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SETS OF PERSONAL DATA BEING COLLECTED

BIRTH
CERTIFIED TRUE COPY OF CERTIFICATE OF LIVE BIRTH (FORM AND INTERVIEW)
  • Requester’s Name
  • Name of Child
  • Date of Birth
  • Place of Birth
  • Relation to the Child
  • Contact Number
CERTIFICATE OF LIVE BIRTH (MUNICIPAL FORM NO. 102)
Child’s Information:
  • Name
  • Sex
  • Date of Birth
  • Place of Birth
  • Type of Birth
Mother’s Information:
  • Maiden Name
  • Citizenship
  • Religion/Religious Sect
  • Total number of children born alive
  • Occupation
  • Age (at the time of the birth)
  • Residence
Father’s Information:
  • Name
  • Citizenship
  • Religion/Religious Sect
  • Occupation
  • Age (at the time of the birth)
  • Residence
Parents’ Marriage  Information
  • Date
  • Place
  • Attendant
Attendant at Birth’s Information
  • Signature
  • Name
  • Title or Position
  • Address
Informant’s Information
  • Signature
  • Name
  • Relationship to the child
  • Address
Prepared by” Information
  • Signature
  • Name
  • Title or Position
Received  by” Information
  • Signature
  • Name
  • Title or Position
City Civil Registrar’s Information
  • Signature
  • Name
  • Title or Position
(At The Back of the Certificate)
AFFIDAVIT OF ACKNOWLEDGEMENT/ADMISSION OF PATERNITY
Parent’s Information
  • Name
  • Signature
AFFIDAVIT OF DELAYED REGISTRATION OF BIRTH
Applicant’s information
  • Name
  • Address
  • Name of spouse (if the parent is the
  • applicant)
  • Relationship of the applicant to the child

 

Child’s Information

  • Birthdate
  • Birthplace
  • Citizenship
  • Date of Marriage of the Parents (if applicable)
CERTIFICATE OF FOUNDLING (OCRG FORM NO. 101) 
Child’s Information
  • Name
  • Sex
  • Approximate age when found
  • Date when found
  • Time when found
  • Place where found
  • Color of the eyes
  • Color of the hair
  • Distinct body features or marks
  • Condition of child when found
Finder’s Information
  • Name
  • Sex
  • Age
  • Residence
  • Phone/Email
  • Occupation
 
Informant’s Information
  • Name
  • Sex
  • Age
  • Residence
  • Phone/Email
  • Occupation
“Prepared by” Information
  • Signature
  • Name
  • Title or Position
“Received  by” Information
  • Signature
  • Name
  • Title or Position
City Civil Registrar’s Information
  • Signature
  • Name
  • Title or Position
MARRIAGE
CERTIFIED TRUE COPY OF CERTIFICATE OF MARRIAGE (FORM AND INTERVIEW)
  • Requester
  • Name of Couple
  • Date of Marriage
  • Place of Marriage
  • Relation to the Couple
  • Contact Number
(At The Back of the Certificate)
AFFIDAVIT OF SOLEMNIZING OFFICER
Solemnizing Officer’s Information
  • Name
  • Signature
  • Religion/Religious Sect
AFFIDAVIT FOR DELAYED REGISTRATION OF MARRIAGE
Applicant’s information
  • Name
  • Address
  • Citizenship
  • Name of spouse(if applicant is either the wife of husband) /couple
  • Name of Solemnizing Officer
  • Marriage Ceremony information (with marriage license or under Article 34)
  • Address

 

Couple’s Information

  • Names
MARRIAGE LICENSE
APPLICATION FOR MARRIAGE LICENSE (MUNICIPAL FORM NO. 90 – From No. 2)
Groom and Bride’s Information
  • Name
  • Signature
  • Date of Birth
  • Place of Birth
  • Sex/Citizenship
  • Residence
  • Religion/Religious Sect
  • Civil Status
IF PREVIOUSLY MARRIED:
  • How was it dissolved?
  • Place where dissolved
  • Date when dissolved
  • Degree of relationship of contracting pa
Parents’ Information
  • Name (Maiden name of the mother)
  • Citizenship
  • Residence
Persons who give consent or advice’s Information
  • Name
  • Relationship
  • Citizenship
  • Residence
ADVICE UPON INTENDED MARRIAGE (MUNICIPAL FORM NO. 68 – Form No. 8)
  • Name of Child
  • Name of Child’s partner
  • Name and Signature of Parents
NOTICE (MUNICIPAL FORM NO. 94 – Form No. 9)
  • Name of Couple
  • Residence
  • Age
SWORN STATEMENT THAT ADVICE OF PARENTS OR GUARDIAN HAS BEEN ASKED (MUNICIPAL FORM NO. 67 – Form No. 7)
  • Name of Child
  • Name of Child’s partner
CONSENT TO MARRIAGE OF A PERSON UNDERAGE (MUNICIPAL FORM NO. 92 – Form No. 6)
  • Name of Father, Mother, or Guardian
  • Name of Child
  • Name of Child’s partner
  • Residence of Child’s partner
  • Signature of Father, Mother, or Guardian
  • Name and Signature Witnesses (if necessary)
MARRIAGE LICENSE AND FEE RECEIPT OF TWO PESOS (ACOUNTABLE FORM NO. 54 – Form No. 10)
  • Name of Couple
  • Age
  • Residence
MARRIAGE LICENSE AND FEE RECEIPT OF TWO PESOS (ACOUNTABLE FORM NO. 54 – Form No. 10)
Child’s Information:
  • Name
  • Sex
  • Date of Death
  • Date of Birth
  • Age at the time of Death
  • Place of Death
  • Civil Status
  • Religion/Religious Sect
  • Citizenship
  • Residence
  • Occupation
  • Name of Father
  • Maiden Name of Mother
Attendant’s Information
  • Signature
  • Name
  • Title or Position
  • Address
“Reviewed by” Information
  • Name
  • Signature
Permits Information
  • Corpse Disposal (Burial, Cremation, others)
  • Burial/Cremation Permit (Number and Date Issued)
  • Transfer Permit (Number and Date Issued)
Informant’s Information
  • Signature
  • Name
  • Relationship to the Deceased
  • Address
Medical Certificate
  • Cause of Death
  • Maternal Condition (if the deceased is aged 8 days and over)
  • Death by external causes
“Prepared by” Information
  • Signature
  • Name
  • Title or Position
“Received  by” Information
  • Signature
  • Name
  • Title or Position
City Civil Registrar’s Information
  • Signature
  • Name
  • Title or Position
(At The Back of the Certificate)
FOR CHLDREN AGED 0 TO 7 DAYS
  • Age of mother
  • Method of Delivery
  • Length of Pregnancy
  • Type of Birth

 

  • If Multiple Birth, Child was (First, Second, Third, etc.)
  • Cause of Death
POSTMORTEM CERTIFICATE OF DEATH
Pathologist’s Information
  • Age of mother
  • Method of Delivery
  • Length of Pregnancy
  • Type of Birth
CERTIFICATION OF EMBALMER
Embalmer’s Information
  • Signature
  • Name
  • Address

 

  • Title/Designation
  • License No. (including the issuance and expiration date)
AFFIDAVIT FOR DELAYED REGISTRATION OF DEATH
Applicant’s information
  • Name
  • Address
  • Reason for Delayed Registration
Deceased Person’s information
  • Name
  • Place and Date of Death
  • Place and Date of Burial/Cremation
  • Name of Attendant (if there’s any)
  • Cause of Death
AFFIDAVIT FOR DELAYED REGISTRATION OF DEATH
Fetus’ Information
  • Name
  • Sex
  • Date of Delivery
  • Type of Delivery
  • If multiple deliver, fetus was (first, second, theird, etc.)
  • Method of Delivery
  • Birth Order
  • Weight of Fetus
Mother’s Information:
  • Maiden Name
  • Citizenship
  • Religion/Religious Sect
  • Occupation
  • Age (at the time of delivery)
  • Total number of children born alive
  • Residence
Father’s Information:
  • Name
  • Citizenship
  • Religion/Religious Sect
  • Occupation
  • Age (at the time of the birth)
Parents’ Marriage  Information
  • Date
  • Place
Medical Certificate
  • Cause of Fetal Death
  • Length of Pregnancy
Attendant at Birth’s Information
  • Signature
  • Name
  • Title or Position
  • Address
Reviewed by” Information
  • Name
  • Signature
Permits Information
  • Corpse Disposal (Burial, Cremation, others)
  • Burial/Cremation Permit (Number and Date Issued)
    • Autopsy (Yes/No)
Informant’s Information
  • Signature
  • Name
  • Relationship to the Deceased
  • Address
“Prepared by” Information
  • Signature
  • Name
  • Title or Position
Received  by” Information
  • Signature
  • Name
  • Title or Position
City Civil Registrar’s Information
  • Signature
  • Name
  • Title or Position
(At The Back of the Certificate)
POSTMORTEM CERTIFICATE OF DEATH
Pathologist’s Information
  • Signature
  • Name
  • Title/Designation
  • Address
CERTIFICATION OF EMBALMER
Embalmer’s Information
  • Signature
  • Name
  • Address

 

  • Title/Designation
  • License No. (including the issuance and expiration date)

AFFIDAVIT FOR DELAYED REGISTRATION OF DEATH

Applicant’s information
  • Name
  • Address
  • Reason for Delayed Registration
Deceased Person’s information
  • Name
  • Place and Date of Death
  • Place and Date of Burial/Cremation
  • Name of Attendant (if there’s any)
  • Cause of Death
R.A. No. 9048 / R.A. 10172
INFORMATIONS BEING GATHERED FROM APPLICANTS
  • Name of Petitioner
  • Relationship
  • Address
  • Contact No.

PETITION FOR CORRECTION OF CLERICAL ERROR IN THE CERTIFICATION OF BIRTH (R.A. 9048 FORM NO. 1.1 – LCRO)

Petitioner’s Information
  • Name
  • Address
  • Reason for Delayed Registration
Owner’s Information
  • Name of owner (if the petitioner is not the owner)
  • Relation of owner to the petitioner
  • Date of birth
  • Place of birth
(At The Back of the Certificate)
VERIFICATION
Petitioner’s Information
  • Name
  • Signature

PETITION FOR CORRECTION OF CLERICAL ERROR IN THE CERTIFICATION OF MARRIAGE (R.A. 9048 FORM NO. 2.1 – LCRO)

Petitioner’s information
  • Name
  • Nationality/Citizenship
  • Address
Owner’s Information
  • Name of the couple (if the petitioner is not the owner)
  • Relation of owner to the petitioner
  • Date of Marriage
  • Place of Marriage
(At The Back of the Certificate)
VERIFICATION
Petitioner’s Information
  • Name
  • Signature

PETITION FOR CORRECTION OF CLERICAL ERROR IN THE CERTIFICATION OF DEATH (R.A. 9048 FORM NO. 1.1 – LCRO)

Petitioner’s information
  • Name
  • Nationality/Citizenship
  • Address
Owner’s Information
  • Name of the couple (if the petitioner is not the owner)
  • Relation of owner to the petitioner
  • Date of Death
  • Place of Death
(At The Back of the Certificate)
VERIFICATION
Petitioner’s Information
  • Name
  • Signature
Sample forms: