Form No. 391 (Rev.

2001)

Application for Postal I.D.
Republic of the Philippines
The Postmaster

PHILIPPINE POSTAL CORPORATION

_________________________
Date

Sir/Madam
I have the honor to apply for a Postal I.D. Attached are four (4) identical copies of my picture (2"x2") and One Hundred Fifty Pesos
for the fee therefore.
My personal circumstances are as follows:

Surname

First Name

Occupation ___________________________

Middle Name
Nationality ____________________

Residence __________________________________________________________
Place of Birth
Date of Birth _________________________ Hair Color:_______________________
Height ______________ Eyes ____________

Complexion ___________________

Distinguishing marks ______________________ ____________________________
___________________________________________________________________
Witness to Thumbmark
1. _____________________________

_________________________________________

2. _____________________________

Applicant's Signature

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Statement of Issuing Postmaster
I hereby certify that I have this _______ day of ______________________, 20 ______ issued Postal Identification Card No.
___________________ on the foregoing application strictly in accordance with Sections 733-737 of the Postal Manual of the Philippines.
The applicant exhibited to me his/her Community Tax Certificate No. _____________________ issued at ___________________
on _________________________ . No Community Tax Certificate because _____________________________________________ .
Cross out words not applicable
Application fee paid under
Official Receipt No. ___________

Postmaster's Signature ______________________________

Dated _____________________

Printed Name ______________________________________

Post Office of ______________________________________
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Support Affidavit of Witness
I, ___________________________________ solemnly swear that I have known M ______________________________________
_____________________ , whose picture appears below, personally for _______ years and I know him/her to be the person who made
the foregoing application, and that his/her personal circumstances as stated above are true to the best of my knowledge and belief.

Signature ________________________________________
Position/Occupation of Witness

Printed Name _____________________________________
Post Office of _____________________________________

Name of Office
Subscribed and sworn to before me this _______ day of ____________________________ 20 ____ at the City/Municipality of
_________________________________________ . The affiant exhibited to me his/her Community Tax Certificate No. _____________________
issued at ______________________________ , ___________________________________________ on _______________________ , 20 _
No Community Tax Certificate because _________________________________________________________________________________ .
Cross out words not applicable
_________________________________________________
Signature of authorized Officer
Documentary Stamp

_________________________________________________
Printed Name
_________________________________________________
Title of Officer

__ .

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