RA 9048 Form No. 1.

1 (LCRO)

Republic of the Philippines

Local Civil Registry Office
Province of Zamboanga Del Sur
City of Bayog

Republic of the Philippines ) Petition No.: ________________

Municipality of Consolacion) SS

PETITION FOR CORRECTION OF CLERICAL ERROR IN THE

CERTIFICATE OF MARRIAGE

I, ARESTIA A. ARCILLA, of legal age, Filipino, and a resident of Laray, Pitogo,

Consolacion, Cebu, after having been sworn to in accordance with law, hereby declare that:
1) I am the petitioner seeking the correction of entry in:
a) My Certificate of Marriage

2) I was married on 30 January 1993 which was solemnized by Rev. Socrates S. Cabanig.

3) The marriage was recorded under registry number 2012-71.

4) The clerical errors to be corrected are:

ITEM NO. DESCRIPTION FROM TO
1 Middle Initial “S” “Z”
21 Mother’s Last Name Sabal Zabal

5) The fact/reason for filing this petition are the following: (use additional sheets if
necessary)

We filed this petition to make our records reflect the correct data.

6) We submit the following documents to support this petition: (use additional sheets if
necessary)

a) Professional Driver’s License of Ruben Zabal Pilapil Jr. referred to as Annex “A”
b) Voter’s Certification of Ruben Zabal Pilapil Jr. as Annex “B”

7) We have not filed any similar petition and that to the best of our knowledge, no other
similar petition is pending with any LCRO or Court of the Philippine Consulate.

8) We am filing this petition at the LCRO of Cebu City, Province of Cebu in accordance
with RA 9048 and its implementing rules and regulations

RUBEN Z. PILAPIL JR. MAY R. GABRIEL

Affiant Affiant

VERIFICATION

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We, RUBEN Z. PILAPIL JR. and MAY R. GABRIEL, of legal age, Filipino, and a residents
of Pitogo, Laray, Consolacion, Cebu, under oath, state:
1. We are the petitioners
2. We have caused the preparation of this petition
3. We have read the petition and all the facts stated here are true and correct to the best of
our personal knowledge and based on authentic records.

IN WITNESS WHEREOF, we have affixed our signatures this 30th day of March 2019 at
Consolacion, Cebu, Philippines.

RUBEN Z. PILAPIL JR. MAY R. GABRIEL

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 30th day of March 2019 at Consolacion,
Cebu, Philippines petitioners exhibited to me their Driver’s License No. G05-11-003766 for
RUBEN Z. PILAPIL JR. and Philhealth ID No. 12-025662343-4 for MAY R. GABRIEL as
valid proof of their identities.

________________________
Notary Public
Doc. No.: ____;
Page No.: ____;
Book No.: ____;
Series of 2019.

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For C/MCR use only

ACTION TAKEN BY THE C/MCR

Granted Denied (Provide basis for denial)

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Date: ________ ________________________

City/Municipal Civil Registrar

For CRG use only

ACTION TAKEN BY THE CRG

Affirmed Impugned

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Date: ____________ _______________________

City Registrar General

OR No.: _________________________
Amount Paid: _____________________
Date Paid: ________________________