Birth

Acknowledgement Form

Your request(s) for copies of Birth / Marriage / Death Certificates / CENOMAR (Singleness) have been confirmed. Please print TWO (2) copies of this page. click here for Printer-friendly version You will be asked for a copy of this page upon paying for your requests in our designated banks. A copy of this Acknowledgement Form has also been sent to you through email.

Requester's Name:

JENNY LYN L. HABACON

Delivery Address:

#677 BGY. LINGGA CALAMBA CITY, LAGUNA PHILIPPINES 4027

Request Date:

5/5/2009

Batch Request Number:

0341-2004-8900-0101

Total No. Of Copies Requested: 1 Total Amount Due:

Request Reference Number

0341-2004-89001116

PHP 315.00

Request Type

Request Details Name

COPY ISSUANCE - BIRTH CERTIFICATE

Date

Copies Place

PHILIPPINES JENNY LYN LAGUNA LANTACON 9/30/1982 CALAMBA HABACON CITY

Amount (in PHP)

1

315.00

Use the BATCH REQUEST NUMBER when you are paying for ALL the requests that you have submitted online and when you are inquiring about the processing status of ALL your requests in a batch using the Verify Request Status facility in the e-Census website.

Use the REQUEST REFERENCE NUMBER when you are paying for a SINGLE request and when you are inquiring about the processing status of a SINGLE request using the Verify Request Status facility in the e-Census website. Also use the Request Reference Number when inquiring about the location of your requested document/s with our local courier. You can pay at any Equitable PCI Bank, UnionBank or Mail and More outlet (except for the outlets located in SM malls) nationwide. Equitable PCI Bank account holders may pay via FASTPhone, FASTeller ATM and FASTNet online payment (please refer to the FAQs for additional information). You can also pay online using your Megalink ATM card (via The PORT) or through our Online Credit Card Payment facility.