Professional Documents
Culture Documents
2. The birth certificate was registered in the Office of the Local City Civil
Registrar, but without the MIDDLE NAME thus registration was only as
BENJIE BAÑEZ only my First Name and Last Name are supplied therein
respectively;
3. That the registration without the entry was due to simple negligence;
4. Just recently, when I secured the copy of my birth certificate at the PSA, I came
to know that my Middle Name is without entry;
IN WITNESS WHEREOF, I have set and affix my signature this ______ day
of ________________ at Tarlac City.