FOR COURIER PUR

How do you want

to receive your ID
card and other COMPLETE NAME OF
Email Address certificate? RECIPIENT COMPLETE ADDRESS
FOR COURIER PURPOSES ONLY

PROOF OF
PAYMENT OPTIONS PAYMENT FOR
ZIP CODE PROVINCE REGION SECTOR (for courier only) THE COURIER
ANNUAL REGISTRATION / Member Applicant Information
MIDDLE NAME
SURNAME GIVEN NAME (Type in all caps) DATE OF BIRTH
(Type in all caps) (Type in all caps) - if not applicable type n/a (mm/dd/yyyy)
 ADDRESS MOBILE NUMBER TAX IDENTIFICATION
(Permanent address) (Active mobile number) NUMBER
 PRC ID
EXPIRATION UPLOAD PASSPORT
AFFILIATION DATE SIZE ID PICTURE WITH
(School / Work) PRC NUMBER (mm/dd/yyyy) WHITE BACKGROUND.
UPLOAD THE PROOF
OF PAYMENT (FOR THE
MEBERSHIP FEE)
How do you want to receive
your ID card and other
certificate? DELIVER PICKUP
SECTOR LUZON VISAYAS MINDANAO
PAYMENT OPTIONS GCASH PAYMAYA
(for courier only) (09279202420) (09981764979)