LTO REGISTRATION FORM

PERSONAL INFORMATION PHYSICAL INFORMATION

LAST NAME: SKIN COLOR (LIGHT, FAIR, DARK):

FIRST NAME: BODY TYPE (LIGHT, MEDIUM, HEAVY):

MIDDLE NAME: EYE COLOR:

CONTACT NUMBER: HAIR COLOR:

WEIGHT (KG.):

ADDRESS HEIGHT (CM.)

HOUSE NUMBER: ORGAN DONOR (YES OR NO):

VILLAGE:

PROVINCE:

CITY: EMERGENCY CONTACT

BARANGAY: COMPLETE NAME:

BIRTHDATE (MM/DD/YYYY): ADDRESS:

GENDER: CONTACT NUMBER:

EDUCATIONAL ATTAINMENT:

CIVIL STATUS:

PLACE OF BIRTH:

MOTHER’S COMPLETE MAIDEN NAME:

FATHER’S COMPLETE NAME: