REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

11TH Judicial Region, Branch 41
Cantilan, Surigao del Sur

IN THE MATTER OF THE PETITION

FOR CORRECTION OF ENTRY
IN THE CERTIFICATE OF LIVE BIRTH OF
CRISANDE DERIGAY COSMIANO
Petitioner,

---versus--- Special Proc. No. _________

LOCAL CIVIL REGISTRAR

OF LANUZA
Respondent.
x--------------------------------------x

PETITION

Petitioner, through the undersigned Public Attorney and

to thisHonorable Court, most respectfully states THAT:

1. Petitioner is of legal age, Filipino citizen, single, a resident of B8

L34, Karlaville Parkhomes, Brgy. Hugo Perez, Trece Martires,
Cavite, at which address he may be served with summons and
other processes of this Honorable Court;

2. Respondent is a government agency tasked to keep records of

documents mandated by law to be registered in the Civil
Registry with office address at the Municipality of Lanuza,
Province of Surigao del Sur, where it can be served with
summons and other notices of this Honorable Court;

3. Petitioner was born on May 10, 1988 at Brgy. Bocawe,

Lanuza, Surigao del Sur as evidenced by his Certificate of Live
 Birth registered at the Local Civil Registry of Lanuza under
Local Civil Registrar No. 95-00024. Photocopy of which is
hereto attached and marked as Annex “A”;

4. Item no. 3 of Petitioner’s Birth Certificate provided that the sex

of Petitioner is Female when in fact he is Male;

5. Petitioner after medical examination conducted by Dr.

Emmanuel H. Zarraga, a duly licensed physician, was found to
be male and has not undergone sex change or sex transplant.
Photocopy of the Medical Certificate is hereto attached and
marked as Annex “B”;

6. As further proof, petitioner applied for and was issued a NBI

clearance and an Official Transcript of Records, all bearing that
the petitioner is Male. Photocopies of which are hereto attached
and marked as Annexes “C” and “D” respectively;

7. As a result, herein petitioner wants to correct Item no. 3 of his

Certificate of Live Birth registered as Civil Registry No. 95-
00024 from Female to Male;

8. In order to correct the aforementioned error in the petitioner’s

Certificate of Live Birth, petitioner hereto files the instant
Petition pursuant to Rule 108 of the Revised Rules of Court
since the Local Government of Lanuza has no full pledge
Municipal Civil Registrar (MCR) that can correct the entry
pursuant to RA 10172. Photocopy of the certificate showing that
said position is vacant is hereto attached and marked as Annex
“E” ;

9. That the above-discussed error in Certificate of Live Birth was

all innocently, unintentionally, and inadvertedly made.

PRAYER

WHEREFORE, premises considered, it is most respectfully

prayedto this Honorable Court that after due notice, publication, and
hearing, the herein petition be granted and consequently, Item no. 3
of Certificate of Live Birth (Civil Registry No. 95-00024) be changed
from Female to Male..
 Such other relief and remedies, consistent with law and equity
are likewise prayed for.

SUBMITTED, this ___ day of June 2016 in the Municipality of

_____, Surigaodel Sur.

PUBLIC ATTORNEY’S OFFICE

Department of Justice
Cantilan District Office
Cantilan, Surigaodel Sur
Counsel for the Petitioner

By: