION OF ENTRY IN THE


CERTIFICATE OF LIVE BIRTH OF
JAYMAR TOCAO EGKAYOGEN KEPT
IN THE OFFICE OF THE LOCAL CIVIL SPL PRO: _______
REGISTRAR OF KIDAPAWAN CITY,

Petitioner.

-VERSUS-

_________, IN HER CAPACITY AS THE


LOCAL CIVIL REGISTRAR OF KIDAPAWAN
CITY,
Respondent.
x-----------------------------------------------x

JUDICIAL AFFIDAVIT

I, _______________________________, of legal age,


married, Filipino and resident of Damawato, Datu paglas,
Maguindanao, after having been sworn to in accordance with law and
after having been examined by Atty.
___________________________, do hereby depose and state
that:

PURPOSE: The testimony of the Witness is offered to prove the


facts leading to the filing of this instant Petition that the birth year of
Jaymar Tocao Egkayogen was erroneously registered. Also, the
Witness will also testify on such other matters which are relevant to
this case. Further, the Witness will also identify such other
documents that are relevant to this instant Petition.

Question No. 1 (Q1): Please be informed that this examination is


under oath and that you may face criminal liability for false testimony
or perjury, should you not tell the truth. Do you understand, Madam
Witness?

Answer (A): Yes, maam. I understand.


Q2: Madam Witness, what brings you to this Honorable Court?

A: I am here to serve as a witness in support to the petition filed by


Jaymar Tocao Egkayogen ma'am.

Q3: Madam Witness, do you know the Petitioner of this present case?
A: Yes ma'am. I am the mother of Jaymar Tocao Egkayogen, the
herein petitioner.

Q4:Madam witness, what are the other personal circumstances that


are related to the herein petitioner?

A. Jaymar Tocao Egkayogen, my son, was born on March 28, 1996, to


me and my spouse _____ in Damawato, Datu Paglas, Maguindanao.

Q5.Do you have any proof that the birth of Jaymar Egkayogen is
registered in Local Civil Registrar?

A. Yes ma'am. The Authenticated Certificate of Live Birth issued by


the National Statistics Office ( Exhibit A')

Q6: Are the information in that Certificate of Live Birth Correct?


A: No ma'am.

Q7: what particular information in your live birth is erroneously


registered?
A: The birth year of my son, herein petitioner Jaymar Egkayogen
Ma'am

Q8: what was the year of birth erroneously registered?


A. March 28, 1992, this should be correctly be registered as March 28,
1996 ma'am.
Q9: Do you have proof that it should be March 28, 1996?
A: Yes ma'am the Affidavit of the manghihilot and Joint Affidavit of
Two Disinterested Parties (marked as Exhibits B and C)

Q. Are you willing to sign this affidavit consisting of six (6) pages,
to
certify that all the statements you made are true.
A: Yes ma'am.

---------END OF STATEMENT----------

In witness whereof, I have hereunto set my hand this _____ at


___________.
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and
for _________________. Affiant personally came and appeared with
_________________ bearing his photograph and signature, known to
me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.

____________________
Notary Public
Doc. No. ____
Page No.
Book No:
Series:

I, _______________, of legal age, Filipino, with postal address


_____________ after being duly sworn depose and say:
1. I was the one who conducted the examination of witness
______at my aforementioned office in
____________________

2. I have faithfully recorded or caused to be recorded the


questions I asked and the corresponding answer that the
witness gave;

3. I nor any other person then present or assisting her coached


the witness regarding her answers;

IN WITNESS WHEREOF, I have hereunto set my hand this


______________________.

_____________________________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and
for ___________________________. Affiant personally came and
appeared with __________________________bearing his
photograph and signature, known to me as the same person who
personally signed the foregoing instrument before me and avowed
under penalty of law to the whole truth of the contents of said
instrument.

Doc No.
Page No.
Book No.
Series.
JOINT AFFIDAVIT

We, ________________ and ________________, 40 and 35


years of age, respectively, both Filipino citizens and with residence
and __________________, after having been duly sworn and oath in
accordance with law hereby voluntarily depose and say:

1. That we know personally JAYMAR TOCAO EGLAYOGEN who was


born on MARCH 28, 1996 at Damawato, Datu Paglas, Maguindanao to
the Spouses ______________ and _______________;

2. That due to the negligence and/or inadvertence on the part of


his parents and the prevailing conditions then, his birth year was
erroneously registered with the Office of the Local Civil Registrar of
_____________ immediately thereafter;

3. That we have first hand knowledge of the foregoing facts


because we together with our respective families, being their
acquaintances and close family friends, were among those who first
visited her and her mother on the day that he was born as is
customary in the community;

4. That we are executing this Joint affidavit to attest to the truth


of all the foregoing facts, in connection with the petition for correction
of entry in the certificate of live birth of JAYMAR TOCAO EGCAYOGEN
and for whatever legal purpose this may serve;

IN TRUTH WHEREOF, we have hereunto set our hands, this


__________________ at ___________, Philippines.

________________ _________________
AFFIANT AFFIANT

SUBSCRIBED AND SWORN to before me, this


_____________________ at ________ Philippines, affiants exhibiting
to me their respective Competent Identification Card.

Doc. No. _______;


Page No. _______;
Book No._______;
Series._________.
Republic of the Philippines
Regional Trial Court
__Judicial Region
Kidapawan City, ______

RE: CORRECTION OF ENTRY IN THE


CERTIFICATE OF LIVE BIRTH OF
JAYMAR TOCAO EGKAYOGEN KEPT
IN THE OFFICE OF THE LOCAL CIVIL SPL PRO: _______
REGISTRAR OF KIDAPAWAN CITY,

Petitioner.

VERSUS

_________, IN HER CAPACITY AS THE


LOCAL CIVIL REGISTRAR OF KIDAPAWAN
CITY,
Respondent.
x-----------------------------------------------x

JUDICIAL AFFIDAVIT OF
JAYMAR TOCAO EGCAYOGEN

I, Jaymar Tocao Egcayogen, single, Filipino and resident of


Damawato, Datu paglas, Maguindanao, petitioner in this case, state
under oath as follows:

Preliminary Statement:

The person examining me is Atty.______. The examination


being held at the same address. I am answering her questions fully
conscious that I do so under oath and may face criminal liability for
false testimony and perjury.

This affidavit/ testimony of petitioner Jaymar Egcayogen is


being offered to prove that the year of his birth was erroneously
registered. The petitioner's testimony is also being offered directing
the Local Civil registrar of _ to cause the correction of his erroneous
birth year.

Q. Please state your name and other personal circumstances


for the record.
A. I am Jaymar Tocao Egcayogen and a resident of Damawato,
Datu Paglas, Maguindanao;
2. Q. Are you the same Jaymar Tocao Egcayogen, the petitioner
in this case?
A. Yes maam.
3. Q. Do you have any proof that your birth is being registered in
Local Civil Registrars?
A: Yes maam. The Authenticated Certificate of Live Birth, issued
by the National Statistics Office. ( Exhibit A)
4. Q: Are the information in your Certificate of Live birth correct?
A: No Maam.
5. Q: What particular information in your live birth is erroneously
registered?
A: The year of my birth.
6: Q: What was the date of your birth being erroneously registered?
A: March 28, 1992, this should correctly be registered as March 28,
1996;
7. Q: Do you have any proof that it should be March 28, 1996?
A: Yes maam. The affidavit/testimony of my mother , affidavit of
manghihilot and the joint affidavit of two disinterested
parties( marked as Exhibits B, C, and D)
10. Q: What are the effects of this erroneous information to you?
A: Such discrepancy greatly affects my personal data, and in
order to avoid confusion and to remedy the problem, I humbly ask
the court to direct the Local Civil Registrar to cause to be made the
correction of the my erroneous birth date, as appearing in my
Authenticated Certificate of Live Birth (Annex A) from March 28,
1996 to March 28, 1996.
Q: Do you have anything to ask?
A: None ma'am.

In witness whereof, I have hereunto set my hand this _____ at


___________.
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and
for _________________. Affiant personally came and appeared with
_________________ bearing his photograph and signature, known to
me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.

____________________
Notary Public
Doc. No. ____
Page No.
Book No:
Series:

I, _______________, of legal age, Filipino, with postal address


_____________ after being duly sworn depose and say:

1. I was the one who conducted the examination of witness


______at my aforementioned office in ____________________

4. I have faithfully recorded or caused to be recorded the


questions I asked and the corresponding answer that the
witness gave;

5. I nor any other person then present or assisting her coached


the witness regarding her answers;

IN WITNESS WHEREOF, I have hereunto set my hand this


______________________.

_____________________________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and
for ___________________________. Affiant personally came and
appeared with __________________________bearing his
photograph and signature, known to me as the same person who
personally signed the foregoing instrument before me and avowed
under penalty of law to the whole truth of the contents of said
instrument.

Doc No.
Page No.
Book No.
Series.
Republic of the Philippines)
S.S. City/Municipality of ___________)

AFFIDAVIT
I, ____________, Filipino, of legal age, married , and a resident of
_________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:
1. That I am a known manghihilot in out town ( giving birth)
2. That on or about __time__ of March 28, 1996, I personally
attended to a patient named _____________ in giving birth by
normal delivery to a baby boy whom they named as Jaymar;
3. That I execute this Affidavit to attest to the truth of the
foregoing facts and for any other legal purpose that this Affidavit
may serve.
IN WITNESS WHEREOF, I have hereunto set our hands this
___________,at ___________, Philippines.

____________________
AFFIANT

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for ___________________________. Affiant personally came and
appeared with __________________________bearing his
photograph and signature, known to me as the same person who
personally signed the foregoing instrument before me and avowed
under penalty of law to the whole truth of the contents of said
instrument.

Doc No.
Page No.
Book No.
Series.
Republic of the Philippines
Regional Trial Court
__Judicial Region
Kidapawan City, ______

RE: CORRECTION OF ENTRY IN THE


CERTIFICATE OF LIVE BIRTH OF
JAYMAR TOCAO EGKAYOGEN KEPT
IN THE OFFICE OF THE LOCAL CIVIL SPL PRO: _______
REGISTRAR OF KIDAPAWAN CITY,

Petitioner.

VERSUS

_________, IN HER CAPACITY AS THE


LOCAL CIVIL REGISTRAR OF KIDAPAWAN
CITY,
Respondent.
x-----------------------------------------------x

JUDICIAL AFFIDAVIT

I, _______________________________, of legal age,


married, Filipino and resident of _______________________, after
having been sworn to in accordance with law and after having been
examined by Atty. ___________________________, do hereby
depose and state that:

PURPOSE: The testimony of the Witness is offered to prove the


facts leading to the filing of this instant Petition. The Witness will also
testify on such other matters which are relevant to this case. Further,
the Witness will also identify such other documents that are relevant
to this instant Petition.
Question No. 1 (Q1): Please be informed that this examination is
under oath and that you may face criminal liability for false testimony
or perjury, should you not tell the truth. Do you understand, Madam
Witness?
Answer (A): Yes, maam. I understand.
Q2: Madam Witness, what brings you to this Honorable Court?
A: I am here to testify and serve as a witness in the petition filed by
Jaymar Tocao Egcayogen ma'am.
Q3: Do you know the herein petitioner?
A: yes ma'am because on March 28, 1996 I personally attended to a
patient named _____________ in giving birth by normal delivery to a
baby boy whom they named as Jaymar Tocao Egcayogen
Q. Do you have any proof that your birth is being registered in Local
Civil Registrars?
A: Yes maam. The Authenticated Certificate of Live Birth, issued
by the National Statistics Office. ( Exhibit A)
4. Q: Are the information in your Certificate of Live birth correct?
A: No Maam.
5. Q: What particular information in your live birth is erroneously
registered?
A: The year of my birth.
6: Q: What was the date of your birth being erroneously registered?
A: March 28, 1992, this should correctly be registered as March 28,
1996;
Q: Now, Madam Witness, do you have anything else to tell this
Honorable Court, if any?
A: No more ma'am
I am executing this foregoing Judicial Affidavit to attest to the truth
and veracity of the allegations contained herein.
In witness whereof, I have hereunto set my hand this _____ at
___________.

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for _________________. Affiant personally came and appeared with
_________________ bearing his photograph and signature, known to
me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.
____________________
Notary Public
Doc. No. ____
Page No.
Book No:
Series:

LAWYERS ATTESTATION

I, ___________________________________, under my own


oath as a lawyer hereby attest that I conducted the examination of
the witness, that I have faithfully recorded the questions I asked and
the corresponding answers that the witness gave, and that neither I
nor any other person, then present or assisting me coached the
witness regarding her answers.

In witness whereof, I here sign my name this


___________________at ________________.

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for _________________. Affiant personally came and appeared with
_________________ bearing his photograph and signature, known to
me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.