1) The document is a national ID application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization.
2) The applicant is Jose Ramon Eveverria De Leon, president of the Legazpi City Sandigan Eagles Club in Region XVI.
3) Key personal details are provided such as date of birth, place of birth, contact numbers, blood type, and religion.
1) The document is a national ID application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization.
2) The applicant is Jose Ramon Eveverria De Leon, president of the Legazpi City Sandigan Eagles Club in Region XVI.
3) Key personal details are provided such as date of birth, place of birth, contact numbers, blood type, and religion.
1) The document is a national ID application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization.
2) The applicant is Jose Ramon Eveverria De Leon, president of the Legazpi City Sandigan Eagles Club in Region XVI.
3) Key personal details are provided such as date of birth, place of birth, contact numbers, blood type, and religion.
(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