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SUPPL SUPPLEM EMEN ENTAL TAL
AFFI AFFIDA DAVI VIT-C T-COM OMPLA PLAIN IN
D.V.M., R.N. AN tu an aw ffic ffic s, 1904, Ante Ante orpo orpora rate te ente enter, r, 12 aler aler Stre Street et Salc Salced ed illa illage ge akat akati, i, etroetro- anila anila AFTE AFTE TA TAKI KING NGOA OATH TH,stat ,states es as follo follows ws
I. Ortega
.V.M .V.M
"w .k.a. .k.a. "Doc "Doc Gerry Gerry", ", whom whom rria rria "A"
fi
le itim itim te
il re
Narne
Micha Michaella ella Angel Angel r. Ortega Erik Erik abri abriel elle le Ortega Joaquin Philippe 1. Ortega aria aria Soph Sophia ia I. Ortega ~'--KearaBettina I. Ortega
it
rr
Reye here hereaft after er); ); .Joel T. Reye
Gerry
alterriativ..
work work abroa abroad; d;
it
Da 88 October November July January July 29,2002
2001"
2004,
to
tr
is
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.~ 200i,
vehi vehicl cl __
inin inin
hi
oper operat atio ions ns
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rn
la
GA
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riti ritici cism sm
nd
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ITlini~':l;:g;
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if ._
s·
ro
ltie ltie
woulo' WOLl
secorid
ap
al
inin inin
li atio atio
in th
ti
nd
ig
ro in e;
Dist Distri rict ct of Pala Palawa wan; n;
isio isio
in
Palawan;
tu
ig
lo
th atio atio al ig ay ar ay edro edro .- -rov -rovii-nc ncef ef alaw alawan an near near ou vete veteri rina nary ry clin clinic ic n t
day, riabar'il!"
Ukau-ukau
an
ld
rviv rviv
nt
'o
lo erto erto
ri ..ce ..ce
__ it
mastermind.
kill
my
Atty. Seratubias.
per
alias "Bumar,"
of
]s T.
T. r.
26
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is
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at
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Brgy.
Aborlan
Palawan;
3)
11 City;' c) Former
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j)
(c/o (c/o NEI); NBI); Jo
rm Rodolfo O.
k)
forego foregoing ing statem statemen ents. ts.
anila anila
ity Phili Philipp ppin ines es
February l'-f r0
!A GLORIA
2011.
A. INNOC INNOCENC ENCIOIO-OR ORTE TEGA GA
Affiant
CERTIFICATION
SUBSCRIBED
by certi
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DATE
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!la, TYPE
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(Year)
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.;
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3T
RELIGION
6.
Fili
Catholic 11
tt~Tnp1'rrbY
mfrhkqJ0t!atholic
tE ,1 hereby hereby certit certit
that
attend attended ed tbe b irir t
chil the chil
wh wa born elive
14:~'
Address
.M~~AAIP:.GAJ.UD.
:4..
ri n Name i n p ri Title oq50.ltiOn-"'--
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GIVEN IN SUPP SUPPLE LEME MENt NtAL AL
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C AR AR ME ME L T A N . E R I C T A Administrator an Civil Registra Registra General General N a titi on on a S ta ta titi st st ic ic s O ffff ic ic e
05316-A89XT02·0
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Adminisftator Civil Registr~rGener.fll Registr~rGener.fll -. Notional S t a t i s t i C s
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Form
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REMARKS/ANNOTATION
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f I e P
TH
RT
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No /},IUlrl-~
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P.li P.li.L .LAI AIio ioAN AN ADVEIl ADVEIl'l 'l
61
HOSP HOSPIT ITAL AL
MULTIPLE
lrtp lrtpll ll1, 1,
OR
Ol
fllTW
J'j\I.A'iI.\H
BAlI
OF BIRTH
c.
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CHILD
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Others. Specify
lit.
d. W E G H
blrt blrtha ha an.dtota an.dtota dO., dO.,tt. tt.
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In
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Tot. Tot.
nurr nurrA>o A>o of
W v t n g Il1c1odlng thlt thlt birt birth: h:
ch hll l • • n b or or n a!l,,";
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12
RES DENC
( Ho Ho \ • • I ~o ~o . S l • • t,
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16. OCCUPATION
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iJ1h iJ1h befo before
AugU AugU91 91 !l88/ !l88/
II II11 11
Augu August st 1985 1985
Certificate best
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. ' : ;
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le ge
nd
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x N
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to
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da
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Philippines.
al -.'-.E
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01 AdmlnI AdmlnI51. 51.rln rln
fo birt births hs be or
ot applicable
(Eil.he<
(TlllojDe.lgnBUon)
Olfle. Olfle.r) r)
27 February ,1931
the p<=:>n himself
yoar
ld or aver aver or f.lher/ml f.lher/mlJth< Jth<:r/8"3Xdiah ma
.
affidaviL)
thls
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and after
do 1;
2.
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I.
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TJ1at TJ1at l/he/sh l/he/sh
O~
3. 4.
That
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is
citizen
Jul::r?9.
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~,dvetltietrlMpital.
by t-6. Gna.: LiJrer\i:i.kbett.. Prin Prinoi oi .. di t)' .[.bU.
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in
of
p.urpose 8.
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th
fath father er/m /mot othe her/ r/gu guar ardi dian an
:'!'City·
~.ri."1 l\I~can
April
'.
single/married
GHT
That
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