You are on page 1of 27

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:


DELA CRUZ, AMADOR FORONDA TREASURER
HOME ADDRESS:
BEDDENG DAYA, VIGAN CITY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09957333850 5’2 57kg IGLESIA NI
CRISTO
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MACRINA U. DELA CRUZ 09156566205
BIRTH DATE: BIRTH PLACE:
MAY 02, 1972 TAMORONG, Sta. CATALINA, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
01-1470618-0 05-050057511-2 941-420-033
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2022
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:


ULLERO, RONIE DUMADAG PEACE OFFICER
HOME ADDRESS:
BRGY. QUEZON, CABUGAO, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09179350466 5'6" 1/2 74kg AB ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
FE DONGLAYAN ULLERO 09353304716
BIRTH DATE: BIRTH PLACE:
SEPTEMBER 30, 1980 MAGSINGAL, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
050500724665 128000842390 258-274-917
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


REYES, JOEMAR RAPING CARE CHAIRMAN
BOARD OF DIRECTORS
HOME ADDRESS:
BAYUBAY SUR, SAN VICENTE, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09178851650 5’5 90kg A ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MARJORIE R. REYES 09175792208
BIRTH DATE: BIRTH PLACE:
AUGUST 22, 1977 SAN VICENTE, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
01058873900 234-477-869
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


VALLE, GILBEES JHON A. AUDITOR
HOME ADDRESS:

PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09065753490 5’10 85kg O ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
DIVINA RAMOS 09179350607
BIRTH DATE: BIRTH PLACE:
MARCH 06, 1984 SAN JUAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.

CLUB AFFILIATION: REGION:


ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


REBIBIS, WILLIAM VISORIA VICE PRESIDENT
HOME ADDRESS:
NAGSABARAN, SAN JUAN, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09065676278 5’10 76kg A+ ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
GRACE ENESIO REBIBIS 09178125699
BIRTH DATE: BIRTH PLACE:
NOVEMBER 24, 1963 SAN JUAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.

CLUB AFFILIATION: REGION:


ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


LAOTO, BENEDICT UY. REGIONAL
ASSEMBLYMAN
HOME ADDRESS:
#06 HILLTOP, TAMAG, VIGAN CITY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09088161986 5’6 72 Kg 0+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
CHARMILYN APPLE R. TAMAG 09688579907
BIRTH DATE: BIRTH PLACE:
NOVEMBER 17, 1971 METRO MANILA
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
33-0867135-8 190899497698 201-989-334
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


REODIQUE, GERONIMO RONQUE MEMBER
HOME ADDRESS:
SAN ISIDRO, SAN JUAN, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09052585107 5'7 73kg B+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
EFREN MELANIE REODIQUE
BIRTH DATE: BIRTH PLACE:
September 30, 1969 SAN JUAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.

CLUB AFFILIATION: REGION:


ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


BACNIS, RAFAEL HOPE S. MEMBER
HOME ADDRESS:

PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09265118269 5'4 65kg B+ ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:

BIRTH DATE: BIRTH PLACE:


OCTOBER 4, 1981 CABAUATAN CITY, NUEVA ECIJA
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
0113-0875288-4 050257167388 1212-4053-0465 483-313-587-000
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


VALLEDOR, VICTOR VILLON MEMBER
HOME ADDRESS:
LAPTING, SAN JUAN, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09176683001 5'6 64kg AB+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
DELY SAVELLANO VALLEDOR
BIRTH DATE: BIRTH PLACE:
APRIL 12, 1964 SAN JUAN, ILOCOS SIR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
05-000049850-2 137-428-787
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


VALDEZ, ARVIN CHESTER PEACE OFFICER
HOME ADDRESS:

PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09456683075 5'8 69kg AB ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
KATRINA S. VALDEZ 09270613042
BIRTH DATE: BIRTH PLACE:
OCTOBER 17, 1988 SALOMAGUE, CABUGAO, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
01-25518228 05-0502790371 121163063081 479-448-678
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


CANONIZADO, JEOBEN RABANG BOARD OF DIRECTORS
HOME ADDRESS:
BALALENG LAUDENIA, BANTAY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
0916-497-3324 5’7 90kg AB+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
JOANA MARIE B CANONIZADO 0927-378-8943
BIRTH DATE: BIRTH PLACE:
MARCH 3, 1994 BANTAY, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
2005131649 050502505774 121130385892 457541969
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle _______________________________
Eagle RONALD Y. USON VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
__________________________________
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


RAMOS, CLOWIE ESTEBAN MEMBER
HOME ADDRESS:
BRGY. CARUSIPAN, CIS
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09754268794 5’10 82kg B ROMAN
CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:

BIRTH DATE: BIRTH PLACE:


FEBRUARY 08, 1996 BANTAY, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
050255104702
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


ALAFRIZ BELAURIE BEGONIA PROTOCOL OFFICER
HOME ADDRESS:
AYUSAN SUR, VIGAN CITY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
0917-714-5181 5’10” 93 kg “O” BORN AGAIN
CHRISTIAN
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
LOIDA ALAFRIZ
BIRTH DATE: BIRTH PLACE:
DECEMBER 5, 1978 VIGAN CITY, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
01-1231815-6 917-198-787
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB / NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:


Eagle RONALD Y. USON Eagle _______________________________
__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


BRILLANTES, GERRY T. MEMBER
HOME ADDRESS:
SAN JUAN, ABRA
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09267338051 5’9 78kg O ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:

BIRTH DATE: BIRTH PLACE:


OCTOBER 09, 1961 SAN JUAN, ABRA
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
33-9989326-8 06-25388221-5
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB / NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:


Eagle RONALD Y. USON Eagle _______________________________
__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


JAVILLONAR, ARNULFO C. MEMBER
HOME ADDRESS:
STA. CRUZ, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09562937667 5’7 65kg AB ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:

BIRTH DATE: BIRTH PLACE:


AUGUST 13, 1962 STA. CRUZ, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
33-2094997-4 03-25018544-4 154-258-101
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON


__________________________________ Eagle _______________________________
REGIONAL GOVERNOR / REGION VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


FRANDO, SEVERINO JR VALENCIA PRESIDENT
HOME ADDRESS:
LAPTING, SAN JUAN, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09953062990 5’5 75kg O ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
IVISPER FRANDO 09614953334
BIRTH DATE: BIRTH PLACE:
JANUARY 28, 1976 SAN JUAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
19-000212745-1 907-538-610
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB / NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
__________________________________
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


TABUSO, RANDY QUEROL MEMBER
HOME ADDRESS:
STO. DOMINGO, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09167309889 5’9 75kg O ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
GERALDINE C. TABUSO
BIRTH DATE: BIRTH PLACE:
OCTOBER 13, 1979 STO. DOMINGO, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
05-200413570-9 1211-8720-6775 297-874-450
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION

APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

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:


TRIBUNAL/ GRIEVANCE
FABILLARAN, RONALD ORTIZ CHAIRMAN
HOME ADDRESS:
CABAROAN DAYA, VIGAN CITY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09672848677 5”5 65 B+ ROMAN CATHOLIC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
ARNOLD A FABILLARAN 09153185702
BIRTH DATE: BIRTH PLACE:
JULY 23,1991 VIGAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
2004863061 05-025469149-3 1211-5804-7951 280-914-620
CLUB AFFILIATION:REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


( Pls sign inside the box) ( Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON


__________________________________ Eagle
REGIONAL GOVERNOR / REGION _______________________________
VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


RABACAL STEVE BERMILLO MEMBER
HOME ADDRESS:
BAYUBAY SUR, SAN VICENTE, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09060786535 5” 6 72 KGS B RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MARY CRIS A RABACAL 09974301092
BIRTH DATE: BIRTH PLACE:
JULY 11, 1982 SAN VICENTE ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
050000778491 1210-26867222 030-209-209
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


RAMOS FRANCIS TORRICER Board of Director
HOME ADDRESS:
CAMESTIZOAN, STO SOMINGO, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09272591232 5’7 82 B RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MARICHU RAMOS 09451526625
BIRTH DATE: BIRTH PLACE:
APRIL 19, 1982 STO DOMINGO, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
050500818465 128001079700 939-208-888
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


QUILANA JOEL ESTOESTA MEMBER
HOME ADDRESS:
CAMANGGAAN, VIGAN CITY
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09354406252 5’5 72 AB RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
TERESITA QUILANA 09276615225
BIRTH DATE: BIRTH PLACE:
AUGUST 3 1996 AGOO, LA UNION
GSIS/SSS: PHILHEALTH: PAG-IBIG:
01 283732 4 050257039525 121233980051 486 807 332
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


INOCENCIO JERICO JORGE CORPUZ MEMBER
HOME ADDRESS:
151 BUGAYONG, BINALONAN, PANGASINAN
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09266320918 5’7 78 A RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
GRACE INICENCIO 09435962231
BIRTH DATE: BIRTH PLACE:
10 26 1977 STA MESA MANILA
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
02004113223 03 00025226710 1212 0093-9131 401 883-449
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


BALBIN RAFAEL ABOY MEMBER
HOME ADDRESS:
ALLANGIGAN 2nd CANDON CITY, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09275802697 5’10 80 O RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
GINA PASCUA BALBIN
BIRTH DATE: BIRTH PLACE:
01-27-76 BAGUIO CITY
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
02003931681 07050355260 108000846794 191 956 620
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


SEMANERO WEALTH AGULAY REGIONAL
ASSEMBLYMAN
HOME ADDRESS:
NAGSABARAN, SAN JUAN, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09179211111 5’3 75 A RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MARNELLI JOY SEMANERO 09157151055
BIRTH DATE: BIRTH PLACE:
JUNE 27, 1980 BATAC, ILOCOS NORTE
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
0001-1572925-0 05-050123838-1 1210-0898-3981 947-268-282
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


ANAPEN JIZON VER BOYONGAN MEMBER
HOME ADDRESS:
TADIAN, MT PROVINCE
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09203907860 5’5 70 A RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
CECILLA BONDAD 09173082251
BIRTH DATE: BIRTH PLACE:
01-29-1977 TADIAN ,T PROVINCE
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
040502129262 744591252000
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024
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:


DEL ROSARIO, ROGER, QUIOCHO MEMBER
HOME ADDRESS:
SALOMAGUE, CABUGAO, ILOCOS SUR
PERSONAL CONTACT NUMBER: HEIGHT: (FEET) WEIGHT (KGS) BLOOD TYPE: RELIGION:
09657116997 5’7 66 B RC
CONTACT PERSON IN CASE OF EMERGENCY: CONTACT NO.:
MARITESS BLESSIE DEL ROSARIO 09273575873
BIRTH DATE: BIRTH PLACE:
AUGUST 16, 1970 CAOAYAN, ILOCOS SUR
GSIS/SSS: PHILHEALTH: PAG-IBIG: TIN NO.
01-0959890-5 N/A 0007-160485-05 200-537-366
CLUB AFFILIATION: REGION:
ILOKANO FINEST Eagles CLUB/ NORTHERN ILOCOS REGION
CLUB PRESIDENT: MEMBER CONTROL NO.
Eagle FRANDO, SEVERINO JR VALENCIA

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE


(Pls sign inside the box) (Pls sign inside the box)

ENDORSED BY: RECOMMENDING APPROVAL:

Eagle RONALD Y. USON Eagle _______________________________


__________________________________ VICE-PRESIDENT FOR (ISLAND) EY 2022 TFOE-PE
REGIONAL GOVERNOR / REGION
APPROVED BY:

Eagle RONALD DELOS SANTOS


NATIONAL PRESIDENT EY 2024

You might also like