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  • AGILA New ID FORM

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    RYAN BUDUMO
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    This document is a national ID application form for Robert Liquid UGAY to the Fraternal Order of Eagles. It provides his personal details such as name, address, contact details, birthdate, membership details including the club he is affiliated with. It requires signatures from the club president and regional governor to endorse and approve the application.

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    AGILA-New-ID-FORM

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    This document is a national ID application form for Robert Liquid UGAY to the Fraternal Order of Eagles. It provides his personal details such as name, address, contact details, birthdate, membership details including the club he is affiliated with. It requires signatures from the club president and regional governor to endorse and approve the application.

    Copyright:

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

    AGILA New ID FORM

    Uploaded by

    RYAN BUDUMO
    This document is a national ID application form for Robert Liquid UGAY to the Fraternal Order of Eagles. It provides his personal details such as name, address, contact details, birthdate, membership details including the club he is affiliated with. It requires signatures from the club president and regional governor to endorse and approve the application.

    Copyright:

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

    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:

    UGAY , ROBERT LIQUIDO MEMBER


    HOME ADDRESS:
    P7 MAYGATASAN ,BAYUGAN CITY, AGUSAN DEL SUR
    PERSONAL HEIGHT: ( FEET ) WEIGHT KGS BLOOD TYPE RELIGION
    CONTACT
    NUMBER:

    09126807050 5”5 80 KGS. “O” BIBLE BAPTIST

    CONTACT PERSON IN CASE OF EMERGENCY CONTACT NO.:

    MARITES L. UGAY 09302066993


    BIRTH DATE: BIRTH PLACE :

    FEBRUARY 04,1970 POBLACION,BAYUGAN CITY


    GSIS/SSS: PHILHEALTH NO: PAG-IBIG NO: TIN NUMBER
    1 006-0029-2060-3 18-000008913-1 1830-0058-5605 180-029-527
    CLUB AFFILIATION : REGION:
    San Luis Wickers Eagles Club Caraga Region 1
    CLUB PRESIDENT: CONTROL NO.
    Eagle MARLON D. ACLAN

    CLUB PRESIDENT'S SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER’S SIGNATURE


    (please sign inside the box) (please sign inside the box)
    Indorsed by: Approved by:

    Eagle Eagle
    REGIONAL GOVERNOR E.Y.2023 National President Eagle Year 2023

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