Transcription of PHILIPPINE CONSULATE GENERAL, CHICAGO
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PHILIPPINE CONSULATE GENERAL, CHICAGO
(REVISED MARCH 2013) DATE OF REPORT ID # 1. LAST NAME(WIFE'S MAIDEN LAST NAME) 2. FIRST NAME 3. MIDDLE NAME 4. DATE OF BIRTH (day-month-year) 5. AGE (AT THE TIME OF MARRIAGE) PLACE OF BIRTH 7. CITIZENSHIP 8. ADDRESS AND TEL. NO. 9. CIVIL STATUS (CHECK ONE)( ) SINGLE( ) DIVORCED ( ) WIDOW/ WIDOWER( ) SINGLE ( ) DIVORCED ( ) WIDOW/ WIDOWER 10. RELIGION 11. OCCUPATION 12. FATHER'S FULL NAME 13. CITIZENSHIP 14. MOTHER'S FULL NAME 15.
AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH MARRIAGE DEATH (To be accomplished by either the father/mother/guardian or the person himself if …
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