1. Ermelisa Basillote Tanio-Flores filed an affidavit to correct a clerical error in her son's birth certificate.
2. The error was that her son's middle name was incorrectly listed as "Flores" instead of her maiden name "Tanio".
3. She is requesting the birth certificate be corrected to show her son's full name as "MC Tanio Matoza", with father "Mario Margate Matoza" and her maiden name as "Tanio".
1. Ermelisa Basillote Tanio-Flores filed an affidavit to correct a clerical error in her son's birth certificate.
2. The error was that her son's middle name was incorrectly listed as "Flores" instead of her maiden name "Tanio".
3. She is requesting the birth certificate be corrected to show her son's full name as "MC Tanio Matoza", with father "Mario Margate Matoza" and her maiden name as "Tanio".
Original Description:
Affidavit of Correction of Entry in BC of Minor Child
1. Ermelisa Basillote Tanio-Flores filed an affidavit to correct a clerical error in her son's birth certificate.
2. The error was that her son's middle name was incorrectly listed as "Flores" instead of her maiden name "Tanio".
3. She is requesting the birth certificate be corrected to show her son's full name as "MC Tanio Matoza", with father "Mario Margate Matoza" and her maiden name as "Tanio".
1. Ermelisa Basillote Tanio-Flores filed an affidavit to correct a clerical error in her son's birth certificate.
2. The error was that her son's middle name was incorrectly listed as "Flores" instead of her maiden name "Tanio".
3. She is requesting the birth certificate be corrected to show her son's full name as "MC Tanio Matoza", with father "Mario Margate Matoza" and her maiden name as "Tanio".
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Republic of the Philippines ]
Calamba City, Laguna ] s.s.
AFFIDAVIT OF CORRECTION OF ENTRY
IN CERTIFICATE OF LIVE BIRTH OF MINOR CHILD I, ERMELISA BASILLOTE TANIO-FLORES, of legal age, Filipino, married and with residence address at Miniano Compound (near Checkpoint), Brgy. Paciano Rizal, Calamba City 4027 Laguna after having been sworn in accordance with law, hereby depose and state that – 1. I hereby state under oath that there is a clerical error in the name of my son (born on 02 April 2020) in his Certificate of Live Birth appearing therein as “MC FLORES MATOZA”, as shown in Entry No. 1 – Name of Child. 2. The clerical error is the typewritten entry of the middle name: “FLORES”. The correct middle name should have been “TANIO” instead of “FLORES” because my correct maiden name is “ERMELISA BASILLOTE TANIO”, and not the wrong one appearing on Entry No. 7 which was erroneously typewritten as “ERMELISA TANIO FLORES”. 3. The correct full name of my son who was born on 02 April 2020 therefore should have been “MC TANIO MATOZA”; his father being “MARIO MARGATE MATOZA”; and my maiden surname being “TANIO”. 4. Hence, for all intents and purposes, the clerical error in the typewritten Entry No. 1 of the said certificate of live birth appearing as “MC FLORES MATOZA” should be corrected to “MC TANIO MATOZA”. 5. I executed this affidavit for the correction of entry in the said birth record; to attest to the truth of the foregoing statements; and for any other lawful purposes this may serve. IN WITNESS WHEREFORE, I hereto affixed my signature this 14 November 2022 at Calamba City, Philippines, Laguna.
ERMELISA BASILLOTE TANIO-FLORES
Affiant SUBSCRIBED AND SWORN to before me by the affiant who exhibited to me her Voter’s ID No. 2251-0010B-F2086ETF20000. WITNESS MY HAND AND NOTARIAL SEAL this 14 November 2022 at Calamba City, Laguna, Philippines.
Doc. No. ________; ATTY. EMMANUEL E. SANDICHO
Page No. ________; NOTARY PUBLIC UNTIL 31 DECEMBER 2022 Book No. ________; NOTARIAL COMMISSION NO. 19-2021-C Series of 2022. IBP O.R. No. 169038, 01 Jan. 2022, Laguna Chapter PTR O.R. No. CC7894982, 04 Jan. 2022, Calamba City Roll No. 42246, admitted to the Phil. Bar on 9 May 1997 MCLE Compliance Cert. No. VII-00020029 Until 14 April 2025 2ND Floor HK Building, National Highway-MSR, Brgy. Halang Calamba City 4027 Laguna CALABARZON Philippines