THE FRATERNAL ORDER OF Eagles

( Philippine Eagles )
First Philippine Born Fraternal Socio - Civic Organization
Service Through Strong Brotherhood

MAAGAP STINGER EAGLES CLUB

FORM FOR I.D.

NAME: ( LAST NAME, FIRST NAME, MIDDLE NAME ) CLUB POSITION:

HOME ADDRESS:

PERSONAL CONTACT NUMBER: HEIGHT: ( FEET ) WEIGHT ( KGS ) BLOOD TYPE: RELIGION:

CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:

BIRTH DATE: BIRTH PLACE:

GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.

CLUB AFFILIATION: REGION:

MAAGAP EXECUTIVE Eagles CLUB / MAAGAP REPUBLIC Eagles CLUB NCR X
CLUB PRESIDENT EY 2021: MEMBER CONTROL NO.

Eagle ARTEMIO PIO RODA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE

PHILIPPINE EAGLES SECRETARIAT:

EMAIL ADDRESS:
POSTAL ADDRESS: