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Get PH Application Form - Birth Certificate

S BEFORE FILLING UP THE FORM General 1. Please PRINT letters in the spaces provided. Please CHECK (a) appropriate box(es). Instructions : 2. A valid ID is required for both owner & requester of document. Instructions: 3. An authorization is required from representative's upon filing of the application. Request for : BIRTH CERTIFICATE Number of copies ? One AUTHENTICATION Two Others (Specify) - Birth Reference No. BIRTH CARD : __________ - - BReN (if known) OWNER'S PERSONAL INFORMATIO.

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