2011-2012 Vital Statistics Report
DDI-PHL-PSA-VSR-2011_2012-v1
Vital Statistics Division
2018-07-30
Nesstar Publisher
Version 1.0: First metadata documentation of VSR 2011_2012
Vital Statistics Report 2011-2012
Vital Statistics Report for 2011-2012 (Births, Marriages, and Deaths)
VSR 2011-2012
PHL-NSO-VSR-2011_2012-v1
Philippine Statistics Authority
UNISYS
Local Civil Registry Office
(c) 2014, Philippine Statistics Authority
Nesstar Publisher
Government of the Philippines
General Appropriations Act
Knowledge Management and Communications Division
Vital Statistics Division
Administrative Records, Other (registered births, marriages, deaths)
Version 2.0: Final dataset for official estimates
The data included records on births, deaths and marriages submitted by the Local Civil Registry Offices to the PSA until March of the year following reference year.
Population and migration
Health
Philippines
Individual Records
Administrative records data [adm]
Local Civil Registry Offices
Other [oth]
National Statistician and Civil Registrar General
Philippine Statistics Authority,Vital Statistics Report 2011-2012 (VSR 2011-2012), Version 1 of the public use dataset (2014), provided by the PSA Data Archive. www.psa.gov.ph/psada
The data users/researchers acknowledge that the PSA bears no liabilities and responsibilities for any particular, indirect, or consequential damages or any damages, whatsoever resulting from loss of use, or of data in connection with the use or for interpretations or inferences based upon such uses.
Births_2011-2012.NSDstat
0
41
Nesstar 200801
Philippine Statistics Authority (PSA)
Marriages_2011-2012.NSDstat
0
33
Nesstar 200801
Philippine Statistics Authority (PSA)
Deaths of 2011-2012.NSDstat
0
29
Nesstar 200801
Philippine Statistics Authority (PSA)
Place of Registration (Province)
Fill out completely, accurately and legibly. Use ink or typewrite.
Province
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Registration (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewrite.
City/Municipality
0
0
Place of Birth (Country)
0
0
608
Philippines
Derived from PLACE OF BIRTH information.
Place of Birth (Region)
0
0
1
NCR (National Capital Region)
2
CAR (Cordillera Administrative Region)
3
REGION I (Ilocos Region)
4
REGION II (Cagayan Valley)
5
REGION III (Central Luzon)
6
REGION IV-A (CALABARZON)
7
MIMAROPA REGION
8
REGION V (Bicol Region)
9
REGION VI (Western Visayas)
10
REGION VII (Central Visayas)
11
REGION VIII (Eastern Visayas)
12
REGION IX (Zamboanga Peninsula)
13
REGION X (Northern Mindanao)
14
REGION XI (Davao Region)
15
REGION XII (SOCCSKSARGEN)
16
REGION XIII (Caraga)
17
ARMM (Autonomous Region in Muslim Mindanao)
Derived from Province information.
Place of Birth (Province)
Fill out completely, accurately and legibly. Use ink or typewrite.
PLACE OF BIRTH
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Birth (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewrite.
PLACE OF BIRTH
0
0
Residence of Mother (Country)
0
0
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Derived from RESIDENCE information
Residence of Mother (Region)
0
0
1
NCR (National Capital Region)
2
CAR (Cordillera Administrative Region)
3
REGION I (Ilocos Region)
4
REGION II (Cagayan Valley)
5
REGION III (Central Luzon)
6
REGION IV-A (CALABARZON)
7
MIMAROPA REGION
8
REGION V (Bicol Region)
9
REGION VI (Western Visayas)
10
REGION VII (Central Visayas)
11
REGION VIII (Eastern Visayas)
12
REGION IX (Zamboanga Peninsula)
13
REGION X (Northern Mindanao)
14
REGION XI (Davao Region)
15
REGION XII (SOCCSKSARGEN)
16
REGION XIII (Caraga)
17
ARMM (Autonomous Region in Muslim Mindanao)
Derived from Province information.
Residence of Mother (Province)
RESIDENCE (Province)
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Residence of Mother (City/Municipality)
RESIDENCE (City/Municipality)
0
0
Date of Birth (Month)
DATE OF BIRTH (month)
0
0
The DATE OF BIRTH is the key item when proof of age is required. (MONTH)
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
99
Not Stated
Date of Birth (Day)
DATE OF BIRTH (day)
0
0
The DATE OF BIRTH is the key item when proof of age is required. (DAY)
Date of Birth (Year)
DATE OF BIRTH (year)
0
0
The DATE OF BIRTH is the key item when proof of age is required. (YEAR)
Date of Registration (Month)
Fill out completely, accurately and legibly. Use ink or typewrite.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Month)
0
0
1
January
2
Februay
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
Date of Registration (Day)
Fill out completely, accurately and legibly. Use ink or typewrite.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Day)
0
0
Day of Registration (Year)
Fill out completely, accurately and legibly. Use ink or typewrite.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Year)
0
0
Registration Status
0
0
1
Timely
2
Late
9
Not Stated
Birth Weight
Fill out completely, accurately and legibly. Use ink or typewrite.
d. WEIGHT AT BIRTH
grams
0
0
Birth Order
Fill out completely, accurately and legibly. Use ink or typewrite.
c. BIRTH ORDER
Write the order by which the child was born such as "First", "Second", "Third", etc., as the case may be.
0
0
1
First
2
Second
3
Third
4
Fourth
5
Fifth
6
Sixth
7
Seventh
8
Eighth
9
Ninth
Type of Birth
TYPE OF BIRTH
Place "X" before the appropriate code whether the child was born single, or a product of multiple birth such as twin, triplet, etc.
0
0
The type of birth shows whether the birth is single, twin, triplet, etc.
1
Single
2
Twin
3
Triplet,etc.
Multiple Birth
b. IF MULTIPLE BIRTH, CHILD WAS
0
0
1
First
2
Second
3
Others, Specify
Sex
SEX
Place "X" before the appropriate code for the sex or gender of the child.
0
0
1
Male
2
Female
Father's Nationality
CITIZENSHIP
0
0
1
Filipino
2
Chinese
3
American
4
Indonesian
5
Indian
6
Japanese
7
Iranian
8
Australian
9
British
10
Afghan
11
Albanian
12
Algerian
13
Angola
14
Antigua
15
Argentina
16
Aruba
17
Austrian
18
Bahrain
19
Bangladeshi
20
Belgian
21
Bolivian
22
Brazilian
23
Brunei
24
Bulgarian
25
Burmese
26
Canadian
27
Cape Verde
28
Chilean
29
Colombian
30
Costa Rican
31
Cuban
32
Czech
33
Denmark
34
Dominican Republic
35
Egyptian
36
El Salvador
37
Finnish
38
Fijian
39
French
40
German
41
Ghana
42
Greek
43
Guamenian
44
Guatemalan
45
Honduran
46
Hungarian
47
Iceland
48
Irish
49
Iraq
50
Israeli
51
Italian
52
Kampuchean
53
Kenyan
54
Korean
55
Kuwait
56
Jordanese
57
Liberian
58
Libyan
59
Malaysian
60
Marshall Islands, Republic Of
61
Mexican
62
Monaco
63
Moroccan
64
Nepali
65
Netherlands
66
New Zealander
67
Nigerian
68
Norway
69
Pakistani
70
Palau, Republic Of
71
Panamanian
72
Papua New Guinean
73
Paraguay
74
Peru
75
Polish
76
Portugese
77
Portuguese Timor And Dependencies
78
Puerto Rican
79
Romanian
80
Russian
81
Saudi Arabian
82
Singaporean
83
Spaniard
84
Sri Lankan
85
Sudanese
86
Swedish
87
Swiss
88
Syrian
89
Taiwanese
90
Thai
91
Trust Territory Of Pacific Islands
92
Tunisian
93
Uruguay
94
Venezuelan
95
Vietnamese
96
Zaire
97
Zambian
98
Zimbabwe (Rhodesia)
99
Others
Father's Age
Age at the time of this birth:
years
0
0
Father's Religion
RELIGION
0
0
0
None
1
Aglipay
2
Buddhist
3
Church Of Jesus Christ Of The Latter Day Saints
4
Iglesia Ni Cristo
5
Islam
6
Jehovah's Witness
7
Philippine Benevolent Missionaries Association
8
Roman Catholic Including Catholic Charismatic
9
Seventh Day Adventist
11
Convention Of The Philippine Baptist Church
12
Iglesia Evengelista Methodista En Las Filipinas
13
Lutheran Church In The Philippines
14
Philippine Episcopal Church
15
Salvation Army, Philippines
16
United Church Of Christ In The Philippines
17
United Methodists Church
19
Other Methodists
21
Association Of Baptist Churches
22
Association Of Fundamental Baptist Church In The Philippines
23
Baptist Conference Of The Philippines
24
Bible Baptist Church
25
Southern Baptist Church
29
Other Baptists
31
Alliance Of Bible Christian Communities Of The Philippines
32
Assemblies Of God
33
Bread Of Life Ministries
34
Charismatic Full Gospel Ministries
35
Christian And Missionary Alliance Church Of The Philippines
36
Christians Missions In The Philippines
37
Christ The Living Stone Fellowship
38
Church Of Christ
39
Church Of God World Mission In The Philippines
40
Church Of The Nazarene
41
Conservative Baptist Association In The Philippines
42
Door Of Faith
43
Evangelical Christian Outreach Foundation
44
Evangelical Free Church Of The Philippines
45
Evangelical Presbyterian Church
46
Faith Tabernacle Church (Living Rock Ministries)
47
Filipino Assemblies Of The First Born, Inc.
48
Foursquare Gospel Church In The Philippines
49
Free Believers In Christ Fellowship
50
Free Methodist Church In The Philippines
51
Free Mission In The Philippines, Inc.
52
General Baptist Churches Of The Philippines
53
Good News Christian Churches
54
Higher Ground Baptist Mission
55
Iemelif Reform Movement
56
Independent Baptist Churches Of The Philippines
57
International Baptist Missionary Fellowship
58
International One Way Outreach
59
Jesus Christ Saves Global Outreach
60
Jesus Is Lord Church
61
Jesus Reigns Ministries
62
Love Of Christ International Ministries
63
Miracle Life Fellowship International
64
Miracle Revival Church Of The Philippines
65
Missionary Baptist Churches Of The Philippines
66
Pentecostal Church Of God Asia Mission
67
Philippine Evangelical Mission
68
Philippine Good News Ministries
69
Philippine Grace Gospel Fellowship
70
Philippine Missionary Fellowship
71
Philippine Pentecostal Holiness Church
72
Potter's House Christian Center
73
Presbyterian Church In The Philippines
74
Take The Nation For Jesus Global Ministries (Corpus Christi)
75
The Wesleyan Church
76
Things To Come
77
Unida Evangelical Church
78
United Evangelical Church Of The Philippines (Chinese)
79
Universal Pentecostal Church
80
Victory Chapel Christian Fellowship
81
Way Of Salvation
82
Word For The World
83
World Missionary Evangelism
84
Worldwide Church Of God
85
Zion Christian Community Church
89
Other Evangelical Churches
91
Other Protestants
92
Tribal Religions
99
Others
Mother's Nationality
CITIZENSHIP
0
0
1
Filipino
2
Chinese
3
American
4
Indonesian
5
Indian
6
Japanese
7
Iranian
8
Australian
9
British
10
Afghan
11
Albanian
12
Algerian
13
Angola
14
Antigua
15
Argentina
16
Aruba
17
Austrian
18
Bahrain
19
Bangladeshi
20
Belgian
21
Bolivian
22
Brazilian
23
Brunei
24
Bulgarian
25
Burmese
26
Canadian
27
Cape Verde
28
Chilean
29
Colombian
30
Costa Rican
31
Cuban
32
Czech
33
Denmark
34
Dominican Republic
35
Egyptian
36
El Salvador
37
Finnish
38
Fijian
39
French
40
German
41
Ghana
42
Greek
43
Guamenian
44
Guatemalan
45
Honduran
46
Hungarian
47
Iceland
48
Irish
49
Iraq
50
Israeli
51
Italian
52
Kampuchean
53
Kenyan
54
Korean
55
Kuwait
56
Jordanese
57
Liberian
58
Libyan
59
Malaysian
60
Marshall Islands, Republic Of
61
Mexican
62
Monaco
63
Moroccan
64
Nepali
65
Netherlands
66
New Zealander
67
Nigerian
68
Norway
69
Pakistani
70
Palau, Republic Of
71
Panamanian
72
Papua New Guinean
73
Paraguay
74
Peru
75
Polish
76
Portugese
77
Portuguese Timor And Dependencies
78
Puerto Rican
79
Romanian
80
Russian
81
Saudi Arabian
82
Singaporean
83
Spaniard
84
Sri Lankan
85
Sudanese
86
Swedish
87
Swiss
88
Syrian
89
Taiwanese
90
Thai
91
Trust Territory Of Pacific Islands
92
Tunisian
93
Uruguay
94
Venezuelan
95
Vietnamese
96
Zaire
97
Zambian
98
Zimbabwe (Rhodesia)
99
Others
Mother's Age
Age at the time of this birth:
years
0
0
Mother's Religion
RELIGION
0
0
0
None
1
Aglipay
2
Buddhist
3
Church Of Jesus Christ Of The Latter Day Saints
4
Iglesia Ni Cristo
5
Islam
6
Jehovah's Witness
7
Philippine Benevolent Missionaries Association
8
Roman Catholic Including Catholic Charismatic
9
Seventh Day Adventist
11
Convention Of The Philippine Baptist Church
12
Iglesia Evengelista Methodista En Las Filipinas
13
Lutheran Church In The Philippines
14
Philippine Episcopal Church
15
Salvation Army, Philippines
16
United Church Of Christ In The Philippines
17
United Methodists Church
19
Other Methodists
21
Association Of Baptist Churches
22
Association Of Fundamental Baptist Church In The Philippines
23
Baptist Conference Of The Philippines
24
Bible Baptist Church
25
Southern Baptist Church
29
Other Baptists
31
Alliance Of Bible Christian Communities Of The Philippines
32
Assemblies Of God
33
Bread Of Life Ministries
34
Charismatic Full Gospel Ministries
35
Christian And Missionary Alliance Church Of The Philippines
36
Christians Missions In The Philippines
37
Christ The Living Stone Fellowship
38
Church Of Christ
39
Church Of God World Mission In The Philippines
40
Church Of The Nazarene
41
Conservative Baptist Association In The Philippines
42
Door Of Faith
43
Evangelical Christian Outreach Foundation
44
Evangelical Free Church Of The Philippines
45
Evangelical Presbyterian Church
46
Faith Tabernacle Church (Living Rock Ministries)
47
Filipino Assemblies Of The First Born, Inc.
48
Foursquare Gospel Church In The Philippines
49
Free Believers In Christ Fellowship
50
Free Methodist Church In The Philippines
51
Free Mission In The Philippines, Inc.
52
General Baptist Churches Of The Philippines
53
Good News Christian Churches
54
Higher Ground Baptist Mission
55
Iemelif Reform Movement
56
Independent Baptist Churches Of The Philippines
57
International Baptist Missionary Fellowship
58
International One Way Outreach
59
Jesus Christ Saves Global Outreach
60
Jesus Is Lord Church
61
Jesus Reigns Ministries
62
Love Of Christ International Ministries
63
Miracle Life Fellowship International
64
Miracle Revival Church Of The Philippines
65
Missionary Baptist Churches Of The Philippines
66
Pentecostal Church Of God Asia Mission
67
Philippine Evangelical Mission
68
Philippine Good News Ministries
69
Philippine Grace Gospel Fellowship
70
Philippine Missionary Fellowship
71
Philippine Pentecostal Holiness Church
72
Potter's House Christian Center
73
Presbyterian Church In The Philippines
74
Take The Nation For Jesus Global Ministries (Corpus Christi)
75
The Wesleyan Church
76
Things To Come
77
Unida Evangelical Church
78
United Evangelical Church Of The Philippines (Chinese)
79
Universal Pentecostal Church
80
Victory Chapel Christian Fellowship
81
Way Of Salvation
82
Word For The World
83
World Missionary Evangelism
84
Worldwide Church Of God
85
Zion Christian Community Church
89
Other Evangelical Churches
91
Other Protestants
92
Tribal Religions
99
Others
Attendant at Birth
ATTENDANT
Write "X" mark on the appropriate space of the pre-coded entries for the attendant at birth.
0
0
1
Physician
2
Nurse
3
Midwife
4
Hilot (Traditional Midwife)
5
Others (Specify)
Child Status
Fill out completely, accurately and legibly. Use ink or typewrite.
0
0
1
Legitimate
2
Illegitimate
Derived from the information on DATE OF MARRIAGE OF PARENTS and DATE OF BIRTH OF THE CHILD
Place of Marriage (Country)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The country where the parents of the child was being solemnized if they are legally married at the time of birth.
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Place of Marriage (Province)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The province where the parents of the child was being solemnized if they are legally married at the time of birth.
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Marriage (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The city/municipality where the parents of the child was being solemnized if they are legally married at the time of birth.
Date of Marriage (Month)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The date of marriage determines the legitimacy status of the child. (MONTH)
0
Not Stated
1
January
2
Februay
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
77
Not Married
88
Not Applicable
99
Unknown/Forgotten
Date of Marriage (Day)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The date of marriage determines the legitimacy status of the child. (DAY)
Date of Marriage (Year)
Fill out completely, accurately and legibly. Use ink or typewrite.
DATE AND PLACE OF MARRIAGE OF PARENTS
(If not married, accomplish Affidavit of Acknowledgment/Admission of Paternity at the back.)
0
0
The date of marriage determines the legitimacy status of the child. (YEAR)
Total No. of Children Born Alive
Fill out completely, accurately and legibly. Use ink or typewrite.
Total number of children born alive:
0
0
The total number of children born alive determines the ratio of living children and children born alive but is now dead.This is also a determinant in the study of childbearing patterns of the mother.
Total No. of Children Still Living
Fill out completely, accurately and legibly. Use ink or typewrite.
No. of children still living including this birth:
0
0
Total No. of Children Now Dead
Fill out completely, accurately and legibly. Use ink or typewrite.
No. of children born alive but are now dead:
0
0
The number of children born alive to the mother but are now dead at the time of the birth to be registered.
Ethnic Affiliation of Father
ETHNICITY OF THE FATHER
0
0
The fact or state of belonging to a social group that has a common national or cultural tradition. (FATHER)
1
Akeanon/ Alanon
2
Bikol/Bicol
3
Cebuano
4
Hiligaynon, Ilonggo
5
Ibanag
6
Ifugao
7
Ilocano
8
Kankanai/ Kankaney/ Kankanaey
9
Kapampangan
10
Karay-A
11
Manobo/Ata-Manobo
12
Maranao
13
Masbateño/ Masbatenon
14
Pangasinan/ Panggalato
15
Sama (Samal)/ Abaknon
16
Surigaonon
17
Tagalog
18
Tausug
19
Waray
20
Zamboageño-Chavacano
21
Abelling
22
Abiyan
23
Aburlin
24
Aeta/Ayta
25
Aggay
26
Agta
27
Agutaynon/ Agutayanon
28
Alangan
29
Apayao/Yapayao
30
Applai
31
Atta/Ata/Ati
32
Ayangan
33
34
Bagobo/Guinga
35
Balangao/Baliwon
36
Bantoanon
37
Banwaon
38
Batak/Binatak
39
Batangan
40
Bilaan/B'laan
41
Binukid/ Bukidnon
42
Bisaya/Binisaya
43
Boholano
44
Bolinao
45
Bugkalot
46
Bontok/Binontok
47
Buhid
48
Butuanon
49
Caviteño
50
Caviteño-Chavacano
51
Cimaron
52
Cotabateño
53
Cotabateño-Chavacano
54
Cuyunon/ Cuyunan
55
Davao-Chavacano
56
Davaweño
57
Dibabawon
58
Dumagat/ Dumagat (Umiray)
59
Gaddang
60
Gubatnon
61
Hamtikanon
62
Hanunuo
63
Higaonon
64
Ibaloi/Inibaloi
65
Ibontoc
66
Ikalahan/ Kalanguya
67
Ilanun/Ilanuan
68
Ilongot
69
Iranon
70
Iraya
71
Isamal Kanlaw
72
Isarog
73
Isinay
74
Isnag
75
Isneg
76
Itawis
77
Itawit
78
Itneg
79
Ivatan/Itbayat
80
Iwak/I'wa/Owak
81
Iyapplai
82
Iyiwaks
83
Jama Mapun
84
Kaagan
85
Kabihug
86
Kagayanen
87
Kalagan
88
Kalamianen
89
Kalinga
90
Kamayo
91
Kamigin/ Kinamigin
92
Kapul
93
Karaga
94
Karao
95
Karay-A
96
Karolanos
97
Kasigurahin
98
Kinalinga
99
Kiniray-A
100
Kolibugan/ Kalibugan
101
Ligbuk/Lugbok
102
Maguindanao
103
Malaueg
104
Malbog
105
Mamanwa
106
Mandaya
107
Mangyan
108
Mansaka
109
Matigsalog
110
Molbog
111
Negrito
112
Nilulubo
113
Palawan/ Pinalawan/Palawanon
114
Paranan
115
Pinangal
116
Ratagnon
117
Remontado
118
Romblon/ Rombloanon
119
Sambal, Zambal
120
Sangil, Sangir
121
Subanen (Sicon, Zambo. Norte)/ Subaben (Zambo. Norte & Sur)
122
Sulod
123
Tabangnon
124
Tadyawan
125
Tagabawa
126
Tagabili
127
Tagakaolo
128
Tagbanwa
129
Tagbuaonon
130
Talaandig
131
T'boli
132
Teduray
133
Ternateño-Chavacano
134
Tigwahon/ Tigwahanon
135
Tinggian
136
Tiruray
137
Tuwali
138
Ubo
139
Umayamnon
140
Yakan
141
Yogad
142
Other Local Dialects/Ethnicity
143
Chinese
144
American/ English
145
Other Foreign Languages/ Ethnicity
146
Sama Dilaya
149
Sama Bangengeh
Ethnic Affiliation of Mother
ETHNICITY OF THE MOTHER
0
0
The fact or state of belonging to a social group that has a common national or cultural tradition. (MOTHER)
1
Akeanon/Alanon
2
Bikol/Bicol
3
Cebuano
4
Hiligaynon, Ilonggo
5
Ibanag
6
Ifugao
7
Ilocano
8
Kankanai/ Kankaney/ Kankanaey
9
Kapampangan
10
Karay-A
11
Manobo/Ata-Manobo
12
Maranao
13
Masbateño/ Masbatenon
14
Pangasinan/ Panggalato
15
Sama (Samal)/ Abaknon
16
Surigaonon
17
Tagalog
18
Tausug
19
Waray
20
Zamboageño-Chavacano
21
Abelling
22
Abiyan
23
Aburlin
24
Aeta/Ayta
25
Aggay
26
Agta
27
Agutaynon/ Agutayanon
28
Alangan
29
Apayao/Yapayao
30
Applai
31
Atta/Ata/Ati
32
Ayangan
33
34
Bagobo/Guinga
35
Balangao/Baliwon
36
Bantoanon
37
Banwaon
38
Batak/Binatak
39
Batangan
40
Bilaan/B'laan
41
Binukid/ Bukidnon
42
Bisaya/Binisaya
43
Boholano
44
Bolinao
45
Bugkalot
46
Bontok/Binontok
47
Buhid
48
Butuanon
49
Caviteño
50
Caviteño-Chavacano
51
Cimaron
52
Cotabateño
53
Cotabateño-Chavacano
54
Cuyunon/ Cuyunan
55
Davao-Chavacano
56
Davaweño
57
Dibabawon
58
Dumagat/ Dumagat (Umiray)
59
Gaddang
60
Gubatnon
61
Hamtikanon
62
Hanunuo
63
Higaonon
64
Ibaloi/Inibaloi
65
Ibontoc
66
Ikalahan/ Kalanguya
67
Ilanun/Ilanuan
68
Ilongot
69
Iranon
70
Iraya
71
Isamal Kanlaw
72
Isarog
73
Isinay
74
Isnag
75
Isneg
76
Itawis
77
Itawit
78
Itneg
79
Ivatan/Itbayat
80
Iwak/I'wa/Owak
81
Iyapplai
82
Iyiwaks
83
Jama Mapun
84
Kaagan
85
Kabihug
86
Kagayanen
87
Kalagan
88
Kalamianen
89
Kalinga
90
Kamayo
91
Kamigin/ Kinamigin
92
Kapul
93
Karaga
94
Karao
95
Karay-A
96
Karolanos
97
Kasigurahin
98
Kinalinga
99
Kiniray-A
100
Kolibugan/ Kalibugan
101
Ligbuk/Lugbok
102
Maguindanao
103
Malaueg
104
Malbog
105
Mamanwa
106
Mandaya
107
Mangyan
108
Mansaka
109
Matigsalog
110
Molbog
111
Negrito
112
Nilulubo
113
Palawan/ Pinalawan/Palawanon
114
Paranan
115
Pinangal
116
Ratagnon
117
Remontado
118
Romblon/ Rombloanon
119
Sambal, Zambal
120
Sangil, Sangir
121
Subanen (Sicon, Zambo. Norte)/ Subaben (Zambo. Norte & Sur)
122
Sulod
123
Tabangnon
124
Tadyawan
125
Tagabawa
126
Tagabili
127
Tagakaolo
128
Tagbanwa
129
Tagbuaonon
130
Talaandig
131
T'boli
132
Teduray
133
Ternateño-Chavacano
134
Tigwahon/ Tigwahanon
135
Tinggian
136
Tiruray
137
Tuwali
138
Ubo
139
Umayamnon
140
Yakan
141
Yogad
142
Other Local Dialects/Ethnicity
143
Chinese
144
American/ English
145
Other Foreign Languages/ Ethnicity
146
Sama Dilaya
149
Sama Bangengeh
Place of Registration (Province)
Province
Write the full name of the province and city/municipality. Geographic codes are not acceptable.
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Registration (City/Municipality)
City/Municipality
Write the full name of the province and city/municipality. Geographic codes are not acceptable.
0
0
Place of Marriage (Region)
Address
0
0
1
NCR (National Capital Region)
2
CAR (Cordillera Administrative Region)
3
REGION I (Ilocos Region)
4
REGION II (Cagayan Valley)
5
REGION III (Central Luzon)
6
REGION IV-A (CALABARZON)
7
MIMAROPA REGION
8
REGION V (Bicol Region)
9
REGION VI (Western Visayas)
10
REGION VII (Central Visayas)
11
REGION VIII (Eastern Visayas)
12
REGION IX (Zamboanga Peninsula)
13
REGION X (Northern Mindanao)
14
REGION XI (Davao Region)
15
REGION XII (SOCCSKSARGEN)
16
REGION XIII (Caraga)
17
ARMM (Autonomous Region in Muslim Mindanao)
Derived from Province information.
Place of Marriage (Province)
Address
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Marriage (City/Municipality)
Address
0
0
Date of Marriage (Month)
Date (month)
0
0
1
January
2
Februay
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
Date of Marriage (Day)
Date (day)
0
0
Date of Marriage (Year)
Date (year)
0
0
Date of Registration (Month)
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Month)
0
0
1
January
2
Februay
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
Date of Registration (Day)
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Day)
0
0
Date of Registration (Year)
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Year)
0
0
Registration Status
0
0
This indicates whether or not the document is registered within the reglementary period which is within 30 days after the marriage. This is determined by comparing the date of marriage and the date received at the Office of the Civil Registrar which is presumed to be the date of registration. If the time difference is less than 30 days.
1
Timely
2
Late
9
Not Stated
Type of Ceremony
Religious Affiliation, Registration No. and Expiration Date, if applicable
0
0
1
Roman Catholic Rites
2
Civil Rites
3
Muslim Rites
4
Tribal Ceremony
5
Other Religious Rites
9
Not Stated
Groom's Age
Husband
Date of Birth/Age
(age)
Enter the ages of the contracting parties in completed years, that is, as of their last birthdays in the same line after the date of birth.
0
0
Groom's Nationality
Husband
Citizenship
Enter "Filipino" if the groom or bride is a citizen of the Philippines. Other possible entries are "American", "Chinese", "Japanese", etc.
0
0
1
Filipino
2
Chinese
3
American
4
Indonesian
5
Indian
6
Japanese
7
Iranian
8
Australian
9
British
10
Afghan
11
Albanian
12
Algerian
13
Angola
14
Antigua
15
Argentina
16
Aruba
17
Austrian
18
Bahrain
19
Bangladeshi
20
Belgian
21
Bolivian
22
Brazilian
23
Brunei
24
Bulgarian
25
Burmese
26
Canadian
27
Cape Verde
28
Chilean
29
Colombian
30
Costa Rican
31
Cuban
32
Czech
33
Denmark
34
Dominican Republic
35
Egyptian
36
El Salvador
37
Finnish
38
Fijian
39
French
40
German
41
Ghana
42
Greek
43
Guamenian
44
Guatemalan
45
Honduran
46
Hungarian
47
Iceland
48
Irish
49
Iraq
50
Israeli
51
Italian
52
Kampuchean
53
Kenyan
54
Korean
55
Kuwait
56
Jordanese
57
Liberian
58
Libyan
59
Malaysian
60
Marshall Islands, Republic Of
61
Mexican
62
Monaco
63
Moroccan
64
Nepali
65
Netherlands
66
New Zealander
67
Nigerian
68
Norway
69
Pakistani
70
Palau, Republic Of
71
Panamanian
72
Papua New Guinean
73
Paraguay
74
Peru
75
Polish
76
Portugese
77
Portuguese Timor And Dependencies
78
Puerto Rican
79
Romanian
80
Russian
81
Saudi Arabian
82
Singaporean
83
Spaniard
84
Sri Lankan
85
Sudanese
86
Swedish
87
Swiss
88
Syrian
89
Taiwanese
90
Thai
91
Trust Territory Of Pacific Islands
92
Tunisian
93
Uruguay
94
Venezuelan
95
Vietnamese
96
Zaire
97
Zambian
98
Zimbabwe (Rhodesia)
99
Others
Groom's Residence (Country)
Husband
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (COUNTRY)
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Derived from RESIDENCE information of the groom.
Groom's Residence (Province)
Husband
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (PROVINCE)
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Groom's Residence (City/Municipal)
Husband
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (CITY/MUNICIPALITY)
Groom's Birth Place (Country)
Husband
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the husband (Groom) actually occurred. (COUNTRY)
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Groom's Birth Place (Province)
Husband
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the husband (Groom) actually occurred. (PROVINCE)
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Groom's Birth Place (City/Municipal)
Husband
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the husband (Groom) actually occurred. (CITY/MUNICIPALITY)
Groom's Religion
Husband
Religion
Write the faith professed by the concerned party such as "Roman Catholic", "Iglesia ni Cristo", "Islam", etc..
0
0
Religion is a set of common beliefs and practices generally held by a group of people while a religious sect is a group of people forming a distinct unit within a larger group by virtue of certain refinements or distinctions of belief or practice.
0
None
1
Aglipay
2
Buddhist
3
Church Of Jesus Christ Of The Latter Day Saints
4
Iglesia Ni Cristo
5
Islam
6
Jehovah's Witness
7
Philippine Benevolent Missionaries Association
8
Roman Catholic Including Catholic Charismatic
9
Seventh Day Adventist
11
Convention Of The Philippine Baptist Church
12
Iglesia Evengelista Methodista En Las Filipinas
13
Lutheran Church In The Philippines
14
Philippine Episcopal Church
15
Salvation Army, Philippines
16
United Church Of Christ In The Philippines
17
United Methodists Church
19
Other Methodists
21
Association Of Baptist Churches
22
Association Of Fundamental Baptist Church In The Philippines
23
Baptist Conference Of The Philippines
24
Bible Baptist Church
25
Southern Baptist Church
29
Other Baptists
31
Alliance Of Bible Christian Communities Of The Philippines
32
Assemblies Of God
33
Bread Of Life Ministries
34
Charismatic Full Gospel Ministries
35
Christian And Missionary Alliance Church Of The Philippines
36
Christians Missions In The Philippines
37
Christ The Living Stone Fellowship
38
Church Of Christ
39
Church Of God World Mission In The Philippines
40
Church Of The Nazarene
41
Conservative Baptist Association In The Philippines
42
Door Of Faith
43
Evangelical Christian Outreach Foundation
44
Evangelical Free Church Of The Philippines
45
Evangelical Presbyterian Church
46
Faith Tabernacle Church (Living Rock Ministries)
47
Filipino Assemblies Of The First Born, Inc.
48
Foursquare Gospel Church In The Philippines
49
Free Believers In Christ Fellowship
50
Free Methodist Church In The Philippines
51
Free Mission In The Philippines, Inc.
52
General Baptist Churches Of The Philippines
53
Good News Christian Churches
54
Higher Ground Baptist Mission
55
Iemelif Reform Movement
56
Independent Baptist Churches Of The Philippines
57
International Baptist Missionary Fellowship
58
International One Way Outreach
59
Jesus Christ Saves Global Outreach
60
Jesus Is Lord Church
61
Jesus Reigns Ministries
62
Love Of Christ International Ministries
63
Miracle Life Fellowship International
64
Miracle Revival Church Of The Philippines
65
Missionary Baptist Churches Of The Philippines
66
Pentecostal Church Of God Asia Mission
67
Philippine Evangelical Mission
68
Philippine Good News Ministries
69
Philippine Grace Gospel Fellowship
70
Philippine Missionary Fellowship
71
Philippine Pentecostal Holiness Church
72
Potter's House Christian Center
73
Presbyterian Church In The Philippines
74
Take The Nation For Jesus Global Ministries (Corpus Christi)
75
The Wesleyan Church
76
Things To Come
77
Unida Evangelical Church
78
United Evangelical Church Of The Philippines (Chinese)
79
Universal Pentecostal Church
80
Victory Chapel Christian Fellowship
81
Way Of Salvation
82
Word For The World
83
World Missionary Evangelism
84
Worldwide Church Of God
85
Zion Christian Community Church
89
Other Evangelical Churches
91
Other Protestants
92
Tribal Religions
99
Others
Groom's Civil Status
Husband
Civil Status
0
0
1
Single
2
Married
3
Widowed
4
Divorced
9
Not Stated
Bride's Age
Bride
Date of Birth/Age
(age)
Enter the ages of the contracting parties in completed years, that is, as of their last birthdays in the same line after the date of birth.
0
0
Bride's Nationality
Bride
Citizenship
Enter "Filipino" if the groom or bride is a citizen of the Philippines. Other possible entries are "American", "Chinese", "Japanese", etc.
0
0
1
Filipino
2
Chinese
3
American
4
Indonesian
5
Indian
6
Japanese
7
Iranian
8
Australian
9
British
10
Afghan
11
Albanian
12
Algerian
13
Angola
14
Antigua
15
Argentina
16
Aruba
17
Austrian
18
Bahrain
19
Bangladeshi
20
Belgian
21
Bolivian
22
Brazilian
23
Brunei
24
Bulgarian
25
Burmese
26
Canadian
27
Cape Verde
28
Chilean
29
Colombian
30
Costa Rican
31
Cuban
32
Czech
33
Denmark
34
Dominican Republic
35
Egyptian
36
El Salvador
37
Finnish
38
Fijian
39
French
40
German
41
Ghana
42
Greek
43
Guamenian
44
Guatemalan
45
Honduran
46
Hungarian
47
Iceland
48
Irish
49
Iraq
50
Israeli
51
Italian
52
Kampuchean
53
Kenyan
54
Korean
55
Kuwait
56
Jordanese
57
Liberian
58
Libyan
59
Malaysian
60
Marshall Islands, Republic Of
61
Mexican
62
Monaco
63
Moroccan
64
Nepali
65
Netherlands
66
New Zealander
67
Nigerian
68
Norway
69
Pakistani
70
Palau, Republic Of
71
Panamanian
72
Papua New Guinean
73
Paraguay
74
Peru
75
Polish
76
Portugese
77
Portuguese Timor And Dependencies
78
Puerto Rican
79
Romanian
80
Russian
81
Saudi Arabian
82
Singaporean
83
Spaniard
84
Sri Lankan
85
Sudanese
86
Swedish
87
Swiss
88
Syrian
89
Taiwanese
90
Thai
91
Trust Territory Of Pacific Islands
92
Tunisian
93
Uruguay
94
Venezuelan
95
Vietnamese
96
Zaire
97
Zambian
98
Zimbabwe (Rhodesia)
99
Others
Bride's Residence (Country)
Bride
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (COUNTRY)
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Derived from RESIDENCE information of the bride.
Bride's Residence (Province)
Bride
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (PROVINCE)
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Bride's Residence (City/Municipal)
Bride
Residence
Enter the complete address of the contracting parties in the spaces provided by indicating the street number, street name, municipality and province. Indicate the name of the country if necessary.
0
0
Residence refers to the place where the groom and the bride habitually reside at the time of marriage. (CITY/MUNICIPALITY)
Bride's Birth Place (Country)
Bride
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the wife (Bride) actually occurred. (COUNTRY)
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Bride's Birth Place (Province)
Bride
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the wife (Bride) actually occurred. (PROVINCE)
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Bride's Birth Place (City/Municipal)
Bride
Place of Birth
On the space provided, enter the name of city or municipality and the name of the province where each of the contracting parties was born.
0
0
Place of Birth refers to the geographic location where the birth of the wife (Bride) actually occurred. (CITY/MUNICIPALITY)
Bride's Religion
Bride
Religion
Write the faith professed by the concerned party such as "Roman Catholic", "Iglesia ni Cristo", "Islam", etc..
0
0
Religion is a set of common beliefs and practices generally held by a group of people while a religious sect is a group of people forming a distinct unit within a larger group by virtue of certain refinements or distinctions of belief or practice.
0
None
1
Aglipay
2
Buddhist
3
Church Of Jesus Christ Of The Latter Day Saints
4
Iglesia Ni Cristo
5
Islam
6
Jehovah's Witness
7
Philippine Benevolent Missionaries Association
8
Roman Catholic Including Catholic Charismatic
9
Seventh Day Adventist
11
Convention Of The Philippine Baptist Church
12
Iglesia Evengelista Methodista En Las Filipinas
13
Lutheran Church In The Philippines
14
Philippine Episcopal Church
15
Salvation Army, Philippines
16
United Church Of Christ In The Philippines
17
United Methodists Church
19
Other Methodists
21
Association Of Baptist Churches
22
Association Of Fundamental Baptist Church In The Philippines
23
Baptist Conference Of The Philippines
24
Bible Baptist Church
25
Southern Baptist Church
29
Other Baptists
31
Alliance Of Bible Christian Communities Of The Philippines
32
Assemblies Of God
33
Bread Of Life Ministries
34
Charismatic Full Gospel Ministries
35
Christian And Missionary Alliance Church Of The Philippines
36
Christians Missions In The Philippines
37
Christ The Living Stone Fellowship
38
Church Of Christ
39
Church Of God World Mission In The Philippines
40
Church Of The Nazarene
41
Conservative Baptist Association In The Philippines
42
Door Of Faith
43
Evangelical Christian Outreach Foundation
44
Evangelical Free Church Of The Philippines
45
Evangelical Presbyterian Church
46
Faith Tabernacle Church (Living Rock Ministries)
47
Filipino Assemblies Of The First Born, Inc.
48
Foursquare Gospel Church In The Philippines
49
Free Believers In Christ Fellowship
50
Free Methodist Church In The Philippines
51
Free Mission In The Philippines, Inc.
52
General Baptist Churches Of The Philippines
53
Good News Christian Churches
54
Higher Ground Baptist Mission
55
Iemelif Reform Movement
56
Independent Baptist Churches Of The Philippines
57
International Baptist Missionary Fellowship
58
International One Way Outreach
59
Jesus Christ Saves Global Outreach
60
Jesus Is Lord Church
61
Jesus Reigns Ministries
62
Love Of Christ International Ministries
63
Miracle Life Fellowship International
64
Miracle Revival Church Of The Philippines
65
Missionary Baptist Churches Of The Philippines
66
Pentecostal Church Of God Asia Mission
67
Philippine Evangelical Mission
68
Philippine Good News Ministries
69
Philippine Grace Gospel Fellowship
70
Philippine Missionary Fellowship
71
Philippine Pentecostal Holiness Church
72
Potter's House Christian Center
73
Presbyterian Church In The Philippines
74
Take The Nation For Jesus Global Ministries (Corpus Christi)
75
The Wesleyan Church
76
Things To Come
77
Unida Evangelical Church
78
United Evangelical Church Of The Philippines (Chinese)
79
Universal Pentecostal Church
80
Victory Chapel Christian Fellowship
81
Way Of Salvation
82
Word For The World
83
World Missionary Evangelism
84
Worldwide Church Of God
85
Zion Christian Community Church
89
Other Evangelical Churches
91
Other Protestants
92
Tribal Religions
99
Others
Bride's Civil Status
Bride
Civil Status
0
0
1
Single
2
Married
3
Widowed
4
Divorced
9
Not Stated
Place of Registration (Province)
Fill out completely, accurately and legibly. Use ink or typewriter.
Province
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Registration (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewriter.
City/Municipality
0
0
Date of Death (Month)
Fill out completely, accurately and legibly. Use ink or typewriter.
DATE OF DEATH (month)
0
0
The Date of Death helps in verifying the age of the deceased at the time of his death. (MONTH)
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
Date of Death (Day)
Fill out completely, accurately and legibly. Use ink or typewriter.
DATE OF DEATH (day)
0
0
The Date of Death helps in verifying the age of the deceased at the time of his death. (DAY)
Date of Death (Year)
Fill out completely, accurately and legibly. Use ink or typewriter.
DATE OF DEATH (year)
0
0
The Date of Death helps in verifying the age of the deceased at the time of his death. (YEAR)
Place of Death (Country)
0
0
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Derived from PLACE OF DEATH information.
Place of Death (Region)
0
0
1
NCR (National Capital Region)
2
CAR (Cordillera Administrative Region)
3
REGION I (Ilocos Region)
4
REGION II (Cagayan Valley)
5
REGION III (Central Luzon)
6
REGION IV-A (CALABARZON)
7
MIMAROPA REGION
8
REGION V (Bicol Region)
9
REGION VI (Western Visayas)
10
REGION VII (Central Visayas)
11
REGION VIII (Eastern Visayas)
12
REGION IX (Zamboanga Peninsula)
13
REGION X (Northern Mindanao)
14
REGION XI (Davao Region)
15
REGION XII (SOCCSKSARGEN)
16
REGION XIII (Caraga)
17
ARMM (Autonomous Region in Muslim Mindanao)
Derived from PLACE OF DEATH information.
Place of Death (Province)
Fill out completely, accurately and legibly. Use ink or typewriter.
PLACE OF DEATH (Province)
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Place of Death (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewriter.
PLACE OF DEATH (City/Municipality)
0
0
Date of Registration (Month)
Fill out completely, accurately and legibly. Use ink or typewriter.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Month)
0
0
1
January
2
Februay
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
Date of Registration (Day)
Fill out completely, accurately and legibly. Use ink or typewriter.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Day)
0
0
Date of Registration (Year)
Fill out completely, accurately and legibly. Use ink or typewriter.
RECEIVED AT THE OFFICE OF THE CIVIL REGISTRAR (Date)
(Year)
0
0
Registration Status
[Source: INSTRUCTION MANUAL: Civil Registry Forms (Accomplishment and Coding)]
0
0
This indicates whether or not the document is registered within the reglementary period which is within 30 days after the death. This is determined by comparing the date of death and the date received at the Office of the Civil Registrar which is presumed to be the date of registration. If the time difference is less than 30 days.
1
Timely
2
Late
Sex
SEX
(Male or Female)
Place "X" before the appropriate sex of the deceased.
0
0
The item sex aids in the identification of the dead. It is used for measuring sex differentials in health related characteristics. This item is used in determining sex-specific mortality rates.
1
Male
2
Female
Age
0
0
Religion
Fill out completely, accurately and legibly. Use ink or typewriter.
RELIGION
Write the faith professed by the deceased such as "Roman Catholic", "Aglipay", "Iglesia ni Cristo", "Islam", "Iglesia Filipina Independiente", "Philippine Evangelical Mission", "Jesus is Lord Church", etc.
0
0
1
Aglipay
2
Buddhist
3
Church Of Jesus Christ Of The Latter Day Saints
4
Iglesia Ni Cristo
5
Islam
6
Jehovah's Witness
7
Philippine Benevolent Missionaries Association
8
Roman Catholic Including Catholic Charismatic
9
Seventh Day Adventist
11
Convention Of The Philippine Baptist Church
12
Iglesia Evengelista Methodista En Las Filipinas
13
Lutheran Church In The Philippines
14
Philippine Episcopal Church
15
Salvation Army, Philippines
16
United Church Of Christ In The Philippines
17
United Methodists Church
19
Other Methodists
21
Association Of Baptist Churches
22
Association Of Fundamental Baptist Church In The Philippines
23
Baptist Conference Of The Philippines
24
Bible Baptist Church
25
Southern Baptist Church
29
Other Baptists
31
Alliance Of Bible Christian Communities Of The Philippines
32
Assemblies Of God
33
Bread Of Life Ministries
34
Charismatic Full Gospel Ministries
35
Christian And Missionary Alliance Church Of The Philippines
36
Christians Missions In The Philippines
37
Christ The Living Stone Fellowship
38
Church Of Christ
39
Church Of God World Mission In The Philippines
40
Church Of The Nazarene
41
Conservative Baptist Association In The Philippines
42
Door Of Faith
43
Evangelical Christian Outreach Foundation
44
Evangelical Free Church Of The Philippines
45
Evangelical Presbyterian Church
46
Faith Tabernacle Church (Living Rock Ministries)
47
Filipino Assemblies Of The First Born, Inc.
48
Foursquare Gospel Church In The Philippines
49
Free Believers In Christ Fellowship
50
Free Methodist Church In The Philippines
51
Free Mission In The Philippines, Inc.
52
General Baptist Churches Of The Philippines
53
Good News Christian Churches
54
Higher Ground Baptist Mission
55
Iemelif Reform Movement
56
Independent Baptist Churches Of The Philippines
57
International Baptist Missionary Fellowship
58
International One Way Outreach
59
Jesus Christ Saves Global Outreach
60
Jesus Is Lord Church
61
Jesus Reigns Ministries
62
Love Of Christ International Ministries
63
Miracle Life Fellowship International
64
Miracle Revival Church Of The Philippines
65
Missionary Baptist Churches Of The Philippines
66
Pentecostal Church Of God Asia Mission
67
Philippine Evangelical Mission
68
Philippine Good News Ministries
69
Philippine Grace Gospel Fellowship
70
Philippine Missionary Fellowship
71
Philippine Pentecostal Holiness Church
72
Potter's House Christian Center
73
Presbyterian Church In The Philippines
74
Take The Nation For Jesus Global Ministries (Corpus Christi)
75
The Wesleyan Church
76
Things To Come
77
Unida Evangelical Church
78
United Evangelical Church Of The Philippines (Chinese)
79
Universal Pentecostal Church
80
Victory Chapel Christian Fellowship
81
Way Of Salvation
82
Word For The World
83
World Missionary Evangelism
84
Worldwide Church Of God
85
Zion Christian Community Church
89
Other Evangelical Churches
91
Other Protestants
92
Tribal Religions
99
Others
Nationality
Fill out completely, accurately and legibly. Use ink or typewriter.
CITIZENSHIP
0
0
The Nationality came from the question in Citizenship of the dead. Citizenship is the status that entitles a person to the rights and privileges of a subjedct in a chosen country. Citizenship is acquired by birth, by naturalization, or by election.
1
Filipino
2
Chinese
3
American
4
Indonesian
5
Indian
6
Japanese
7
Iranian
8
Australian
9
British
10
Afghan
11
Albanian
12
Algerian
13
Angola
14
Antigua
15
Argentina
16
Aruba
17
Austrian
18
Bahrain
19
Bangladeshi
20
Belgian
21
Bolivian
22
Brazilian
23
Brunei
24
Bulgarian
25
Burmese
26
Canadian
27
Cape Verde
28
Chilean
29
Colombian
30
Costa Rican
31
Cuban
32
Czech
33
Denmark
34
Dominican Republic
35
Egyptian
36
El Salvador
37
Finnish
38
Fijian
39
French
40
German
41
Ghana
42
Greek
43
Guamenian
44
Guatemalan
45
Honduran
46
Hungarian
47
Iceland
48
Irish
49
Iraq
50
Israeli
51
Italian
52
Kampuchean
53
Kenyan
54
Korean
55
Kuwait
56
Jordanese
57
Liberian
58
Libyan
59
Malaysian
60
Marshall Islands, Republic Of
61
Mexican
62
Monaco
63
Moroccan
64
Nepali
65
Netherlands
66
New Zealander
67
Nigerian
68
Norway
69
Pakistani
70
Palau, Republic Of
71
Panamanian
72
Papua New Guinean
73
Paraguay
74
Peru
75
Polish
76
Portugese
77
Portuguese Timor And Dependencies
78
Puerto Rican
79
Romanian
80
Russian
81
Saudi Arabian
82
Singaporean
83
Spaniard
84
Sri Lankan
85
Sudanese
86
Swedish
87
Swiss
88
Syrian
89
Taiwanese
90
Thai
91
Trust Territory Of Pacific Islands
92
Tunisian
93
Uruguay
94
Venezuelan
95
Vietnamese
96
Zaire
97
Zambian
98
Zimbabwe (Rhodesia)
99
Others
Residence of Deceased (Country)
Write the complete address (house no., street, barangay, city/municipality, province and country) where the deceased usually reside at the time of death. In case the usual residence of the deceased is outside the Philippines, write in this item the complete address abroad.
0
0
4
Afghanistan
8
Albania
12
Algeria
16
American Samoa
20
Andorra
24
Angola
26
Antarctica
28
Antigua And Barbuda
31
Azerbaijan
32
Argentina
36
Australia
40
Austria
41
Azores
44
Bahamas
48
Bahrain
50
Bangladesh
51
Armenia
52
Barbados
56
Belgium
60
Bermuda
64
Bhutan
68
Bolivia
70
Bosnia And Herzegovina
72
Botswana
74
Bouvet Island
76
Brazil
84
Belize
90
Solomon Islands
91
British Indian Ocean Territory
92
British Virgin Islands
93
British Pacific Islands
94
British West Africa
96
Brunei Darussalam
100
Bulgaria
104
Myanmar
108
Burundi
112
Belarus
116
Cambodia
120
Cameroon
124
Canada
125
Canal Zone
126
Canary Islands
132
Cape Verde
136
Cayman Islands
140
Central African Republic
141
Cueta And Melilla
144
Sri Lanka
148
Chad
152
Chile
156
China
157
Chinese Taipei
158
Taiwan Province Of China
159
Christmas Island
160
Cocos Island
170
Colombia
174
Comoros
178
Congo
180
Democratic Republic Of The Congo
184
Cook Islands
188
Costa Rica
191
Croatia
192
Cuba
193
Curacao
196
Cyprus
203
Czech Republlic
204
Benin
208
Denmark
212
Dominica
214
Dominican Republic
218
Ecuador
222
El Salvador
226
Equatorial Guinea
231
Ethiopia
232
Eritrea
233
Estonia
234
Faeroe Islands
238
Falkland Islands (Malvinas)
242
Fiji
246
Finland
250
France
252
French Antilles
254
French Guiana
255
French Indian Ocean Areas
256
French Oceania
257
French Republic Islands
258
French Polynesia
259
French Southern Territory
260
French West Indies
262
Djibouti
266
Gabon
268
Georgia
270
Gambia
275
Occupied Palestinian Territory
276
Germany
277
German Democratic Republic
279
"Germany, Fed. Rep. Of"
296
Kiribati
300
Greece
304
Greenland
308
Grenada
312
Guadeloupe
316
Guam
320
Guatemala
324
Guinea
328
Guyana
332
Haiti
333
Heard And Mcdonald Island
336
Holy See
340
Honduras
344
Hongkong Special Administrative Region Of China
348
Hungary
352
Iceland
356
India
360
Indonesia
364
"Iran, Islamic Rep. Of"
368
Iraq
372
Ireland
376
Israel
380
Italy
384
Cote D' Ivoire
388
Jamaica
392
Japan
398
Kazakhstan
400
Jordan
404
Kenya
408
410
"Korea, Rep Of (South)"
414
Kuwait
417
Kyrgystan
418
Lao People's Democratic Republic (Laos)
422
Lebanon
426
Lesotho
427
Leeward And Windward Islands
428
Latvia
430
Liberia
434
Libyan Arab Jamahiriya
438
Liechtenstein
440
Lithuania
442
Luxembourg
446
Macau (Portuguese Asia)
450
"Madagascar, Democratic Rep. Of"
452
Madeira Islands
454
Malawi
458
Malaysia
462
"Maldives, Rep. Of"
464
Mali (West Africa)
470
Malta
474
Martinique
478
Mauritania
480
Mauritius
482
Mayotte
484
Mexico
486
Midway Islands
492
Monaco
496
Mongolia
498
Republic Of Moldova
500
Montserrat
504
Morocco
508
Mozambique
512
Oman
515
"Other Pacific Islands, N.E.S."
516
Namibia (South West Africa)
518
Nansei Islands
520
"Nauru, Rep. Of"
524
Nepal
528
Netherlands
530
Netherlands Antilles
532
Neutral Zone
533
Aruba
540
New Caledonia
548
Vanuatu (New Hebrides)
554
New Zealand
558
Nicaragua
562
Niger
566
Nigeria
570
Niue
574
Norfolk Island
578
Norway
580
Nothern Mariana Islands
583
"Micronesia, Federated States Of"
584
Marshall Islands
585
Palau
586
Pakistan
591
Panama
598
Papua New Guinea
600
Paraguay
604
Peru
608
Philippines
612
Pitcairn
616
Poland
620
Portugal
624
Guinea - Bissau
626
East Timor
628
Portuguese Timor And Dependencies
630
Puerto Rico
634
Qatar
638
Reunion
642
Romania
643
Russian Federation
646
Rwanda
654
Saint Helena
659
Saint Kitts And Nevis
660
Anguilla
662
Saint Lucia
666
Saint Pierre And Miquelon
670
674
San Marino
678
Sao Tome And Principe
682
Saudi Arabia
686
Senegal
690
Seychelles
694
Sierra Leone
702
Singapore
703
Slovakia
704
Vietnam
705
Slovenia
706
Somalia
708
"South And Southeast Asia, N.E.S."
710
South Africa
716
Zimbabwe
724
Spain
726
"Spanish Africa, N.E.S."
732
Western Sahara
736
Sudan
740
Suriname
744
Svalbard And Jan Mayen Islands
748
Swaziland
752
Sweden
756
Switzerland
760
Syrian Arab Republic
762
Tajikistan
764
Thailand
768
Togo
772
Tokelau
776
Tonga
780
Trinidad And Tobago
782
Trust Territory Of The Pacific Islands
784
United Arab Emirates
788
Tunisia
792
Turkey
795
Turkmenistan
796
Turks And Caicos Islands
798
Tuvalu
800
Uganda
804
Ukraine
807
"Macedonia, Former Yugoslav Republic"
818
Egypt
826
United Kingdom Of Great Britain And Northern Ireland
830
Channel Islands
833
Isle Of Man
834
United Republic Of Tanzania
840
United States Of America
843
U. S. Minor Outlying Islands
844
"U. S. Oceania, N.E.S."
850
United States Virgin Islands
854
Burkina Faso
858
Uruguay
860
Uzbekistan
861
Vatican City State
862
Venezuela
864
Wake Islands
876
Wallis And Fortuna Islands
878
Western Portuguese Africa
882
Samoa
887
Yemen
888
Yemen Arab Republic
889
"Yemen, Peoples Democratic Republic"
891
Yugoslavia
894
Zambia
895
Zaire, Republic Of
Derived from RESIDENCE information of the dead.
Residence of Deceased (Region)
Write the complete address (house no., street, barangay, city/municipality, province and country) where the deceased usually reside at the time of death. In case the usual residence of the deceased is outside the Philippines, write in this item the complete address abroad.
0
0
1
NCR (National Capital Region)
2
CAR (Cordillera Administrative Region)
3
REGION I (Ilocos Region)
4
REGION II (Cagayan Valley)
5
REGION III (Central Luzon)
6
REGION IV-A (CALABARZON)
7
MIMAROPA REGION
8
REGION V (Bicol Region)
9
REGION VI (Western Visayas)
10
REGION VII (Central Visayas)
11
REGION VIII (Eastern Visayas)
12
REGION IX (Zamboanga Peninsula)
13
REGION X (Northern Mindanao)
14
REGION XI (Davao Region)
15
REGION XII (SOCCSKSARGEN)
16
REGION XIII (Caraga)
17
ARMM (Autonomous Region in Muslim Mindanao)
Derived from RESIDENCE information of the dead.
Residence of Deceased (Province)
Fill out completely, accurately and legibly. Use ink or typewriter.
RESIDENCE (Province)
(House No., Street, Barangay) (City/Municipality) (Province)
Write the complete address (house no., street, barangay, city/municipality, province and country) where the deceased usually reside at the time of death. In case the usual residence of the deceased is outside the Philippines, write in this item the complete address abroad.
0
0
1
Abra
2
Agusan del Norte
3
Agusan del Sur
4
Aklan
5
Albay
6
Antique
7
Basilan
8
Bataan
9
Batanes
10
Batangas
11
Benguet
12
Bohol
13
Bukidnon
14
Bulacan
15
Cagayan
16
Camarines Norte
17
Camarines Sur
18
Camiguin
19
Capiz
20
Catanduanes
21
Cavite
22
Cebu
23
Daval del Norte
24
Davao del Sur
25
Davao Oriental
26
Eastern Samar
27
Ifugao
28
Ilocos Norte
29
Ilocos Sur
30
Iloilo
31
Isabela
32
Kalinga
33
La Union
34
Laguna
35
Lanao del Norte
36
Lanao del Sur
37
Leyte
38
Maguindanao
39
NCR - MANILA
40
Marinduque
41
Masbate
42
Misamis Occidental
43
Misamis Oriental
44
Mountain Province
45
Negros Occidental
46
Negros Oriental
47
Cotabato (North Cotabato)
48
Northern Samar
49
Nueva Ecija
50
Nueva Vizcaya
51
Occidental Mindoro
52
Oriental Mindoro
53
Palawan
54
Pampanga
55
Pangasinan
56
Quezon
57
Quirino
58
Rizal
59
Romblon
60
Samar (Eastern Samar)
61
Siquijor
62
Sorsogon
63
South Cotabato
64
Southern Leyte
65
Sultan Kudarat
66
Sulu
67
Surigao del Norte
68
Surigao del Sur
69
Tarlac
70
Tawi-Tawi
71
Zambales
72
Zamboanga del Norte
73
Zamboanga del Sur
74
NCR - SECOND DISTRICT
75
NCR - THIRD DISTRICT
76
NCR - FOURTH DISTRICT
77
Aurora
78
Biliran
79
Guimaras
80
Sarangani
81
Apayao
82
Compostela Valley
83
Zamboanga Sibugay
85
Dinagat Islands
86
Davao Occidental
97
City of Isabela
98
Cotabato City
Residence of Deceased (City/Municipality)
Fill out completely, accurately and legibly. Use ink or typewriter.
RESIDENCE (City/Municipality)
(House No., Street, Barangay) (City/Municipality) (Province)
Write the complete address (house no., street, barangay, city/municipality and province) where the deceased usually reside at the time of death. In case the usual residence of the deceased is outside the Philippines, write in this item the complete address abroad.
0
0
Civil Status
CIVIL STATUS
(Single, Married, Widowed, Others, Unknown)
0
0
The Civil Status is the information used in determining differences in mortality by civil status.
1
Single
2
Married
3
Widowed
4
Divorced
9
Not Stated
Manner of Death
[Homicide, Suicide, Accident, Others (Specify)]
0
0
1
Homicide
2
Suicide
3
Accident
4
Others (Specify)
9
Not Stated
Attendant at Death
ATTENDANT
[Private Physician, Public Health Officer, Hospital Authority, None or Others (specify)]
0
0
1
Private Physician
2
Public Health Officer
3
Hospital Authority
4
None
5
Others (Specify)
9
Not Stated
Mother's Age
Fill out completely, accurately and legibly. Use ink or typewriter.
AGE OF THE MOTHER
Write the mother's age in completed years as of her last birthday.
0
0
The Age of the Mother is one of the most important factor in the study of childbearing and pregnancy outcome.
Method of Delivery
METHOD OF DELIVERY
[Normal; Spontaneous vertex or Others (Specify)]
0
0
The Method of Delivery is the information used to establish the trend in obstetric practice and to determine which age groups of women are likely to have caesarian delivery.
1
Normal; Spontaneous Vertex, or
2
Others (Specify)
Length of Pregnancy
Fill out completely, accurately and legibly. Use ink or typewriter.
LENGTH OF PREGNANCY
(completed weeks)
0
0
The Length of Pregnancy gives an information on the effect of the gestational age on the weight, maturity and health condition of the fetus.
Type of Birth
Place "X" before the appropriate code whether the child was born single, or a product of multiple birth such as twin, triplet, etc.
0
0
The Type of Birth has important health implications. This variable shows whether the birth is single, twin, triplet, etc.
1
Single
2
Twin, or
3
Triplet, etc.
Multiple Birth
IF MULTIPLE BIRTH, CHILD WAS
[First, Second or Others (Specify)]
0
0
1
First
2
Second, and
3
Others (Specify)