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Republic of tbe
Department of ebutation
NATIONAL CAI'ITAL REGION
SCHOOLS DIVISION OFFICE OF MUNTI Nan% CITY
Office of the Schools Division
Superintendent

MEMORANDUM MAY 2 8 2021

PHILSYS REGISTRATION (NATIONAL ID) FOR CITY GOVERNMENT OFFICIALS
AND EMPLOYEES

TO: OIC- Assistant Schools Division Superintendent

Chief Education Supervisor, Curriculum Implementation Division
Chief Education Supervisor, School Governance and Operations Division
Public Elementary & Secondary School Principals / OICs
Administrative Officer V

1, Attached is a memorandum from City Human Resources Management

Department, dated May 24, 2021, on the above-captioned title.
2. All City-Paid casual employees is invited in the registration for the National ID on
May 27, 28, 31 and June 1 to 4, 2021 from 8:00 AM to 4:00 PM at the Muntinlupa Sports
Complex - Center Court.

3. Do not forget to maintain social distancing and observe health protocols.

4. Immediate, wide dissemination and compliance of this Memorandum is desired.

DOMINI . IDANAN CESO V

Schools Di sion Superintendent

Enclosure: As stated
Reference: None
To be indicated in the Perpetual Index
Under the following subjects:

EMPLOYEES FORMS
Mpli/NAV/DM — PHILSYS REGISTRATION (NATIONAL ID)
19 I /May 25,2021

Student Center for Life Skills Bldg., Centennial Ave, Brgy Tunasan,
Muntinlupa City - % - i Nct -CO gilt&
clp (02) 805-9935, (02) 805 - 9940 ‘Wrginel240, 1$.u19.026

sdomuntinlupa@gmail.com
 '-:0714r
Republic of the Philippines %
City Government of Muntinlupa .4f,FK
CITY HUMAN RESOURCES MANAGEMENT DEPARTMENT

MEMORANDUM
TO ALL DEPARTMENT HEADS AND OFFICER-IN-CHARGE tAvISION OF CITY 061
THE CITY GOVERNMENT OF MUNTINLUPA
RECEIVED
FROM : Atty. RODERICK B. TAGNIA DATE
Dept. Head - City Human Resources Management Department
TIME
DATE : 24 May 2021 CITY OF iNolUNTINLI4PA
SUBJECT : PHILSYS REGISTRATION (NATIONAL ID)
FOR CITY GOVERNMENT OFFICIALS AND EMPLOYEES

This refers to Republic Act No. 11055 (RA 11055) creating the Philippine Identification System or
"PhilSys" for the establishment of single national identification system to register all Filipinos and
resident aliens of the Republic of the Philippines. The Implementing Rules and Regulations (IRR) of
RA 11055 vested PSA to implement PhilSys and empowered it to collaborate with Local Government
Units (LGUs).

The PSA will be conducting the registration of the CITY PAID CASUAL EMPLOYEES of the City
Government of Muntinlupa on May 27, 28, 31, and June 1 to 4, 2021 from 8:00 AM to 4:00 PM at
the Muntinlupa Sports Complex - Center Court (see attached schedule). Steps 1 and 2 of the
registration processes is the collection of demographic and biometric data of the participants.

Furthermore, the Heads of Office are requested to schedule their casual employees into batches as
not to hamper services of the office/department and maintain social distancing during the activity. It
is also advised that registration forms (see attached) must be fully accomplished in advance to
expedite the process.

We also remind everybody to strictly observe the following health protocols:

1. Wear face mask and face shield;
2. Maintain social distancing;
3. Bring your own alcohol or hand sanitizer;
4. Bring your own ballpen;
5. If possible, avoid or limit talking during the said activity

Employees who are not included in the said schedule will not be entertained.

Thank you.

Atty ERICK B. TAGNIA

Not by:

Eng
City jadminis

n lI SC? 900 1 :201043 IC IE

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ISM i CERT_ CODE sawisio07013.0.11.15,0,6rci..-04al

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 PHILSYS REGISTRATION SCHEDULE
..113
JUNE 2. 2021 WEDNESDAY JUNE 3. 2021 THURSDAY JUNE 4, 2021 FRIDAY
MAY 27, 2021 THURSDAY MAY 28. 2021 FRIDAY MAY 31, 2021 MONDAY JUNE 1, 2021 TUESDAY 500 314
497 494 495
496 498

17 ALABANG ELEM. SCHOOL /32 DIVISION OFFICE 4 PAROLE AND PROBATION

5 ADMIN. OFFICE 23 GSO 32 CADO 24 COLEGIO DE MUNTINLUPA
11 FIRE DEPARTMENT 13 CUPANG ELEM. SCHOOL 13 ITAAS ELEM. SCHOOL 1 P.A.O
20 CHRMD 10 ACCOUNTING OFFICE 5 PDAO
4 CUPANG ELEM. SCHOOL - ANNEX 5 REGISTRY OF DEEDS
9 INTERNAL AUDIT DEPT, 3 MCMAO 3 SQUATTING PREY. & CTRL. DIV.
9 CUPANG SENIOR H.S. 7 PLAZA CENTRAL
2 I.R.O. 3 SATELLITE STARMALL
"- ' = iitit 2
22 PEDRO E. DIAZ H.S. 14 F. DE MESA ELEM. SCHOOL 2 M.T.C. - BR. 113
45 MAYOR'S OFFICE - Batch 1 46 MAYOR'S OFFICE - Batch 2 33 L.M.O. 32 PCO - Group 1
12 BULI ELEM. SCHOOL 15 MUNT. CENTRAL ELEM. SCH. 2 M.T.C. - BR. 110
6 C.O.A.
5 FILINVEST ALABANG E.S. 15 LAKEVIEW INTEGRATED SCHL 2 M.T.C. - BR. 111
1 POST OFFICE
4 M.T.C. - BR. 112
3 M.T.C. - BR. 114
4 M.T.C. - BR. 80

14 BAYANAN ELEM. SCHOOL - UNIT I 16 MUNTINLUPA SCIENCE H.S. 3 R. T. C.- BR. 203
13 PLANNING OFFICE 45 S.P. 53 S.S.D. 32 PCO - Group 2
14 BAYANAN MAIN ELEM. SCHOOL 12 POBLACION ELEM. SCHOOL 2 R. T. C.- BR. 204
5 ZONING OFFICE 3 R. T. C.- BR. 205
11 SUCAT ELEM. SCHOOL 12 PUTATAN ELEM. SCHOOL
4 ANTI-GRAFT OFFICE 3 R. T. C.- BR. 206
5 A.L.S.
13 BUDGET OFFICE

.., 13 SOLDIERS HILLS E.S. 5 R. T. C.- BR. 207

42 BPLO 25 VICE MAYOR'S OFFICE 18 OSCA 54 MCTI 8 M.B.H.S.
18 M.B.H.S. - SUCAT ANX 12 TUNASAN ELEM. SCHOOL 5 R. T. C.- BR. 256
15 DAPCO 13 MSP
11 SITIO BAGONG SILANG ELEM. SCH. 7 VICTORIA HOMES E.S. 4 R. T. C.- BR 276
2 D.I.L.G.
9 SITIO PAGKAKAISA E.S.-ANNX 10 POBLACION NATIONAL H.S. 1 R.T.C.- BR. 8-FC
2 R.T.C.- OCC

Booth 5 45 :'..e • 40 ..Booth 5 . .Booth 5 10 SOAKS

40 Booth 5 34 Booth 5 39
30 CITY SECURITY OFFICE - Batch 1 40 CITY SECURITY OFFICE - Batch 2 23 M.N.H.S. -TUNASAN ANNEX 3 P.R.C.
40 TREASURERS OFFICE 26 CITY VET. OFFICE 39 GAD OFFICE
25 M.N.H.S. 6 POLICE DEPT.
8 CITY COOP. OFFICE 15 MOTORPOOL
3 B.J.M.P.
7 N.B.I.
. .
33 Booth. 6 Booth 6
30 Booth 6 32 B.. .6 ,s Bo9th...6
28 L.C.R. 35 POSC - Batch 1 35 POSO - Batch 2 30 ECED
26 MIS OFFICE 15 EPNRO
15 U.P.A.O. 3 BAYANAN BULILIT CENTER
13 PESO 7 ARCHITECTS OFFICE
6 ASSETS MGMT. OFFICE
4 RECORDS OFFICE
Boot4 7 13 Booth 7 0 Booth 7
, . ,43ooth 7 , -:., .- :90#1..... . . — .-47,-.,Booth 7:, 47
29 JRF PROGRAM 47 MCPM - Batch 1 47 MCPM - Batch 2 9 COMELEC
20 ASSESSOR'S OFFICE 45 ENGINEERING OFFICE - Batch 2A
9 EXTENSION SERVICES OFFICE 4 L.T.O.
13 LEGAL OFFICE
8 PIO 6 CITY LIBRARY

Both 8
43 ESC - Batch 2 43 ESC - Batch 3 43 ESC - Batch 4
45 ENGINEERING OFFICE - Batch 1 21 ENGINEERING OFFICE - Batch 2B 37 TOAD 44 3S0 Batch 1
25 BUILDING OFFICE

42 MTMB - Batch 1 42 WTMB - Batch 2 42 MTMB - Batch 3 42 MTMB - Batch 4

47 DDRM - Batch 1 46 DDRM - Batch 2 25 YASDO
17 PROSECUTORS OFFICE

111
38 CITY HEALTH OFFICE - Batch 5 58 PLMUN - Batch 1 58 PLMUN - Batch 2B
38 CITY HEALTH OFFICE - Batch 1 38 CITY HEALTH OFFICE - Batch 2 38 CITY HEALTH OFFICE - Batch 3 38 CITY HEALTH OFFICE - Batch 4

43 OSMUN - Batch 5A 43 OSMUN - Batch 6A 43 OSMUN - Batch 7A

44 OSMUN - Batch 1A 44 OSMUN - Batch 2A 44 OSMUN - Batch 3A 43 OSMUN - Batch 4A

44 OSMUN - Batch 58 44 OSMUN - Batch 6B 44 OSMUN - Batch 7B

44 OSMUN - Batch 1B 44 OSMUN - Batch 2B 44 OSMUN - Batch 3B 44 OSMUN - Batch 4B
 gr t :I:.
„ ,ii,-iilgitiliawt41 '
nti,,r,( , REPUBLIC OF THE PHILIPPINES ....-....
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3/4.:11
PHILIPPINE STATISTICS AUTHORITY f .),,,
- .0
v•., 0 ,1 •.- PhilSys Registration Form 1A
ry ..,. _..„.,
. ,, FOR 5 YEARS OLD AND ABOVE L...`..:-LPI
Please read the instructions at the back before filling out this form. Print all information in CAPITAL letters
and use BLACK ink only. Place an "X” mark on the applicable items.
1 NAME

TH ISIN FORMATION WILL BE PRINTED ON THE PHILIDCARD

(FIRST NAME) (MIDDLE NAME) (LAST NAME) (SUFFIX)

2 SEX 3 DATE OF BIRTH

III MALE • FEMALE 1

Y Y Y Y M M D D
4 PLACE OF BIRTH

(CITY/MUNICIPALITY) (PROVINCE) (COUNTRY)

5 BLOOD TYPE 6 FILIPINO OR RESIDENT ALIEN
TYPE: IIII UNKNOWN
• FILIPINO • RESIDENT ALIEN

7 MARITAL STATUS (OPTIONAL)

M SINGLE II MARRIED MI WIDOWED II DIVORCED • LEGALLY SEPARATED
111 ANNULLED IIII NULLIFIED
8 A. PERMANENT ADDRESS

(RM/FLR/UNIT NO. BLDG NAME) (HOUSE/LOT/BLOCK NO.) "STREET) (SUBDIVISION)

(BARANGAY) (CITY/MUNICIPALITY) (PROVINCE/STATE) (COUNTRY)

B. PRESENT ADDRESS (OPTIONAL) 0 SAME AS PERMANENT ADDRESS
FOR PRO CESSINGPURPOSES ON LY

(RM/FLR/UNIT NO. BLDG NAME) (HOUSE/LOT/BLOCK NO.) (STREET) (SUBDIVISION)

(BARANGAY) (CITY/MUNICIPALITY) (PROVINCE) (COUNTRY)

9 MOBILE NUMBER (OPTIONAL) 10 EMAIL ADDRESS (OPTIONAL)

PhilSys notification will be sent through the provided mobile number. PhilSys notification will be sent through the provided email address.
11 SU PPORTING DOCUMENT/S PRESENTED (Indicate the document/s presented as listed at the back of the Form.)
TYPE OF DOCUMENTS BReN/ID Number/ACR I-Card Number
1
2
12 MODE OF PHILID DELIVERY
• DELIVER TO PERMANENT ADDRESS
IN DELIVER TO PRESENT ADDRESS
DISCLOSURE UNDER SECTION 12 OF DATA PRIVACY ACT OF 2012 (RA No. 10173):
I hereby declare that I am fully aware that the above data shall be used for securing a PhilSys Number (PSN) under the
Philippine Identification System, issuance of Phi/ID, authentication and/or updating my demographic and biometric information
in the PhilSys Registry. I trust that the above information shall remain confidential, hence, I give my consent that the same data
be accessed for subsequent validation, verification, and other purposes consistent with the objectives of the PSA under RA No.
11055. 1 further affirm that all statements/information appearing in this registration form are made by me, true, correct, and
complete to the best of my knowledge and belief.
(FOR the Applicant who CANNOT SIGN, AFFIX fingerprints
in the presence of a PhilSys Registration Personnel.)

APPLICANT'S SIGNATURE OVER PRINTED NAME

(Must be signed in the presence of a PhilSys Registration Personnel)

DATE LEFT THUMB RIGHT THUMB

FOR THE USE OF THE PHILIPPINE STATISTICS AUTHORITY ONLY. PLEASE DO NOT WRITE BELOW THIS LINE.
SCREENER ENCODER BIOMETRIC EXCEPTIONS
(To be filled out by the Supervisor)
0FRONT FACING PHOTOGRAPH MI IRIS SCAN
0 FINGERPRINTS El Left I ris
Specify: 0 Right Iris

SIGNATURE OVER PRINTED NAME _ SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME DATE:
 INSTRUCTIONS
THIS FORM IS TO BE FILLED OUT WITH INFORMATION OF THE APPLICANT AGES FIVE (5) YEARS OLD AND ABOVE.
A.
FILL-OUT THIS FORM IN ONE (1) COPY. AVOID ERASURES AND ALTERATIONS. LINE OUT OR STRIKE THROUGH ANY
B.
ERRONEOUS ENTRY ONCE AND PUT YOUR INITIALS ABOVE THE ERASURE.
C. PLACE AN "X" MARK ON THE APPLICABLE ITEMS.
D. FILL-OUT THE APPROPRIATE ITEMS IN THE SPECIFIEDN/A" FORMAT.
OR "NOT APPLICABLE".
-
E. IF A REQUIRED FIELD IS NOT APPLICABLE, INDICATE
Indicate your Full Name starting from your First Name, Middle Name, Last Name, and Suffix.
1. NAME
Example: JUAN SANTOS DELA CRUZ JR
(FIRST NAME) (MIDDLE NAME) (LAST NAME) (SUFFIX)
2. SEX Place an "x" mark on the selected box.
Example: OMALE D FEMALE
3. DATE OF BIRTH
Fill in Date of Birth in YYYY-MM-DD
Example: 1983-09-10
(YYYY-MM-DD)
For Filipino citizen, indicate the name of the City/Municipality and Province of your Place of Birth.
4. PLACE OF BIRTH
Example: SAN JUAN METRO MANILA PHILIPPINES
(City/Municipality) ( Province) (Country)
For Resident Alien, indicate the Country of your Place of Birth. Leave the City/Municipality blank
Example: NIA NIA USA
(City/Municipality) (Province) (Country)
Indicate your Blood Type. If unknown, put an "X" mark on the box provided.
5. BLOOD TYPE
Example: Ty e: AB+
Al UNKNOWN
Place an "X" mark on the selected box if Filipino or Resident Alien.
6. FILIPINO OR RESIDENT ALIEN
Example: EI FILIPINO ❑ RESIDENT ALIEN
Place an "X" mark on the selected box.
7. MARITAL STATUS (OPTIONAL)
Example: D SINGLE D MARRIED ❑WIDOWED ❑DIVORCED 0 LEGALLY SEPARATED
❑ ANNULLED 0 NULLIFIED
married woman presenting a supporting document reflecting her maiden. name bUtchooses to use her - married name, she must
Note: if a
present a PSA - issued Certificate of Marriage.
8. A. PERMANENT ADDRESS Indicate your complete address.
B. PRESENT ADDRESS (OPTIONAL)
Example:
A. PERMANENT ADDRESS
Block 143 ATIS MASAYA MALIGAYA QUEZON CITY METRO MANILA PHILIPPINES
Rm 143
(Rm/FIr/Unit No. Bldg Name) (House/Lot/Block No) (Street) (Subdivision) (Barangay) (City/Municipality) (Province) (Country)

B. PRESENT ADDRESS (OPTIONAL)

ARAW MASAGANA MAPAYAPA MAKATI METRO MANILA PHILIPPINES
3rd Fir Lot 123
(Rm/FIr/Unit No. Bldg Name) (House/Lot/Block No) (Street) (Subdivision) (Barangay) (City/Municipality) (Province) (Country)
For Resident Allen, indicate the Permanent Address that you are using in your country and the Present Address here in the Philippines.
Example:
A.PERMANENT ADDRESS
Lot 5 APPLE CALIFORNIA USA
Unit 143 (Country)
(Rm/FIr/Unit No. Bldg Name) (House/Lot/Block No) (Street) (Subdivision) (Barangay) (City/Municipality) (Province/State)
B. PRESENT ADDRESS (OPTIONAL) RIZAL PHILIPPINES
3rd FIr Block 5 IRIS PSA MAAYOS ANTIPOLO
(Rm/FIr/Unit No. Bldg Name) (House/Lot/Block No) (Street) (Subdivision) (Barangay) (City/Municipality) (Province) (Country)
9. MOBILE NUMBER (OPTIONAL) Indicate your primary Mobile Number. In case the applicant is a minor, the Mobile Number of the
parent or guardian may be indicated.
Example: MOBILE NUMBER (Optional) 0918XXXX991
PhilSys notification will be sent through the provided mobile number only
10. EMAIL ADDRESS (OPTIONAL) Indicate your active Email Address. Email address Is not case sensitive and small letters will be
accepted by the screener.
Example: EMAIL ADDRESS (Optional) philsysepsa.nov.ph
PhilSys notification will be sent through the provided email address only
11. SUPPORTING DOCUMENT/S PRESENTED Write the name of the supporting documents presented. Refer to the list of supporting
documents below.
BReNIID Number/ACR I-Card Number Write the BReN, ID Number and ACR I-Card Number
Example: SUPPORTING DOCUMENT/S PRESENTED BReN/ID Number/ACR I-Card Number
1. PSA-issued Certificate of live Birth BReN 123XYJ(XXXX)00(
2. Postal ID ID No. 123X)0000000(
12. MODE OF PHILID DELIVERY
❑ DELIVER TO PERMANENT ADDRESS Put an "X" mark on the box if you want your PhilID card to be delivered at your Permanent Address.
❑ DELIVER TO PRESENT ADDRESS Put an 'X" mark on the box if you want your PhilID card to be delivered at your Present Address.

SUPPORTING DOCUMENTS
The duly accomplished application form shall be supported by presenting an original copy of any of the following PRIMARY supporting documents:
1. PSA-issued Certificate of Live Birth AND one (1) government-issued identification document with full name, photo and signature or thumbmark
2. DFA-issued Philippine Passport
3. GSIS or SSS-issued Unified Multi-Purpose Identification (UMID) Card
4. LTO-issued Student's License Permit or Non-Professional/Professional Drivers License
If the above-mentioned documents are not available, present an original copy or any of tne meowing oct..VPIWARY supporting
1. PSA-issued Certificate of Live Birth / NSO-issued Certificate I 12. License to Own or Possess Firearms (LTOPF)
of Live Birth with Birth Reference Number (BReN) 13. National Bureau of Investigation (NBI) Clearance
2. LCRO-issued Certificate of Live Birth 14. Police Clearance
3. PSA-issued Report of Birth 15. Solo Parent ID
4. PSA-issued Certificate of Foundling 16. Person With Disability (PWD) ID
5. Integrated Bar of the Philippines (IBP) ID 17. Voter's ID
6. Professional Regulation Commission (PRC) ID 18. Postal ID
7. Seaman's Book 19. Taxpayer Identification Number (TIN) ID
8. Overseas Workers Welfare Administration (OWWA) 20. PhilHealth ID
OFW a-card/00LE OFW ID 21. Philippine Retirement Authority (PRA)- issued
9. Senior Citizen Identification Card Special Resident Retiree's Visa (SRRV)
10. Social Security System (SSS) ID 22. National ID from other countries
11. Pantawid Pamilyang Pilipino Program (4Ps) ID 23. Residence ID from other countries
The following secondary supporting documents MUST have a front-facing photograph, signature/thumbmark, full name, permanent address,
and date of birth to be accepted:
24. Employee ID 27. Barangay ID
25. School ID 28. City/Municipality ID
'JA Rnrmnnav flaaranrpillarannav C.Prtifirafn
For Resident Aliens: For Stateless Persons and Refugees:
1. Valid Foreign Passport; and Alien Certificate of Registration (ACR) 1. Certificate of Recognition issued by Refugees and
2. Alien Certificate of Registration (ACR) or Stateless Persons Protection Unit (RSPPU)
Alien Certificate of Registration Identification Card (ACR i-Card) of the Department of Justice (DOJ)

THIS FORM IS NOT FOR SALE