Request for Record

SPANISH AND OTHER RECORDS

NATIONAL ARCHIVES OF THE PHILIPPINES

Pambansang Sinupan ng Pilipinas

MANILA

TR No.

DATE:

REQUEST FOR SPANISH NACIMIENTOS RECORD

PLEASE PRINT THE INFORMATION

6th Floor, PPL Building, U.N. Avenue, corner San Marcelino Street, Paco, Manila 1000

(+63 2) 8524-3231 / 8245-3340 / 8245-3341 / 8708-8656 / 8708-8729 / 8521-6830

E-mail: nationalarchives@nationalarchives.gov.ph

NAME OF CHILD: *
NAME OF FATHER:
MOTHER'S MAIDEN NAME:
PLACE OF BIRTH: *			DATE OF BIRTH:
If born in Manila, is it Jose Fabella Memorial Hospital? * Yes No Did you file the same request in the past? * Yes No Indicate if previous request made was... Available Not Available If not available, do you want to secure a Certification of Non - Availability? Yes No
PURPOSE: * Legal / Court Use Personal File Others			COPIES REQUESTED: * 1 2 3 4 5 Others
I hereby certify that the above information given are true and correct to the best of my knowledge and I understand that inaccurate and/ or lack of information may affect the result and delay the schedule of release.
NAME OF REQUESTING PARTY: *			Address: * Telephone/Mobile No.: * Email Address: *
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