Professional Documents
Culture Documents
NO. 6541
For: Correction of
Entries
under Rule 108 and
Change
of
Surname
uncer Rule 103 of the
Revised Rules of Court
DOMINGO LLOYD MARTINEZ, LOCAL
CIVIL REGISTRAR OF BAGUIO CITY,
PHILIPPINE STATISTICS AUTHORITY,
and
the
REPUBLIC
OF
THE
PHILIPPINES, represented by the
OFFICE
OF
THE
SOLICITOR
GENERAL,
Respondents.
x--------------------------------------------------------x
AMENDED
PETITION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10. When JONGGO LLOYD was one (1) year old, he was brought
to visit private respondent DOMINGO LLOYD MARTINEZs
(Hereinafter referred to as DOMINGO) residence for a visit.
DOMINGO is the ex-lover of DIVINA, but both remain to be
good friends. DIVINA agreed to leave her child under
DOMINGOs care for that day, as she needed to attend to
something. However, without her knowledge and consent,
JONGGO LLOYD was registered by DOMINGO before the
Local Civil Registry of Baguio City.
DOMINGO made
himself the informant and held himself as the father of
JONGGO LLOYD, causing erroneous entries in the latters
certificate of live birth, which is now the subject of this
petition;
11. In fact, in all merits of verity, DIVINA did not sign the
certificate of live birth. It was DOMINGO who signed the
certificate of live birth without the knowledge and consent
of DIVINA;
12. JONGGO LLOYD has always been known by the public as
using the surname TATUM, which is the surname of his
mother. In fact, DIVINA enrolled her son in school as
JONGGO LLOYD TATUM; and in records of the child, the
name reflected is JONGGO LLOYD TATUM and not JONGGO
LLOYD TATUM MARTINEZ. Attached hereto are the
school records of JONGGO LLOYD TATUM, marked as
Annexes D and E to form integral parts hereof;
CORRECT
INFORMATION:
Entry
2-c.
Mothers
Residence:
8-D
Private
Road,
Roman Ayson Road, 12 Sixto Magsaysay Avenue, Baguio
Gaerlan St., Baguio City
City
Entry 3. Name:
Jonggo Lloyd Tatum
Jonggo Lloyd Tatum
Martinez
Entry 7. Fathers Name:
Unknown
Domingo
Lloyd
Robles
Martinez
N/A
Entry
8.
Nationality:
Filipino
Fathers
N/A
Entry 9. Age at the time
of birth:
35 years
N/A
Entry 11a. Occupation:
Lawyer
N/A
Entry 24. Date and Place
of Marriage of Parents:
December 10, 2001
No
Entry 23. Legitimate:
Yes
PRAYER
WHEREFORE, it is most respectfully prayed for, that after
due notice, publication and hearing, judgment be rendered as
follows, to wit:
1. Ordering the Local Civil Registrar of Baguio City and the
Civil Registrar General of the Philippine Statistics Authority
to make the necessary change of surname and corrections
in the Certificate of Live Birth of JONGGO LLOYD TATUM,
a.k.a., JONGGO LLOYD TATUM MARTINEZ with Registry
Number 2004-112, to wit;
Erroneous entries:
MUST BE CORRECTED
TO:
Entry
2-c.
Mothers
Residence:
8-D
Private
Road,
Roman Ayson Road, 12 Sixto Magsaysay Avenue, Baguio
Gaerlan St., Baguio City
City
Entry 3. Name:
Jonggo Lloyd Tatum Martinez
Fathers N/A
N/A
Entry 9. Age at the time
of birth:
35 years
N/A
Entry 11a. Occupation:
Lawyer
N/A
Entry 24. Date and Place
of Marriage of Parents:
December 10, 2001
No
Entry 23. Legitimate:
Yes
It is further respectfully prayed for that such other
reliefs and remedies as are just and equitable under the
premises laid down be allowed.
MOST RESPECTFULLY SUBMITTED.
Baguio City, January 5, 2016.
BARRAKO
LAW OFFICES
Counsel for the Petitioner
69 Bokawkan Road, Brgy. Dizon Subdivision,
Baguio City
Tel. No. (074) 422-1617
By:
JAN MICHAEL G. LIMMAYOG
Roll No.: 508128
PTR No.: 1112345 01-18-2015 Baguio
City
IBP No.: 176184 01-18-2015 Baguio City
MCLE Compliance No.: 455813 08-052015
Copy furnished:
Domingo Lloyd Martinez
Civil Registrar of Baguio City
Civil Registrar General of the Philippine Statistics Authority
Solicitor General
VERIFICATION
AND CERTIFICATE OF NON-FORUM SHOPPING
I, DIVINA TATUM, of legal age, Filipino citizen, under oath, do
hereby depose and state, that:
1. I am the petitioner in the above-entitled and numbered case;
2. I have caused the preparation of the foregoing Petition; that I
have read and understood the contents thereof; and that the
allegations therein are true and correct to the best of my own
personal knowledge and authentic evidence;
3. I hereby further certify and attest that I have not commenced any
other action or proceeding involving the same issues in any other
tribunal or agency; that to the best of my knowledge and belief,
no such action or proceeding is pending in any other tribunal or
agency; and that If I should thereafter learn that a similar action
or proceeding has been filed or is pending before the any other
tribunal or agency, I undertake to report that fact within five (5)
days therefrom to this Honorable Court.
IN WITNESS WHEREOF, we have hereunto affixed our signatures
this 5th day of January, 2016 in Baguio City.
DIVINA TATUM
Affiant
SUBSCRIBED AND SWORN to before me this 5th day of January,
2016 in Baguio City by DIVINA TATUM who has satisfactorily proven her
identity through PRC ID License No. 118842345, to expire on December
6, 2018; and that she is the same persons who personally signed and
executed the foregoing Petition.
Doc. No.
City
Page No.
City
Book No.
2015
Series of 2016
ANNEX A
10
11
ANNEX B
Republic of the Philippines
Province of Benguet
Baguio City
BARANGAY PRIVATE ROAD
Philippines
MARSE A. HUMALIMAW
Punong Barangay
12
ANNEX C
Republic of the Philippines
Province of Benguet
Baguio City
BARANGAY PRIVATE ROAD
Philippines
MARSE A. HUMALIMAW
Punong Barangay
13
ANNEX D
14
ANNEX E
15
ANNEX F