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PHILIPPINE ARMY

RESERVIST INFORMATION DATA SHEET

1. PERSONNEL INFORMATION
Rank Last Name First Name Middle Name AFPSN BrSVC
PVT NADAL REN OWEN IMMANUEL ABRASALDO PA
AFPOS / MOS Source of Commission / Enlistment
O INF O SC O AGS O GSC O MNSA O MS-43 O ROTC O CAA (CAFGU)
O CAV O QMS O FS O MNSA O ELECTED O POTC O CMT O MOT (PAARU)
O FA O MI O RES O PRES APOINTEE O CBT COMISION O BCMT
O DEGREE HOLDER O EX-AFP O SBCMT
Initial Rank Date of Comsn/Enlst Authority Reservist Classification Mobilization Center
ARESCOM O READY O RETIRED 703RD CDC CAMP
O STANDBY LEON KILAT
Designation Squad / Team / Section Platoon Company Battalion / Brigade / Division
1ST GOLF
Size of Combat Shoes Size of Cap (cm) Size of BDA
11 57 XL
2. PERSONAL INFORMATION
Present Occupation Company Name & Address Office Tel Nr
STUDENT NORSU BAIS CAMPUS 1 , BAIS CITY , NEGROS ORIENTAL
Home Address: Street / Barangay Town / City / Province / ZIP Code Res.Tel.Nr

BAIS HIGHLANDS SUBD, TAMISU BAIS , NEGROS ORIENTAL


Mobile Tel Nr Birth Date(01-Jan-1999) Birth Place (Municipality, Province) Age Religion Blood Type

09069544347 22 – APR – 2001 DUMAGUETE,NEGROS OREINTAL 21 ROMAN CATHOLIC O+


T.I.N. SSS Nr: PHILHEALTH Nr: Height: cm Weight: kgs Marital Status Sex
170 83 O Single
O Widow
O Married
O Separated
O Male
O Female
FB Account: NADAL REN OWEN IMMANUEL Email Address:OWENSKIE042201@GMAIL.COM
Special Skills: NONE Language/Dialect Spoken: ENGLISH, FILIPINO, BISAYA

3. ATTACHED THE FOLLOWING ORDERS AND DOCUMENTS


a. COMMISSION ORDER/ INCORPORATION ORDER / ENLISTMENT ORDER
b. PROMOTION ORDERS / DEMOTION ORDERS
c, PRE-ENTRY, MILITARY TRAINING AND SEMINAR ORDERS AND CERTIFICATE
d. AWARDS ORDER AND CERTIFICATES
e. DEPENDENTS DOCUMENT
f. HIGHEST EDUCATIONAL ATTAINMENT DIPLOMA OR TOR
g. CAD / OJT / ADT ORDERS
h. UNIT ASSIGNMENT ORDERS
i. DESIGNATION ORDERS

I HEREBY CERTIFY that all entries in this document are correct.

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SIGNATURE
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LT COL LUCELO Q BETINOL (INF) PA
Attesting Personnel

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