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|. PERSONAL DATA SHEET Name Date of Birth Place of Birth Age Address Sex Civil Status Religion Blood Type Build Weight Complexion Ethnic Group RID CLEARANCE APPLICATION FORM I, EDUCATIONAL BACKGROUND: Photo ‘School School Location Yr Graduated Awards: Received Elementary High School College Post Graduate LIF MARRIED: Name Date of Birth Place of Birth Address Nationality : Date of Marriage: Profession Occupation No. of Children IV. FAMILY HISTORY, Father's Name DOB POB Occupation ‘Address Mother's Name DOB POB Occupation. Address Brothers/Sisters DOB POB ‘Occupation ‘Address IV, EMPLOYMENT RECORDS: Agency/Company Address Type/Nature of Employment Yrs of Service Reasoning for Leaving IV. CHARACTER REFERENCE: Name Occupation Address Contact No. IV. ORGANIZATIONS. Name of Organization Address/Telephone Position Res. Cert. No: Issued At: Issued On: SSS: TIN: NBI No: Passport No! | hereby certify that the above information is true and correct to the best of my knowledge and belief. Applicant Signature

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