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2014-05-019 Rev 0 Petition - Marriage

BI petition for cancellation of alien registry by marriage

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PETITION FOR CANCELLATION OF ALIEN REGISTRY BY MARRIAGE

IN THE MATTER OF CANCELLATION OF THE ALIEN REGISTRY:
OF: ___________________________________________:
- Petitioner x-----------------------------------------------------------------------------------------x

C.C. No.: _________________
By Marriage to a Filipino
citizen.

PETITION
COMES NOW, __________________________________________________________ respectfully pray for the
cancellation of her alien registry on the following grounds, to wit:
1. That petitioner is registered with the Bureau of Immigration under Alien Certificate of Registration (ACR) No.
________________________,
issued
on
_________________________
at
_____________________________________________ and Immigrant Certificate of Residence
(ICR)/Native-Born Certificate of Residence (NBCR)/Certificate of Residence for Temporary Visitor (CRTV)
No.__________________ issued on ____________________ at ______________________________.
2. That petitioner was born on _________________________ in ___________________________________.
3. That petitioner’s residence is at______________________________________________________________.
4. That petitioner is married to ________________________________________________, a Filipino citizen,
the marriage took place on ______________________ at ________________________________________.
5. That it is the sincere desire of the petitioner to become a Filipino citizen following that of her husband and that
under Philippine laws and jurisprudence, she is not disqualified from acquiring her husband’s citizenship.
6. That petitioner does not have any of the disqualification enumerated under Section 4 of Commonwealth Act
No. 473 as amended, to become a citizen of the Philippines.
WHEREFORE, it is respectfully prayed that petitioner having become a citizen of the Philippines by marriage to a
Filipino citizen, her ACR be cancelled and an appropriate Identification Certificate (IC) showing the correct status be
issued in her favor.
______________________, Philippines, __________________, 20_____.

_____________________________________
Signature over Printed Name of the Petitioner

VERIFICATION
_________________________________________, after having been duly sworn in accordance with law, depose
and say: that she is the petitioner in the foregoing petition for cancellation of alien registry: that she has read all the
allegations stated in said petitions, and that everything therein is true and correct to the best of her knowledge and belief.
_____________________________________
Signature over Printed Name of the Petitioner

SUBSCRIBED AND SWORN to me before this ________ day of ________________________, 20_____ at
_____________________________, Philippines.
Affiant with Passport/Government-issued ID/ACR No.
__________________ issued at _______________________ on _________________________.

Doc. No.: _____;
Page No.: _____;
Book No.: _____;
Series of 20____;

NOTARY PUBLIC
Until Dec. 31, 20 ___________
PTR No. _________________
_________________________

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