Professional Documents
Culture Documents
Application For Postal ID Card
Application For Postal ID Card
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PID Form No.(Date)
PID Form No.
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(Date) (No.) (Date)
PID Form No.
A . APPLICATION TYPE
R e p u b l i c o f t h e P h i l i p pPART I - PART
TO BEIBE
PID Form No.
FILLED
-Revision
TO BE
(No.)OUTFILLED BY THE
OUT
OR No :
APPLICANT
BY THE
OR Date :
POSTALAPPLICANT
PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
ALL FIELDS WITH ( ) ARE REQUIRED. ines
PART
THIS FORM. PRINT ALL I - TO
TO
-CARD
INFORMATION FILLED
IN CAPITAL
REPLACEMENT LETTERSOUT
OUT
(Date) BY
AND USE THE
BLACK APPLICANT
APPLICANT
INK ONLY.
REFERENCE NO. (Leave blank if New Application)
P H IPURPOSE CARD
L I P P I N E P O S TA L TYPEC O R P O R AT DELIVERY
I O N Application Control No.
AA..A
APPLICATION
A
:
APPLICATION . APPLICATION
. APPLICATION
Amendment of Name TYPE
TYPE TYPE
TYPE Amendment of Authenticating Finger
NOT
B.NO.APPLICANT LostDETAILS
PLEASE INITIAL
READ THE GENERAL TERMS AND CONDITIONS
INITIAL
INITIAL BASIC AT THE BACK BEFOREREGULAR
BASIC ACCOMPLISHING
REGULARREGULAR
BASIC POSTALReplacementof
REFERENCE
UIRED.THIS FORM. PRINTPURPOSE
ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.
RENEWAL CARDPREMIUM
TYPE DELIVERY
RUSH CARD
Replacementof
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(Leave
Replacementof
REPLACEMENT
Card
Lost ifCard Card
New Application) Replacement
Replacement ofofReplacement
PID
PID
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Damaged
Form
Form No.
No.
Card
Card of Damaged Card
RENEWAL NAME
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RENEWAL NAME) PREMIUM
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(No.) (Date)
of Authenticating Finger (SUFFIX)
PART I INITIAL
- TO BE FILLED
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No.:: of Damaged Card
ControlNo.
Control
PREMIUM RUSH
FOR
NAME SPOUSE (FIRSTNAME)
(FIRST (MIDDLE
(MIDDLE NAME)
NAME) (LASTNAME)
(LAST NAME) (SUFFIX)
(SUFFIX)
DISTINGUISHING
(COLOR)
EYES (COLOR) FACIAL FEATURES
PHILHEALTH No.(If member)
WEIGHT
HAIR (KILOS)
(NATURAL COLOR)
HAIR (NATURAL COLOR) HEIGHT
COMPLEXION C.COMPLEXION
ADDRESS DETAILS TELEPHONE
(CENTIMETERS) EMAIL ADDRESS
NUMBER MOBILE NUMBER
HDMF No.(If member)
TINGUISHING PREFERRED
MOTHER’S
MOTHER’S MAIDEN
MAIDEN
DISTINGUISHING
FACIAL FEATURES MAILING
(FIRST
(FIRST
FACIAL ADDRESS
NAME)
NAME)
FEATURES (CHOOSE
WEIGHT (KILOS) ONE) (KILOS)
WEIGHT PRESENT
(MIDDLE
(MIDDLE NAME)
NAME)
HEIGHT WORK
(CENTIMETERS)
HEIGHT (CENTIMETERS) (LAST
EMAIL(LAST NAME)
ADDRESS EMAIL ADDRESS
NAME) (SUFFIX)
(SUFFIX)
DISTINGUISHING
NAME
NAME
FACIAL
PRESENT ADDRESS
(NATURAL COLOR)
FEATURES
COMPLEXION
WEIGHT (KILOS)
TELEPHONE NUMBER C.C.ADDRESS
ADDRESS DETAILS
HEIGHT
DETAILS EMAIL ADDRESS
(CENTIMETERS)
MOBILE NUMBER
(RM/FLR/UNIT NO. / BLDG. NAME) OCCUPATION ( HOUSE/ LOT & BLK NO.) (STREET NAME)
PREFERRED
NATIONALITY
NATIONALITY MAILING ADDRESS OCCUPATION(CHOOSE ONE) CIVIL
CIVIL STATUS
STATUS
PRESENT WORK
HT (KILOS) PRESENT
PRESENT ADDRESS
ADDRESS
ADDRESS
HEIGHT (CENTIMETERS) EMAIL ADDRESS C. ADDRESS
C. ADDRESS
C. ADDRESS
Single
Single DETAILS
DETAILS
DETAILS Married
Married Widowed
Widowed Separated
Separated Divorced/Annulled
Divorced/Annulled
GSIS
GSIS No.(IfGSIS
No.(If GSISmember)
(SUBDIVISION)member) SSS
SSS No.(If
No.(If SSSNO.)
SSS member)
member) TINNo.(If
TIN No.(IfAvailable
Available))
PREFERRED
PREFERRED MAILINGMAILING
PREFERRED ADDRESSADDRESS
(RM/FLR/UNIT
MAILING NO. / BLDG. NAME)
ADDRESS
(CHOOSE (CHOOSE(CHOOSE
ONE) ONE) ONE) ( HOUSE/ LOT & BLK PRESENT PRESENT
PRESENT WORK
WORK (BARANGAY/DISTRICT/LOCALITY)
(STREET NAME)
WORK
PRESENTPRESENT
CRN ADDRESS
PRESENT
CRN(RM/FLR/UNIT
No.(If
No.(If Available
Available
C. ADDRESS DETAILS
ADDRESS
)) /ADDRESS PHILHEALTH
PHILHEALTH No.(Ifmember)
member)
NO.
(CITY/MUNICIPALITY)
(RM/FLR/UNIT
(SUBDIVISION)
(RM/FLR/UNIT NO. NO.
(RM/FLR/UNIT
/ BLDG. BLDG. NAME)
/NO.
NAME) BLDG. NAME)NAME)
/ BLDG. (PROVINCE) ( HOUSE/ LOT & BLK No.(If
( HOUSE/ LOT & BLK
( HOUSE/ NO.)
NO.) LOT & BLK NO.) (COUNTRY) HDMFNo.(If
HDMF
(STREETNAME)
(STREET NAME)
(BARANGAY/DISTRICT/LOCALITY) No.(Ifmember)
member)(POST CODE)
(STREET NAME)
OOSE ONE) PRESENT WORK
EYES
EYES (COLOR)
(COLOR) HAIR(NATURAL
HAIR (NATURAL COLOR)
COLOR) COMPLEXION
COMPLEXION TELEPHONENUMBER
TELEPHONE NUMBER MOBILE
(POSTMOBILE NUMBER
CODE) NUMBER
( WORK
HOUSE/
(SUBDIVISION) LOTADDRESS
(CITY/MUNICIPALITY)
(SUBDIVISION)
& BLK NO.)
(SUBDIVISION)
(PROVINCE)
(STREET NAME) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
(COMPANY/RM/FLR/UNIT NO. / BLDG. NAME) ( HOUSE/ LOT & BLK NO.) (STREET NAME)
DISTINGUISHING
DISTINGUISHING FACIALFEATURES
FACIAL
(CITY/MUNICIPALITY) FEATURES WEIGHT(KILOS)
WEIGHT (KILOS) HEIGHT(CENTIMETERS)
HEIGHT (CENTIMETERS) EMAILADDRESS
EMAIL ADDRESS
WORK
WORK ADDRESS
WORK ADDRESS
ADDRESS (PROVINCE)
(BARANGAY/DISTRICT/LOCALITY) (COUNTRY) (POST CODE)
(CITY/MUNICIPALITY) NO. / BLDG. NAME)(PROVINCE)
(CITY/MUNICIPALITY)
(SUBDIVISION)
(COMPANY/RM/FLR/UNIT (PROVINCE)
( HOUSE/ LOT & BLK NO.) (COUNTRY) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE) (POST CODE)
EMPLOYMENT STATUS COMPANY(STREET
TYPE NAME)
(PROVINCE) Contractual
WORK ADDRESS Regular / Permanent
(COUNTRY) Household C. ADDRESS
C. ADDRESS DETAILS
DETAILS
Self Employed
(POST CODE) OFW Government Private Others
WORK ADDRESS
WORK ADDRESS
(CITY/MUNICIPALITY)
(COMPANY/RM/FLR/UNIT
PREFERRED
PREFERRED
(SUBDIVISION) NO. / BLDG.
MAILING
MAILING ADDRESS
ADDRESS (PROVINCE) ( HOUSE/ LOT & BLK NO.)
NAME) (CHOOSE ONE)
(CHOOSE ONE) PRESENT
PRESENT WORK
WORK (COUNTRY) (STREET NAME)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE)
(COMPANY/RM/FLR/UNIT
(COMPANY/RM/FLR/UNIT
PRESENT
PRESENT NO.ADDRESS
/ BLDG. NAME)
ADDRESS NO. / BLDG. NAME) ( HOUSE/ LOT & BLK
( HOUSE/
NO.) LOT & BLK NO.) (STREET NAME) (STREET NAME)
((CITY/MUNICIPALITY)
HOUSE/ LOT & BLKNO.
(RM/FLR/UNIT
(RM/FLR/UNIT
(SUBDIVISION) NO.)//BLDG.
NO. BLDG.NAME)
NAME) (STREET
(PROVINCE) NAME)LOT
((HOUSE/
HOUSE/ LOT&&BLK
BLKNO.)
NO.) (BARANGAY/DISTRICT/LOCALITY)
(COUNTRY) (STREET NAME)
(STREET NAME) (POST CODE)
D. APPLICANT’S CERTIFICATION
(SUBDIVISION) (SUBDIVISION) (BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
FINGERPRINTS IF APPLICANT CANNOT SIGN:
(SUBDIVISION)
(SUBDIVISION)
(CITY/MUNICIPALITY) (BARANGAY/DISTRICT/LOCALITY)
(PROVINCE) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE)
D. APPLICANT’S CERTIFICATION
SALE
(CITY/MUNICIPALITY)
(PROVINCE) (CITY/MUNICIPALITY) (PROVINCE)
(COUNTRY) (PROVINCE) (POST CODE) (COUNTRY) (COUNTRY) (POST CODE)
FINGERPRINTS IF APPLICANT (POST
CANNOT CODE)
SIGN:
(CITY/MUNICIPALITY)
(CITY/MUNICIPALITY) (PROVINCE)
(PROVINCE) (COUNTRY)
(COUNTRY) (POSTCODE)
(POST CODE)
D.D. APPLICANT’S
APPLICANT’SCERTIFICATION
CERTIFICATION
FINGERPRINTS IF APPLICANT CANNOT SIGN:
are D. APPLICANT’S
true, correct
WORK ADDRESS
WORK ADDRESS CERTIFICATION
and complete to the D. APPLICANT’S
best of my knowledge and belief. D. APPLICANT’S
Further, while applying CERTIFICATION
for this card, I likewise fully agree to and understand all the terms of its issuance as governed
CERTIFICATION
(COMPANY/RM/FLR/UNITNO.
(COMPANY/RM/FLR/UNIT NO.//BLDG.
BLDG.NAME)
NAME) ((HOUSE/
HOUSE/FINGERPRINTS
LOT&&BLK
LOT BLKNO.)
NO.)IF APPLICANT CANNOT SIGN: (STREET NAME)
(STREET NAME)
FINGERPRINTS FINGERPRINTS
IF APPLICANT CANNOT
IF APPLICANT
SIGN:CANNOT SIGN:
by Postal rules and regulations."
are true, correct and complete to the best of my knowledge and belief. Further, while applying RIGHT THUMB RIGHT INDEX
for this card,APPLICANT’S
(SUBDIVISION)
(SUBDIVISION) SIGNATURE
I likewise fully agree to and understand all the terms of its issuance as governed (BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY) WITNESS’ SIGNATURE
by Postal rules and regulations."
are true, correct and complete to the best of my knowledge and belief. Further, while applying RIGHT THUMB RIGHT INDEX
for this card,APPLICANT’S
I likewise fully agree
(CITY/MUNICIPALITY) to and understand
SIGNATURE all the terms of its issuance as governed
(PROVINCE) (COUNTRY) (POSTCODE)
(POST CODE)
my knowledge and(CITY/MUNICIPALITY)
belief.
by Further,
Postal ruleswhile applying
and regulations."
(PROVINCE) (COUNTRY) WITNESS’ SIGNATURE
erstand all the terms of its SIGNATURE OVER PRINTED NAME
issuance as governed DATE SIGNATURE OVER PRINTED NAME
are true, correctare andtrue,
complete
correctto and
thecomplete
best of myto knowledge
the best of my
andknowledge
belief. Further,
and while
belief.applying
Further, while applying RIGHT THUMB RIGHT INDEX
for this card, I likewise APPLICANT’S
for this card,
fully agree
I likewise SIGNATURE
to and
fully
understand
agree to and
all understand PART
the terms ofall
itsthe II as
issuance
terms
RIGHT THUMB
-ofTO
D. BE FILLED
governed
its issuance
D. APPLICANT’S OUT
PHLPOST
as governed
APPLICANT’S CERTIFICATION
CERTIFICATION BY
RIGHT INDEX
WITNESS’ SIGNATURE
by Postal rules and
by Postal
SUPPORTING regulations."
rules and
SIGNATURE
DOCUMENTS regulations."
OVER PRINTED
PRESENTED:NAME APPROVED BY:DATE
WITNESS’ SIGNATURE SIGNATURE OVER PRINTED NAME
FINGERPRINTS
RIGHTFINGERPRINTS
THUMB RIGHT IFTHUMB
IF APPLICANTCANNOT
APPLICANT CANNOTSIGN:
SIGN:
RIGHT INDEX RIGHT INDEX
APPLICANT’S
APPLICANT’S
SIGNATURE SIGNATURE PART II - TO BE FILLED
SIGNATURE
OUT BY PHLPOST
OVER PRINTED NAME WITNESS’ SIGNATURE
WITNESS’ SIGNATURE
DATE
Others
SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME
SUPPORTING DOCUMENTS PRESENTED: APPROVED BY:
DATE DATASIGNATURE
CAPTURE SCHEDULE:
OVER PRINTED NAME DATA CAPTURED BY:
PART II
II - TO BE FILLED
FILLED OUT
OUT BY PHLPOST
PHLPOST
PART
SCREENED IIBY:- TO
Others
SUPPORTING DOCUMENTSBE FILLED PRESENTED:OUT BY PHLPOST APPROVED SIGNATURE
BY: OVER PRINTED NAME DATE
SIGNATURE OVER
SIGNATURE
APPROVED PRINTED OVER
BY:complete NAME PRINTED NAME DATA CAPTURE DATESCHEDULE:DATE DATA SIGNATUREBY:
CAPTURED OVER
SIGNATURE
PRINTED OVER
NAMEPRINTED NAME
SIGNATURE
are
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correct
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and PRINTED
completeto NAME
to thebest
the bestofofmy DATE and
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OVER PRINTED NAME
PART II -PART
understand all
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TO BEIIFILLED
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- TO BEOUT
terms of
of its
FILLED
BY PHLPOST
OUT BY PHLPOST
its issuance
issuance as governed
as governed
SIGNATURE OVER PRINTED NAME
Republic o f the Philippines
DATE
DATE
SUPPORTINGSUPPORTING
DOCUMENTS DOCUMENTS
PRESENTED: PRESENTED: DATE DATA CAPTURE
APPROVED SCHEDULE: DATAApplication
CAPTURED Control
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RIGHTINDEX
RIGHT INDEX DATE
APPLICATION
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FOR
N FOR POSTAL ID CARD
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OVER
NAME
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DOCUMENTS
ID CARD
ACKNOWLEDGEMENT
PRINTED
PRESENTED:
PRESENTED: NAME DATE SLIP
DATE
Date
NO.(Leave blank if New Application) NAME (FIRST NAME)
( CLIENT COPY
Others ACKNOWLEDGEMENT
)
(APPROVED
/ Time
DATA
:CLIENT
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OR No :
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No. : Control No. :
DATE
DATE
DATE
PRINTED NAME
SIGNATURE
APPROVED BY: OVER PRINTED ifNAME DATE P H I L IDATA P P/ Time
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No : NAME
OR Date : OR DATE
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e. The card is valid for three (3) years for Filipinos and foreign residents with Diplomatic Visa for foreign
government officials/personnel serving in foreign embassies or consulates in the Philippines, Long Stay
Visitor Visa Extension, Temporary Resident Visa and Special Resident Retiree’s Visa while one (1) year for
foreign residents holding Alien Certificate Registration Identity Card and any equivalent document allowing
the applicant to stay in the Philippines for three (3) months or more issued by the Bureau of Immigration and
or Department of Foreign Affairs.
f. The cardholder is responsible for the proper use of his/her card at all times and must keep the card secure.
g. Alteration or intentional damage to the card, using another person’s card, or allowing the card to be used by
another person is not allowed and it may result in confiscation and/or termination of the card as well as legal
action/s by government enforcement agencies and PHLPost.
h. If card is lost, stolen or damaged, the cardholder must report to the Postal Payment Services
Division, Business Lines Department (PPSD-BLD) by SMS, email, call and/or mail within five (5)
working days:
Website: www.phlpost.gov.ph
i. The cardholder may request for replacement of the lost, stolen or damaged card to any post office, subject to
compliance to the requirements for replacement and payment of applicable fees and charges.
j. The PHLPost is not responsible for any unauthorized use of the card or for any loss arising from the failure of
the cardholder to comply with item G of this guideline.
k. If the cardholder is found to have provided false information, falsified documents or has willingly applied for a
Postal ID through fraudulent means, he/she may be subjected to legal action/s and/or sanction/s.
l. By applying for and/or using the card, the cardholder agrees to the terms of its issuance as governed by the
PHLPost regulations.