Fill-up this form, save and send as e-mail attachment harescom_07@yahoo.com.

ph
You can also print and submit a copy of this form to your nearest CDC/RCDG/RESCOM

PHILIPPINE ARMY
RESERVIST INFORMATION DATA SHEET
RESERVIST PERSONNEL INFORMATION
Rank Last Name First Name Middle Name AFPSN Br of Service
4CL DIAZ PAB DANIELLE ALBOFERA PA
AFOS/MOS Source of Comsn/Enlst Authority Date of Comsn/Enlst
ROTC 1105 CDC
Initial Rank Date of Last Promotion Authority Reservist Status Mobilization Center
Not promoted Stand-By 1105 RRIBn, 1105 CDC, 11RCDG,
ARESCOM
Designation Squad/Team/Section Platoon Company Reservist Unit

Present Occupation Office Address Office Tel Nr

PERSONAL INFORMATION
Home Address: Street/Barangay Town/City/Province/ZIP Code Res.Tel.Nr
Centro, Bolila Malita, Davao Occidental 8012
Mobile Tel Nr BirthDate (mm-dd-yyyy) Birth Place (Municipality, Province) Religion Blood Type
09163728379 08-07-01 Digos City, Davao del Sur Roman Catholic
T.I.N. Size of Combat Shoes Size of Cap Size of BDA Marital Status Sex
9 Medium Medium Single Male

SSS Nr: PHILHEALTH Nr: GSIS Nr: Height: cm Weight: kls

164cm 53kls
Language/Dialect Spoken: English, Tagalog, Bisaya
Special Skills: Athleticism

PROMOTION/DEMOTION
Rank Date of Rank Authority

MILITARY SCHOOLING/TRAINING
Course School Date Graduated
1. MS 1 1. University of Southeastern Philippines 1. December
2. MS 2 2. University of Southeastern Philippines 28,2020
2. Pending

AWARDS AND DECORATION

Awards/Decoration Authority Date Awarded

DEPENDENTS
Relation Name
1. Father 1. Pablito C. Diaz
2. Mother 2. Alma A. Diaz

EDUCATIONAL BACKGROUND (Tertiary Level)

Course School Date Graduated
1. BSED Science University of Southeastern Philippines Undergraduate
2.
3.

MILITARY ACTIVITIES

JPO®
Fill-up this form, save and send as e-mail attachment harescom_07@yahoo.com.ph
You can also print and submit a copy of this form to your nearest CDC/RCDG/RESCOM

I HEREBY CERTIFY that all entries in this document are correct.

SIGNATURE

Attesting Personnel

ARESCOM ADJ FORM 01-08. This will form part of the Reservist’s MPF to be filed at ARESCOM HQS (PLEASE FILL UP TWO
(2) COPIES – 1 FOR CENTRAL CONSOLIDATION AT HARESCOM , 1- FOR THE UNIT’S FILE

JPO®