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Get DE Embassy Of The Philippines 9255 Form 1 2022-2024

, , , years old, a resident of Affiant s Name Citizenship Civil Status Age after having been duly sworn to in accordance with law, Complete Address do hereby declare that: 1. I am seeking to use the surname in: a) my Certificate of Live birth / Report of Birth, pursuant to R.A. No. 9255 and its Revised IRR. b) the Certificate of Live Birth / Report of Birth.

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