Republic of The Philippines

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Republic of the Philippines Provence of Iloilo Municipality of Santa Barbara oOo

OFFICE OF THE MUNICIPAL CIVIL REGISTRAR

February 20, 2012

The City Civil Registrar Bacolod City, Negros Occidental

Sir/Madam, Pursuant to Rule 20 of Administrative Order No. 1, Series of 1993, we are sending herewith the application for Out-of-Town Delayed Registration of birth Of ANGEL AGSAM alleged to have been in born Rizal St. Brgy. 27, Bacolod City, Negros Occidental. Please find attached document, to wit: 1. 2. 3. 4. 5. Negative Certification from NSO; Duly accomplished Mun. Form No. 102; Certificate of Baptism; Sworn Statement of the Applicant with corroboration of two disinterested person; Information sheet.

It is requested that the OCRG copy be endorsed ahead to NSO, Manila for issuance of the same COLB in form of Security Paper (SECPA).. Thank you very much in anticipation of your and appropriate action.

Very truly yours,

MA. MAE H. LORILLA Municipal Civil Registrar

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