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  • Civilian Employee: Oooon

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    Rashdy Faijal
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    1) The document is an application form for a civilian employee position with the Armed Forces of the Philippines. It requests information such as the applicant's personal details, family details, contact information, identification numbers, and consent to use the information. 2) Applicants must submit requirements including a completed application form endorsed by their administrative officer, an appointment order or related document, and a recent photograph. 3) The form collects information like the applicant's name, date of birth, place of birth, marital status, parents' names, emergency contact, and thumbprint. It also includes a statement of consent for using the information.

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    Civilian_ID_Form

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    1) The document is an application form for a civilian employee position with the Armed Forces of the Philippines. It requests information such as the applicant's personal details, family details, contact information, identification numbers, and consent to use the information. 2) Applicants must submit requirements including a completed application form endorsed by their administrative officer, an appointment order or related document, and a recent photograph. 3) The form collects information like the applicant's name, date of birth, place of birth, marital status, parents' names, emergency contact, and thumbprint. It also includes a statement of consent for using the information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Civilian Employee: Oooon

    Uploaded by

    Rashdy Faijal
    1) The document is an application form for a civilian employee position with the Armed Forces of the Philippines. It requests information such as the applicant's personal details, family details, contact information, identification numbers, and consent to use the information. 2) Applicants must submit requirements including a completed application form endorsed by their administrative officer, an appointment order or related document, and a recent photograph. 3) The form collects information like the applicant's name, date of birth, place of birth, marital status, parents' names, emergency contact, and thumbprint. It also includes a statement of consent for using the information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ARMED FORCES OF THE PHILIPPINES

    10 APPLICATION FORM
    CIVILIAN EMPLOYEE

    ID No.: Control No.: _ REQUIREMENTS


    STATUS OF APPOINTMENT: 0 REGULAR [J CASUAL r----·
    · -------,
    1. Application form duly accomplished and

    FIRSTNAME: .lJDfJqqODOOOlJOpOUpwJpU[JpqLJ endorsed by their Admin Officer.


    2. Appointment Order I Plantilla, Promotion,
    MIDDLENAME: DDDDDDDBOeJLLlLJ[iU:JL 1LJi~rJ[J.JDlJ I L-
    Change of Marital Status whatever is applicable .
    -,--_ _ '---_--'
    .LASTNAME: llDDDll[JD DDDDL]CtfJDDuDUDDD

    -- APPUCABLE f{)R MARRIED FEMAlE - ;::=;-]

    I~EN'SMlOOlENAME:OOODDDOOOPDDUD[JDD~10P[JLJ~J~J I
    IfWOEN~lASTN#\E: !]OODDODODLJDDOuDOD110LJOOLljJ
    PASTE

    DESIGNATION: DOOOODDLIDOOIJDODDODCJ[J Recen! (15 deys old)


    2x2 colored pic lure
    VII whim back!jround
    OFFICE ASSIGNMENT:ODODODOOO[J[]ODOOCDlJ
    in prescribe unifo,.m

    HOME ADDRESS: ODOODlJDOCIODOODDeJDOlJiln]

    ODDOODOOOOOCIDODonODOITJ

    WEIGHT:~-=rIIJ kgs. HEIGHT: DDlJCJlJD BLOOD TYPE: rnu

    ems. l _

    OTHER IDENTIFYING DATA: DDD'l!llJrJn[JD[J~D[]DDD[]DO


    REUGION: l~:~OOOOOODD[]OT1N:lJDlJD[rJOOOOOD
    PHILHEALTH NO.: DDDDDDDDDDDOO[]O
    GSIS NO.: DDDDDDDDDDCJDDDD
    DATE OF BIRTH: (DD-MMM-YYYY): OD -LJOD -DODOGENDER:ocorno KEEP SIGNATURE INSIDE THE BOX
    (PLEASE USE StACK SIGN PEN)
    PLACE OF BIRTH: DODOlJrJiJOODDUO[JOOODClUO
    MARl
    (PLEASETALCHECK ONE) 0 SINGLE 0 MARRIED 0 WIDOWED lJ COURT
    STATUS: SEPARATED
    ORDERBY
    NAME OF PARENTS FATHER MOTHER'S MAIDEN NAME
    FIRSTNAME: 00000 DDDOD[) DDDDOODDOOIJO
    MIDDLENAME: OOOO[l
    LASTNAME: lJODOOL IOCODD OO[][J[][][![10DDO
    oooon DODDOIT::IDLJDlJO
    CRN (IF AVAILABLE(JOOOeJOOO!JDlJe] [1DClDO[[J[JDlJ[[]
    PERSON TO BE NOTIFIED IN CASE OF EMERGENCY AND RELATIONSHIP
    ODODLfJDDOC1DDLJDDDDO[][JDLJOC]eJLJelDOOD RIGHT THUMBMARK .

    ADDRESS OF PERSON TO BE NOTIFIED:


    DCLJDODOOCODOOOOOODODDDODDDOOODO
    D[JDL~rJDODC=OOIJDOOD CONTACTNO:DDDDDOODDODD

    ----. Statement of Consent ------~I


    [ declare that I am fUlly aware that the above data shall be used for securing my Common Reference Number (CRN) for the

    Unified Multi-Purpose 10 (UMIO) System or updating my personal data and that it shall form pari of the CRN Regisfry. Ilrust

    that the above data shall remain confidential hence I give my consent that the same data be secured and accessed for i

    subsequent validation, verification, and other purposes consistent with the objectives of the UM-ID System under Executive I

    Order No. 420 only. I further affirm Ihat all statements/data, which appear in this registration form and made by me are Irue
    and complete to the besl of my knowl~dge and belief

    I
    ,--_._-. -7-oArrSiGNED ---siGNATiJREOVE'R-PIUNTEONAME ~

    ~ ENDORSED BY: I',PPROVED BY:


    a: .SIGNATURE OVER PRINTED NAME PROCESSED BY:
    « VERIFIED BY : _
    L
    LU
    a: TAG, AFP / MAl SVC AD)
    RECORDED BY : _
    FrmCd:200701

    IO no.: (cia OTAG·PCRD) DATE: _ 10 no.: _ (cia OTAG-'PCRD) DATE: _

    firstnamel Lastname

    Control No.: (c/o GMP) Control No.: _ (cia GMP)

    1) Paid the amount of SEVENTY PESOS (PhP70.00) for AFP !.D.

    2) Please present this when claiming your AfP ID on _


    Received the amount of SEVENTY PESOS (PhP70,OO) for payment of AFP ID
    Cashier's Signature Cashier's Signature
    CLAIM STUB CASHIER'S COPY

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