Case 4.

Child was born in the Philippines, a

separate public document was executed in or
outside the Philippines and the AUSF was
executed in the Philippines.
1. The applicant shall accomplish three (3) copies
of AUSF.
2. The applicant shall submit the accomplished
AUSF with the certified true copy of the COLB
and the public document to the LCRO of the
place of birth.
3. The C/MCR of the place of birth shall record the
AUSF in the Register of Legal Instruments.
4. The C/MCR of the place of birth shall annotate
the COLB and corresponding entry in the
Register of Births as follows:
"The surname of the child is hereby
changed from (original surname) to
(new surname), on (date AUSF was
executed) pursuant to R.A. No. 9255."
The original surname of the child appearing in
the and Register of Births shall not be changed or
deleted. However, after annotation, it may be used as
the middle name of the child.

Case 7. Child was born in the Philippines, the

admission of paternity was made in a private
handwritten instrument and the AUSF was
executed in the Philippines.
1. The applicant shall accomplish three (3) copies
of the AUSF. (accompanied by the
supporting documents and the consent of the
child, if of age.)
2. The applicant shall submit the accomplished
AUSF with certified true copy of the COLB and
the private handwritten instrument to the
LCRO of the place of birth.
3. The C/MCR of the place of birth shall record the
AUSF in the Register of Legal Instruments.
4. The C/MCR of the place of birth shall annotate
the COLB and the corresponding entry in the
Register of Births as follows:
"The surname of the child is hereby
changed from (original surname) to
(new surname) on (date AUSF was
executed) pursuant to R.A. No. 9255."
The original surname of the child appearing in
the COLB and Register of Births shall not be changed or
deleted. However, after annotation, it may be used as
the middle name of the child.

NOTE:
For private handwritten instruments, other documents
are required to be submitted to support the claim
made. In particular, submission of any two of the
following documents is required:
1. Employment records
2. SSS/ GSIS records
3. Insurance
4. Certification of membership in any organization
5. Statement of Assets and Liabilities
6. Income Tax Return (ITR)