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Registration Form For Barangay ID System

This document is a registration form for a barangay ID system from Barangay Lamac in Pinamungajan, Cebu Province. It collects personal information such as name, date of birth, parents' names, emergency contact, and signature for identification purposes. It also notes the period of validity for the ID and requires approval signatures. The form is an official document of Barangay Lamac to issue identification cards to residents.

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Joserie Hernane
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6K views2 pages

Registration Form For Barangay ID System

This document is a registration form for a barangay ID system from Barangay Lamac in Pinamungajan, Cebu Province. It collects personal information such as name, date of birth, parents' names, emergency contact, and signature for identification purposes. It also notes the period of validity for the ID and requires approval signatures. The form is an official document of Barangay Lamac to issue identification cards to residents.

Uploaded by

Joserie Hernane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Registration Form for Barangay ID System: Provides a form for registering individuals to the Barangay ID system, requesting personal details and signatures.

PROVINCE OF CEBU

MUNICIPALITY OF PINAMUNGAJAN
BARANGAY LAMAC

Registration Form for Barangay ID System


Control Number:_______________________ Purok: ______________________________

Name:________________________________________________________________________
(Last name) (Fist name) (Middle name) (Suffix)

Sex :_____Date of Birth :_______________Place of Birth:______________________________


(MM/DD/YYYY) (Municipalities,Cities,Province)

Age:_______Citizenship:____________Religion:__________________ Blood Type__________

Mother:__________________________________________________________ Occupation:_______________
(Last name) (Fist name) (Middle name)

Father:___________________________________________________________Occupation:_______________
(Last name) (Fist name) (Middle name) (Suffix)

Spouse name: ____________________________________________________Number of children:_________


(Last name) (Fist name) (Middle name) (Suffix)

Name of Contact Person in Case of Emergency : ______________________________________________________


(Last name) (Fist name) (Middle name) (Suffix)

Contact Number: ________________________Date Issuance:__________________Period of Validity:_______________


(MM/DD/YYYY) (MM/DD/YYYY)

Kung dili kamao mo perma gamiton ang tamla sa mga tudlo:

Applicant Signature:

___________________________ ____________
Signature Over Printed Name Date
Right Thumb Right Index

Acknowledgment Slip (Applicant copy)

Name:_______________________________________________________________________________ Date to Release:__________________________


(Last name) (Fist name) (Middle name) (Suffix)

Approve by:
_______________________________ ____________
Signature Over Printed Name Date

AN OFFICIAL DOCUMENT OF BARANGAY LAMAC OF THE MUNICIPALITY OF PINAMUNGAJAN, PROVINCE OF CEBU


PROVINCE OF CEBU
MUNICIPALITY OF PINAMUNGAJAN
BARANGAY LAMAC

AN OFFICIAL DOCUMENT OF BARANGAY LAMAC OF THE MUNICIPALITY OF PINAMUNGAJAN, PROVINCE OF CEBU

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