1 Request Details -
2 Requester's & Delivery Details Requester's Details
3 Summary
4 Acknowledgement
5 Payment

Request Details

Number of Copies

Certificate Details

Please enter Maiden Name, if Married Female

Last Name^*

First Name^*

Middle Name

Husband's Last Name^*

Husband's First Name^*

Husband's Middle Name

Wife's Maiden Last Name^*

Wife's First Name^*

Wife's Maiden Middle Name

Deceased's Last Name^*

Deceased's First Name^*

Deceased's Middle Name

Please enter Maiden Name, if Married Female

Last Name^*

First Name^*

Middle Name

Child's Last Name^*

Child's First Name^*

Child's Middle Name

Place of Birth (Country)^*

Place of Birth (Province)^*

Place of Birth (City/Municipality)^*

Place of Marriage (Country)^*

Place of Marriage (Province)^*

Place of Marriage (City/Municipality)^*

Place of Death (Country)^*

Place of Death (Province)^*

Place of Death (City/Municipality)^*

Date of Birth^*

Date of Marriage^*

Date of Death^*

Sex^*

Male Female

Important Advisory
PSA may not be able to provide a copy of this certificate. Civil registry records that are available in PSA’s electronic and paper archives cover births, marriages and deaths that occurred 1945 onwards, and from 1951 onwards for events that occurred in City of Manila. More info

Father's Last Name

Father's First Name

Father's Middle Name

Mother’s Maiden Last Name^*

Mother's Maiden First Name^*

Mother’s Maiden Middle Name

Relationship to the Document Owner^*

Embassy or Government Agency Details

Document(s) for delivery to an Embassy or Government Agency?^*

Yes No

Delivery To^*

File Reference Number^*

Reference Number^*

Delivery To DFA PFSP^*

Case No.^*

Interview Date^*

Deliver hard copy to my Philippines address?^*

Purpose

Purpose of Request^*

^*^*

Data Privacy Act (DPA) of 2012 All civil registry documents necessarily contain personal and/or sensitive personal information. Hence, under R.A. 10173 or the Data Privacy Act of 2012. it is unlawful for anyone to access, use, store or process in any way these documents without the consent and/or authority from the document owner.

Requester's Details

Requester's Last Name^*

Requester's First Name^*

Requester's Middle Initial

Email Address^*

Mobile Number^*

Select Delivery or Pick up^*

DELIVERY

Your PSA Certificate will be delivered straight to your delivery address

PICK UP AT LBC BRANCH

You can pick up your PSA certificate at any LBC branch location

Select LBC Branch

Province^*

City/Municipality^*

LBC Branch^*

Philippines Delivery Address

Delivery Address

Representative’s Last Name^*

Representative’s First Name^*

Representative’s Middle Initial

Representative’s Mobile Number^*

Country^*

Province^*

City/Municipality^*

Barangay^*

Address Line^*

Address Line 1^*

Address Line 2^*

Zip/Postal code^* Zip/Postal is invalid.

Enter correct zip code to avoid unnecessary delays in delivery Find It

DFA PFSP Delivery Address

Country^*

Province^*

City/Municipality^*

Address Line 1^*

Address Line 2^*

Zip/Postal code^*

Enter correct zip code to avoid unnecessary delays in delivery Find It

Request Summary

CERTIFICATE TYPE	DOCUMENT OWNER'S NAME	EVENT DATE	EVENT PLACE	NUMBER OF COPIES	AMOUNT	ACTION

Requester's Summary

NAME	EMAIL ADDRESS	PHONE NUMBER	ACTION

Uploaded Documents

DOCUMENT NAME	ACTION

Delivery/Requester's Address

Philippines Delivery Address

ADDRESS LINE 1	ADDRESS LINE	ADDRESS LINE 2	BARANGAY	LOCATION	ACTION

DFA PFSP Delivery Address

ADDRESS LINE 1	ADDRESS LINE 2	LOCATION

NO PAYMENT IS REQUIRED YET. The request is subject for approval by PSA Serbilis. Please wait for an email confirmation for the result of the verification. Proceed with payment only upon approval of the request. PSA Serbilis will process your request only upon approval of the required documents regardless if payment was made prior to notification that the request has been approved.

Important Reminder for DHL Express delivery: You need to create a shipment via the DHL Express website. Please follow these instructions. After you have created a shipment you will be required to enter the Piece Number and the Confirmation Number, which are found in the DHL Express waybill, before you can proceed with payment.

If you want to avail of DHL Express delivery, click here.

If we do not receive the DHL Express waybill within three (3) days from PSA Serbilis payment, your document(s) will be delivered via PHLPost.

Requester's Name :

Philippines Delivery Address :

DFA PFSP Delivery Address :

Request Date:

Total Amount Due:

Request Summary

CERTIFICATE TYPE	DOCUMENT OWNER'S NAME	EVENT DATE	EVENT PLACE	NUMBER OF COPIES	AMOUNT

IMPORTANT

Civil Registry documents can only be issued to:

The owner himself or through a duly authorized representative
His/her spouse, parent, direct descendants, guardian or institution legally-in-charge of him/her, if minor
The court or proper public official whenever absolutely necessary in administrative, judicial or other proceedings to determine the identity of a person
In case of the person’s death, the nearest of kin

If you are the document owner and you are unable to receive the document, you may authorize a representative to do so on your behalf. Your authorized representative will have to present the following to the courier:

Your signed authorization letter/Special Power of Attorney (SPA), stating the facts of the requested documents, number of copies and purpose
Your valid ID (with photo and signature), including PhilID
The valid ID (with photo and signature) of your authorized representative, including PhilID

Note: The requester shall only be allowed to submit up to two (2) requests for non-related individuals.

All PSA Serbilis requests that remain unpaid/waiting for payment for sixty (60) days or more will be discarded in the system. Please do not pay using the old Reference Number. If you need your PSA certificate, please fill out a new online application form and pay through our accredited payment channels within 60 days.Thank you for your continued patronage.

Request Summary - Viewable Online

Type	Name	Event Date	Event Place	Copies	Amount Due
				NA

Total Amount Payable

No. of copies:
Name (Maiden Name if Married Female):
Sex:
Place of Birth:
Date of Birth:
Father's Name:
Mother's Maiden Name:
Purpose:
Particulars:
Country:

Request Details

Certificate Details

Embassy or Government Agency Details

Purpose

Requester's Details

Select Delivery or Pick up^*

Select LBC Branch

Philippines Delivery Address

Delivery Address

DFA PFSP Delivery Address

Request Summary

Requester's Summary

Uploaded Documents

Delivery/Requester's Address

Philippines Delivery Address

DFA PFSP Delivery Address

Request Summary

Request Summary - Viewable Online

Select Payments

Credit Card Payment

Offline Payment

Request Details

Certificate Details

Embassy or Government Agency Details

Purpose

Requester's Details

Select Delivery or Pick up*

Select LBC Branch

Philippines Delivery Address

Delivery Address

DFA PFSP Delivery Address

Request Summary

Requester's Summary

Uploaded Documents

Delivery/Requester's Address

Philippines Delivery Address

DFA PFSP Delivery Address

Request Summary

Request Summary - Viewable Online

Select Payments

Credit Card Payment

Offline Payment

Select Delivery or Pick up^*