CUBIC HOMES SUBDIVISION HOMEOWNERS’ ASSOCIATION
Barangay Merville, Parañaque City
I.D. CARD APPLICATION
I.D. No.: _________________________ Date: _________________________
CARD TYPE: ( ) Stay-In Employee ( ) Stay-Out Employee
____________________ ____________________ ____________________ __________________
First Name: Middle Name: Family Name: Nickname/Alias:
__________________________________________ ____________________ __________________
Home Address: Telephone No.: Mobile No.:
_______________ _______________ _______________ _______________ _______________
Date of Birth: Place of Birth: Civil Status: Gender: Occupation:
______________________________ LEFT RIGHT ATTACH
THUMBMARK THUMBMARK 1x1 PHOTO
SIGNATURE OF APPLICANT
Requirement: 2pcs. 1x1 photo, white background
HOMEOWNER’S ENDORSEMENT
Homeowner: __________________________________________________________________________
Address: _____________________________________________________________________________
Telephone No.: ______________________________ Mobile No.: ______________________________
I respectfully endorse the above applicant. I attest to his/her identity and character. As his/her
employer, I will have responsibility for him/her.
______________________________
Signature
APPROVED BY:
For CSHAI Office Only
______________________________
MARLON CO O.R. No./Date: ____________________
President Treasurer: ____________________