BUREAU OF FIRE PROTECTION

ID APPLICATION FORM
(PRINT LEGIBLY)

Fill in all applicable spaces. Check all appropriate boxes. ( See reverse side for requirements ).

Uniformed Personnel New Lost

Non-Uniformed Personnel Renewal Replacement

PERSONAL DATA

Last First Middle

APPLICANT’S
NAME

Badge No. Civil Status

RANK
Acct No. Sex
Present Unit
POSITION TITLE:
Assignment/
(For NUP only)
Designation
Weight Kilogram (kg) Height Meters (m)
Color of eyes Color of Hair
Blood Type Religion
Date of Birth
TIN
(mm/dd/yy)
PAG-IBIG MID
Philhealth No.
No.
GSIS Policy No. Identifying Mark
Home Address
Person to notify in case of
emergency/ Telephone No. or
Cellular Phone No.
Educational Post Graduate Studies
Attainment (Course) Attended

Eligibility Highest Mandatory Training

Date Entered Gov’t Service Date Entered Fire Service
(mm/dd/yy) (mm/dd/yy)
Date of Commission
Status of Appointment
(for officers only)

Date

I declare under oath that all entries on this form are true and correct pursuant to the provision of
pertinent laws, rules and regulations of the Republic of the Philippines.

(Please affix your signature and right thumb mark on the space provided below)

PASSPORT SIZE COLORED

PICTURE WITH BLUE
BACKGROUND

Signature of applicant (black pen) IN GOA FOR UNIFORMED

PERS & BARONG FOR NUP
Verified by:
PICTURES MUST BE
Signature over Printed Name WITHOUT HEADGEAR,
(Records/Admin Officer) MOUSTACHE OR EYE
GLASSES.
 Right thumb mark (black ink)

REQUIREMENTS
 NEW- fully accomplished form and authenticated copy of appointment
 RENEWAL- fully accomplished form, expired ID and receipt of payment
 LOST- fully accomplished form, notarized affidavit of lost and receipt of
payment
 REPLACEMENT- fully accomplished form, Old ID, authenticated copy of
appointment (if newly promoted) and receipt of payment.