Republic of the Philippines REGIONA TRIAL COURT Tuguegarao City Second Judicial Region Tuguegarao City, Cagayan
RE: CORRECTION OF ENTRY IN THE CERTIFICATE OF LIVE BIRTH OF BONG NAVARRO KEPT IN THE OFFICE OF THE LOCAL CIVIL REGISTRAR OF TUGUEGARAO CITY, Petitioner,
SPL. PROC. NO.___________
- versus – FLOR DE LIZA, IN HER CAPACITY AS THE LOCAL CIVIL REGISTRAR OF TUGUEGARAO CITY Respondent,
JUDICIAL AFFIDAVIT OF BONG NAVARRO
I, Bong Navarro of legal age, single, and living Carig Sur Tuguegarao, Cagayan petitioner in this case, state under oath as follows: PRELIMINARY STATEMENT The person examining me is Atty. Kimberley Matammu with address at Carig Sur Tuguegarao City. The examination is 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 Bong Navarro is being offered to prove that his date of birth and his gender were erroneously registered. The petitioner’s testimony is also offered Directing the Local Civil Registrar of Tuguegarao City to cause to be made the correction of his erroneous birth date and his erroneous gender 1. Q. Please state your name and other personal circumstances for the record. A. I am Bong Navarro, 29 years old, Carig Sur Tuguegarao City, Cagayan 2.
Q. Are you the same Bong Navarro, the petitioner in this case? A. Yes ma’am.
3.
Q. Do you have any proof that your birth is being registered in Local Civil Registrars? A: Yes ma’am. 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 Ma’am. 5. Q: What particular information in your live birth is erroneously registered? A: The date of my birth and my gender. 6: Q: What was the date of your birth being erroneously registered? A: October 27 1985, this should correctly be registered as October 07, 1985 7. Q: Do you have any proof that it should be October 07, 1987? A: Yes ma’am. My SECONDARY STUDENT’S PERMANENT RECORD, CERTIFICATE OF BAPTISM, HIGHSCHOOL ID, VOTER’S ID, SCHOOL ID,( marked as Exhibits “B”, “C”, “D”, “E” and “F”) 8. Q: How about your gender? A: I was registered as “FEMALE”, which is erroneous; the same should correctly be registered therein as “MALE” 9. Q: Do you have any proof that it was erroneously registered? A: Yes ma’am. Certification issued by Dra. Pat Ricka, Municipal Health Officer of the Municipal Health Office of Tuguegarao City,(Exhibit “G”) 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 “October 27, 1985” to “October 07, 1985”, and my erroneous gender, from “FEMALE” to “MALE”,
IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of December 2014 at Tuguegarao City. Bong Navarro Affiant SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Tuguegarao City Cagayan this 13th day of December 2014. Affiant personally came and appeared with Voter’s ID issued by the COMELC on July 13, 2014 at Tuguegarao City 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.
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Atty. KIKAY VILLA Notary Public Commission Serial No. 123456 Notary Public for Tuguegarao City, Cagayan Until December 31, 2015 Office: Montilla st. CArig Sur Tuguegarao City Roll No. 34567 IBP Lifetime Roll No. 12345-56; 05/05/13 ; Cagayan PTR No. 123457 04/13/13 ; Cagayan MCLE Compliance Cert. No. 45678; 04/04/13
I, Kimberley Dela Cruz- Matammu, of legal age, Filipino, with postal address Carig sur Tuguegarao City after being duly sworn depose and say: 1. I was the one who conducted the examination of witness John Juan at my aforementioned office in Carig Sur Tuguegarao City; 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 13 th day of December 2014 at Tuguegarao City,Cagayan ATTY.KIMBERLEY DC. MATAMMU Affiant SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Tuguegarao City Cagayan this 13th day of December 2014. Affiant personally came and appeared with Voter’s ID issued by the COMELC on July 13, 2014 at Tuguegarao City 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 of 20__
Atty. KIKAY VILLA Notary Public Commission Serial No. 123456 Notary Public for Tuguegarao City, Cagayan Until December 31, 2015 Office: Montilla st. CArig Sur Tuguegarao City Roll No. 34567 IBP Lifetime Roll No. 12345-56; 05/05/13 ; Cagayan PTR No. 123457 04/13/13 ; Cagayan MCLE Compliance Cert. No. 45678; 04/04/13
