The complexity and importance of acquiring a birth certificate in the Philippines cannot be understated, given its necessity for establishing one's identity and for use in various legal and civil transactions. Anchored by the Republic of the Philippines National Statistics Office, the Office of the Civil Registrar General offers a detailed APPLICATION FORM - BIRTH CERTIFICATE that underscores this process's seriousness and formality. This form, not for sale, mandates precision in filling out personal details, including the child's name, sex, date of birth, place of birth, and parental information, requiring the maiden name for married women. It emphasizes the necessity of a valid ID for both the document owner and the requester, along with an authorization for representatives. Options for the number of copies needed and the specific purposes—ranging from employment, travel, schooling, to claiming benefits—demonstrate the form's versatility in serving the citizen’s needs. Additionally, checkboxes for conditions such as late registration highlight the inclusivity and comprehensive nature of the document. Essential requester information and acknowledgments about the legal bindings, such as PD 603 (Child & Youth Welfare Code), ensure that the process protects the individual's privacy and rights. This carefully structured document encapsulates the procedural integrity and the safeguards the Philippine government implements to maintain accurate and accessible civil registry services for its citizens.
| Question | Answer |
|---|---|
| Form Name | Philippines Birth Certificate Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | psa online application form for birth certificate, psa form sample, psa application form, psa fill up form |
THIS FORM IS NOT FOR SALE
Republic of the Philippines
National Statistics Office
OFFICE OF THE CIVIL REGISTRAR GENERAL
APPLICATION FORM - BIRTH CERTIFICATE
IMPORTANT : PLEASE READ GENERAL INSTRUCTIONS 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 |
AUTHENTICATION |
BIRTH CARD |
CDLI |
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Number of copies ? |
One |
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Two |
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Others |
(Specify) |
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__________ |
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Birth Reference No.
BReN (if known)
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Sex: Male
Female
OWNER'S PERSONAL INFORMATION (For married women, please use maiden name)
Last Name
First Name
Middle Name
Date of Birth
MONTH |
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DAY |
YEAR |
Place of Birth
City / Municipality
Province
Please specify country if
born abroad only:
Country
NAME OF FATHER
Last Name
First Name
Middle Name
MAIDEN NAME OF MOTHER
Last Name
First Name
Middle Name
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REGISTERED LATE? |
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No |
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Yes |
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When: |
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Check (a) appropriate box |
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Requester's |
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- |
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Tax Identification No.(TIN) |
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(if known)
PLEASE TURN TO BACK PAGE
FOR NSO USE ONLY
TRANSACTION NUMBER :
PURPOSE : Choose one and check (a) appropriate box
Claim Benefits / Loans |
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Employment (Local) |
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Passport / Travel |
(Specify Country: |
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Employment (abroad) |
(Specify Country: |
_______________ ) |
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School Requirement
Others (Specify) :
_____________________
REQUESTER'S INFORMATION
Last Name |
, First Name |
, M I |
Mailing Address
House No. |
Street Name / Barangay |
City / Municipality
Province
Tel. No.
NOTE : AUTHORIZATION and ID of the document owner together with requester's ID are required if the
requester is NOT any of the following : |
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a. the owner of the document; |
d. his/her direct descendant; |
b. his/her parent; |
e. his/her legal |
c. his/her spouse; |
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I understand that as per PD 603 (Child & Youth Welfare Code),birth certificate documents,if available in this office cannot be released to me without proper authorization from the owner of the document, his/her parent (if minor), his/her spouse, his/her direct descendant, or his/her authorized
_____________________________
Signature of Applicant
FOR NSO USE ONLY
MONTH
Date of Filing
Date of Release
Remarks :
DAY
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YEAR
/ 20
/ 20
Converted ? |
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Y |
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N |
For CDLI request only:
CDLI type : _______________________
Proper : _________ pages
Attachment : _________ pages
Received by : _____________________________________ Date of receipt : ____________________
THIS FORM IS NOT FOR SALE