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L THE FRATERNAL ORDER OF Eagles

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

NATIONAL I.D. APPLICATION FORM


NAME: ( LAST NAME, FIRST NAME, MIDDLE NAME ) CLUB POSITION:
DE LEON, JOSE RAMON EVEVERRIA PRESIDENT
PERSONAL CONTACT NUMBER: HEIGHT: ( FEET ) WEIGHT BLOOD RELIGION:
( KGS ) TYPE:
09171462246 5’3” 57 A+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.
MERCIELEN R. DE LEON 09171025043

BIRTH DATE: BIRTH PLACE:


MARCH 3, 1964 LEGAZPI CITY

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

CLUB AFFILIATION: REGION:

LEGAZPI CITY SANDIGAN Eagles Club NCR XVI

CLUB PRESIDENT: MEMBER CONTROL NO.


Eagle JOSE RAMON E. DE LEON

PRESIDENT SIGNATURE MEMBER SIGNATURE


Endorsed by: Approved by:

Eagle ROGELIO “Don” RONTAS JR. Eagle NELSON ALONTO SARAPUDDIN


REGIONAL GOVERNOR, BICOL REGION EY 2021 NATIONAL PRESIDENT EY 2021

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