petition for change of name/correction of entry
REPUBLIC OF THE PHILIPPINES THE REGIONAL TRIAL COURT 9th Judicial Region Zamboanga City Branch 12 IN RE: PETITION FOR THE CORRECTION OF ENTRY AS APPEARING IN THE CERTIFICATE OF LIVE BIRTH OF VALE ANNA PALMA SALES AS TO HER FIRST NAME from “VALERIE ANNE” to “VALE ANNA”.
SPEC. PROC. NO. _____ -forCHANGE OF NAME
VALE ANNA PALMA SALES, Petitioner, - versus– THE CITY CIVIL REGISTRAR OF IPIL, ZAMBOANGA DEL SUR, Respondent. X - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -X PETITION COMES NOW the petitioner through the undersigned counsel, and unto the Honorable Court most respectfully alleges and avers: 1. That Petitioner is of legal age, single and a resident of Afternoon Glory, Talon-Talon, Zamboanga City, where she may be served with summons and other court processes; 2. That Public Respondent is the office in-charge of the registration and correction of entries where the fact of birth of the petitioner was registered, which registrar is located at Ipil, Zamboanga Sibugay, where it may be served with summons and other court processes; 3. That Petitioner was born on January 2, 1994 at Ipil, Zamboanga Sibugay as evidenced by a photocopy of a Certificate of Live Birth hereto attached as Annex “A”;
4. That at the time of Petitioner’s birth and up until at present, her Certificate of Live birth was issued bearing the name VALERIE ANNE PALMA SALES by the Civil Registry of Zamboanga City; 5. That in the said Certificate of Live Birth of herein Petitioner, what was entered and what appeared therein as regard her first name was “VALERIE ANNE” instead of “VALE ANNA” – her true and correct first name; 6. That petitioner has been known by her parents, friends, acquaintances, relatives, neighbors in the community, school, and in any other places as “VALE ANNA” and not “VALERIE ANNE” as shown in her Certificate of Baptism and Official Transcript of Record hereto attached as ANNEXES “B” and “C” respectively; 7. That it was only last December of 2014 that petitioner learned and discovered the wrong entries as to her First Name as appearing in her Certificate of Live Birth, when she secured a copy of the same from the National Statistics Office; 8. That petitioner has likewise secured pertinent clearances from the Philippine National Police, the Office of the City Prosecutor, the Office of the Regional Trial Court Clerk of Court and the Office of the Municipal Trial Court Clerk of Court showing that she has no civil, criminal or any administrative case or any pending case for that matter, copies of said clearances are hereto attached and marked as ANNEXES “D”, “E” “F” and “G”, respectively. To further prove that indeed she has no pending cases in the whole country, a photocopy of a Record Clearance from the National Bureau of Investigation is likewise attached in this petition as ANNEX “H”; 9. That in order to avoid confusion as to the Petitioner’s first name, she has therefore filed this petition, for the correction of the entry as appearing in her Certificate of Live Birth as to her First Name from “VALERIE ANNE” to “VALE ANNA”. P R AY E R WHEREFORE, it is most respectfully prayed of this Honorable Court, that after due notice, publication and hearing, an Order be issued ordering the Office of the City Civil Registrar of Zamboanga, to effect the correction of the entry as appearing in the petitioner’s Certificate of Live Birth as to her first name from “VALERIE ANNE” to “VALE ANNA” and to issue to the petitioner a new Certificate of Live Birth with the said correction.
Petitioner prays for such other reliefs that are just and equitable under the premises. January 8, 2015 Zamboanga City, Philippines.
ATTY. KENNETH P. BELDUA Beldua & Associates Law Offices, Zamboanga City Roll of Attorneys No. 111111 MCLE Compliance No. IV – 0000000; March 14, 2013 PTR No.000000; Jan. 16, 2014, Zamboanga City IBP No. 000000; January 2, 2014 Copy furnished: 1. City Civil Registrar Office Zamboanga City 2. Office of the Prosecutor Zamboanga City Copy furnished through registered mail: 3. Office of the Solicitor General 134 Amorsolo Street Legaspi Village Makati City
E X P LAN AT I O N Due to distance, this position paper is sent through registered mail.
VERIFICATION & CERTIFICATION I, VALE ANNA PALMA SALES, under oath depose and say that: I am the Petitioner in this case; I have personally caused the preparation of the foregoing Petition; I have read and understood all the allegations therein; all the contents thereof are true and correct of my own knowledge and information; I have not commenced any other action or proceedings involving the same issues subject of this case in the Supreme Court, Court of Appeals, or any other tribunals or agency, and, to the best of my knowledge, no such action or proceeding is pending in the Supreme Court, Court of Appeals, or any other tribunal or agency; and that if I should hereafter learn that a similar action or proceedings has been filed with or is pending before the Supreme Court, Court of Appeals, or any other tribunal or agency, I undertake to report said fact to this Honorable Court within five (5) days from knowledge thereof. Zamboanga City, Philippines, January 8, 2015.
VALE ANNA PALMA SALES Affiant