OCEAN VILLE COMMUNITY ASSOCIATION

Phase 2 Karagatan Village, Barangay Alasasin, Mariveles, Bataan

MEMBERSHIP REGISTRATION FORM

Registration Form No. ___________ (to be filled-out by Officer)

OCCUPANT’S STATUS: ______ OWNER _____ RENTER ______ RELATIVE

OCCUPANT’S BASIC INFO.

______________________________ _____________________________ ______________________

FAMILY NAME FIRST NAME MIDDLE NAME

ADDRESS: __________________________________________________________________________

OTHER INFORMATION: (Please check appropriate answer and fill in blanks.)

BIRTHDATE: _________________ CIVIL STATUS: _____________ RELIGION:

__________________

EDUCATION: _____ COLLEGE _____ VOCATIONAL _____ HIGH SCHOOL ______ ELEMENTARY

WORK/PROFESSION: _________________________________________________________________

OCCUPANT’S CONTACT INFO:

Mobile No.__________________Email Address_____________________ FB

Name_________________

OTHER OCCUPANTS:
Additional occupants may be added at the back of the form.

NAME AGE RELATION TO GENDER

OCCUPANT

1. _______________________________________ ________ ___________________ _____

2. _______________________________________ ________ ___________________ _____

3. _______________________________________ ________ ___________________ _____

4. _______________________________________ ________ ___________________ _____

5. _______________________________________ ________ ___________________ _____

MONTHLY CONTRIBUTION: Php 20.00

By signing this Registration Form, I hereby agree to be bound by any membership rules and regulations
put forward, agreed to and implemented by the Ocean Ville Community Association.

____________________________ ____________________________________________

DATE SIGNED REGISTERED MEMBER’S NAME AND SIGNATURE

Please return this form once completed.