REPUBLIC OF THE PHILIPPINES

First Judicial Region

REGIONAL TRIAL COURT
BRANCH __
San Fernando City, La Union

IN THE MATTER OF CORRECTION

OF ENTRIES IN THE CERTIFICATE
OF LIVE BIRTH OF
JONATHAN DE GUZMAN RIVERA

JONATHAN DE GUZMAN RIVERA,

Petitioner,

- versus - Special Proceeding No: __

CITY CIVIL REGISTRAR OF

SAN FERNANDO, CITY, LA UNION,
PHILIPPINE STATISCTICS
AUTHORITY, and THE REPUBLIC
OF THE PHILIPPINES represented by
THE OFFICE OF THE SOLICITOR
GENERAL,
Respondents.
x-------------------------------------------x

JUDICIAL AFFIDAVIT OF
JONATHAN DE GUZMAN RIVERA

I, Jonathan De Guzman Rivera, of legal age, single, and a

resident of Brgy. Catbangen, San Fernado City, La Union,
petitioner in this case, state under oath as follows:

PRELIMINARY STATEMENT

The person examining me is Atty. Franeli Jessa C.

Jaramilla with office address at San Fernando City, La Union.
The examination is being held at the same address. I am
answering her questions fully conscious that I do so under
oath and may face criminal liability for false testimony and
perjury.
This affidavit or testimony of petitioner is being offered to
prove that his middle name and his last name were
erroneously registered. The petitioner’s testimony is also
offered directing the Local Civil Registrar of San Fernando City
to cause to be made the correction of his erroneous middle
name and his erroneous last name.

1. Q: Please state your name and other personal

circumstances for the record.
A: I am Jonathan De Guzman Rivera, 18 years old,
living in Catbangen, San Fernando City, La Union.
2. Q: Why are you here now?
A: To give a sworn statement by way of a judicial
affidavit, the same to constitute as my direct
testimony, in the above-captioned case.
3. Q: Are you the same Jonathan De Guzman
Rivera, the petitioner in this case?
A: Yes ma’am.
4. Q: Do you have any proof that your birth is was
registered with Local Civil Registrar?
A: Yes ma’am. The Authenticated Certificate of Live
Birth, issued by the National Statistics Office.
(Exhibit “I”)
5. Q: Are the information in your Certificate of Live birth
correct?
A: No Ma’am.
6. Q: What particular information in your live birth is or
are erroneously registered?
A: My middle name and my last name, Ma’am.
7. Q: How were your middle name and last name
erroneously registered?
A: The erroneous middle name is Reyes. My correct
middle name is De Guzman. The erroneous last
name is De Guzman. This should be correctly
registered as Rivera.
8. Q: What are the names of your parents?
A: My father is Rogelio Cariaso Rivera and my mother
is Jennifer Reyes De Guzman.
9. Q: Were your parents already married on the day of
your birth?
A: Not yet, Ma’am, but my father executed an Affidavit
of Acknowledgment on October 22, 1997.
11. Q: Do you have a proof for that?
 A: Yes, Ma’am. I brought a copy. (Exhibit “I-1”)
12. Q: When did your parents get married then?
A: Their marriage contract bears the date September
28, 1998. In fact, they executed an Affidavit of
Legitimation but it was denied because that time,
my father was allegedly married to another already.
However, I have a copy of my father’s Certificate of
No Marriage validly issued before their marriage.
(Exhibit “P”)
13. Q: Aside from your Certificate of Live Birth, what other
document do you have that bears your correct
middle name and last name?
A: My baptismal certificate, Ma’am. It shows here my
correct name which is Jonathan De Guzman Rivera.
(Exhibit “J”)
14. Q: How are you known by your friends and family?
A: My friends know and call me by my correct name
Jonathan De Guzman Rivera. I am also known in
our community by that name.
15. Q: How about in your school?
A: I am also known in my school, since elementary
until college by my name Jonathan De Guzman
Rivera. All my school records show that fact.
16. Q: Do you have copies of your school records?
A: Yes, Ma’am. My elementary, secondary, and tertiary
school records like certificates of graduation and
transcript of records bear my correct name. All my
school ID's also show the same name. (Exhibits “K
and series”, “L”, “M”, “N”)
17. Q: How about your medical records? What name do
they contain?
A: Ma’am, I brought here a copy of a medical certificate
issued by Bethany Hospital. It shows here the name
I am known for and the name that I have been
using which is Jonathan De Guzman Rivera.
(Exhibit “O”)
18. Q: What are the effects of this erroneous information to
you?
A: Such discrepancies greatly affect my personal data
and cause confusion.
19. Q: What do you want to do to resolve this confusion?
 A: In order to avoid confusion and to remedy the
problem, I humbly ask the court to direct the Local
Civil Registrar to cause the correction of my
erroneous middle name and last name, as
appearing in my Authenticated Certificate of Live
Birth:
ERRONEOUS ENTRY CORRECT INFORMATION
Middle Name:
Reyes De Guzman

Surname:
De Guzman Rivera

IN WITNESS WHEREOF, I have hereunto set my hand

this 3RD day of November 2018 at San Fernando City, La
Union.
Jonathan De Guzman Rivera

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public

in and for San Fernando City, La Union this 3rd day of
November 2018. Affiant personally came and appeared with
Voter’s ID issued by the COMELEC on July 5, 2018 at San
Fernando City bearing his photograph and signature, known
to me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the
whole truth of the contents of said instrument.

Atty. FRANELI JESSA C.

JARAMILLA
Notary Public
Commission Serial No. 123456
Until December 31, 2018
San Fernando City, La Union
Roll No. 34567
IBP Lifetime Roll No. 12345-56;
05/05/18 ; San Fernando City
PTR No. 123457 04/13/18 ; LU
MCLE Compliance Cert. No. 45678

I, Franeli Jessa C. Jaramilla, of legal age, Filipino, with

postal address San Fernando City, La Union after being duly
sworn depose and say:
 1. I was the one who conducted the examination of
witness Jonathan De Guzman Rivera at my
aforementioned office in San Fernando City, La Union;

2. I have faithfully recorded or caused to be recorded the

questions I asked and the corresponding answer that
the witness gave;

3. I nor any other person then present or assisting her

coached the witness regarding her answers;

IN WITNESS WHEREOF, I have hereunto set my hand

this 3rd day of November 2018 at San Fernando City, La
Union.

ATTY. FRANELI JESSA C JARAMILLA

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public

in and for San Fernando City, La Union this 4th day of
November 2018. Affiant personally came and appeared with
Driver’s License issued by the LTO on January 8, 2016 at
Tuguegarao City bearing his photograph and signature, known
to me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the
whole truth of the contents of said instrument.

Atty. SIRIUS BLACK

Notary Public
Commission Serial No. 123456
Until December 31, 2018
San Fernando City, La Union
Roll No. 34567
IBP Lifetime Roll No. 12345-56;
PTR No. 123457
MCLE Compliance Cert. No.
45678;