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    Petition To Change Name - Sample

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    KA
    1) The petitioner is seeking to change their first name or the first name of their relation on their birth certificate. 2) The petitioner provides their birth details and the birth registry number. 3) The petitioner wishes to change their first name from [current name] to [new name] and cites one of several possible grounds for the change such as the name being difficult to write/pronounce, habitually used a different name, tainted with dishonor, ridiculous, or causes confusion. 3) The petitioner submits supporting documents and declares they have not filed any similar petitions before and have no pending criminal, civil, or administrative cases.

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    Petition To Change Name - Sample

    Uploaded by

    KA
    121 views2 pages
    1) The petitioner is seeking to change their first name or the first name of their relation on their birth certificate. 2) The petitioner provides their birth details and the birth registry number. 3) The petitioner wishes to change their first name from [current name] to [new name] and cites one of several possible grounds for the change such as the name being difficult to write/pronounce, habitually used a different name, tainted with dishonor, ridiculous, or causes confusion. 3) The petitioner submits supporting documents and declares they have not filed any similar petitions before and have no pending criminal, civil, or administrative cases.

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    Petition to Change Name

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    Petition to Change Name - Sample

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    1) The petitioner is seeking to change their first name or the first name of their relation on their birth certificate. 2) The petitioner provides their birth details and the birth registry number. 3) The petitioner wishes to change their first name from [current name] to [new name] and cites one of several possible grounds for the change such as the name being difficult to write/pronounce, habitually used a different name, tainted with dishonor, ridiculous, or causes confusion. 3) The petitioner submits supporting documents and declares they have not filed any similar petitions before and have no pending criminal, civil, or administrative cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    121 views2 pages

    Petition To Change Name - Sample

    Uploaded by

    KA
    1) The petitioner is seeking to change their first name or the first name of their relation on their birth certificate. 2) The petitioner provides their birth details and the birth registry number. 3) The petitioner wishes to change their first name from [current name] to [new name] and cites one of several possible grounds for the change such as the name being difficult to write/pronounce, habitually used a different name, tainted with dishonor, ridiculous, or causes confusion. 3) The petitioner submits supporting documents and declares they have not filed any similar petitions before and have no pending criminal, civil, or administrative cases.

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    Republic of the PhilippinesOFFICE OF THE CITY/MUNICIPAL CIVIL

    REGISTRAR Province:____________________ City/Municipality: __________________ Rep


    ublic of the Philippines ) __________________________ ) SS Petition No. __________________
    PETITION FOR CHANGE OF FIRST NAME
    I, ___________________________________________, of legal age,
    ______________________,
    (complete name of petitioner) (nationality/citizenship)
    and a resident
    of ______________________________________________________________________,
    (complete address)
    after having been duly sworn to in accordance with law, hereby declare that:1)

    I am the petitioner seeking the change of first name in:a)

    my Certificate of Live Birth b)

    the Certificate of Live Birth


    of __________________________________________________
    (complete name of owner)
    who is my
    _____________________________________________________________________.
    (relation of owner to the petitioner)
    2)

    I/He/She was born on ____________________


    at ______________________________________,
    (date of birth) (city/municipality)
    _____________________________________________ , __________________________________ .
    (province) (country)
    3)

    The birth was recorded under registry number


    ___________________________________________ .4)

    The first name to be changed is from _______________________ to


    _________________________ .5)

    The grounds for filing this petition are the following:


    (Ground selected should be explained/justified in a separate sheet of paper to be attached to
    this form.)
    a)

    The first name is extremely difficult to write or pronounce; b)


    I have/He/She has habitually and continuously used _________________ and I/he/she
    is publicly known in the community with that first name;c)

    The first name is tainted with dishonor;d)

    The first name is ridiculous;e)

    The first name causes confusion;6)

    I submit the following documents to support this petition:


    (Use additional sheets, if necessary.)
    a)

    ______________________________________________________________________________ b)

    ______________________________________________________________________________ c)

    ______________________________________________________________________________ d)

    ______________________________________________________________________________ e)

    ______________________________________________________________________________ 7)

    I have/He/She has not filed any similar petition and that, to the best of my knowledge, no other similar
    petition is pending with any LCRO, Court or Philippine Consulate.8)

    I have/He/She has no pending criminal, civil or administrative case in any court or any quasi-
    judicial body.9)

    I am filing this petition at the LCRO of ______________________ ,


    ________________________

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