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Office of The Assistant Chief of Staff For Personnel, G1: Camp O'Donnell, Brgy Sta Lucia, Capas, Tarlac

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ARMOR (PAMBATO) DIVISION, PHILIPPINE ARMY

OFFICE OF THE ASSISTANT CHIEF OF STAFF FOR PERSONNEL, G1


Camp O’Donnell, Brgy Sta Lucia, Capas, Tarlac

Print all entries as necessary

I - PERSONAL DATA
First Middle Surname
Name: Adrian
(MM/DD/YY)
Birth Date: Age: Sex: Tribe:
Region:
Birth Place:
Civil Status: Citizenship: Dialects:
Height: Weight: Skills:
Home Address:
Present Address:
II - EDUCATIONAL DATA
(Name of School) (Date Graduated)
Elementary:
(Name of School) (Date Graduated)
High School:
College:
Course:
_______________________________________________________________
____
No. of Units:
_________________________________________________________
______
Name of School:
_________________________________________________________
___ Date Graduated:
_________________________________________________________
___
Vocational Course (if any):
Course Taken:
_________________________________________________________
____ Date Graduated:
Civil Service Eligibility/Licensure:
Basic
ROT CM
CMT/ROTC Training: POTC Grad. C. T
Honors Received:
III - FAMILY DATA
Father’s Name: Age:
Occupation:
Address:
Mother’s Name: Age:
Occupation:
Address:
List Three (3) Character References (who are not you relatives)
Name Occupation Complete Home
Address
1.
2.
3.
Please answer the following questions:

1. Have you previously applied for any position in the PA? If yes, why were you not considered?
________________________________________________________________________________ 2. Do you have
any relative in the military? If yes, please indicate full name, rank and unit.
________________________________________________________________________________ 3. What/Who
motivated you to join the service?

________________________________________________________________________________

Date AccomplishedSignature of Applicant Attach 2X2 Picture


Date of Registration: here ______________________________

Candidate Soldier Applicants Data


First Name

Middle Name

Last Name

Birth Place

Birthday

Age

Skill

Level of Education

Course

CP Nr

Home Address

Region

Religion

Tribe

Blood Type

Mother or Father's Name

CP Nr

AFPSAT Result

Code
Endorser

BDU Size

Athletic Shoes

Tshirt

Short Pants

Height

Tin Nr:

Pag-ibig Nr:

Phil Health Nr

TABLEOFCONTENTS
A. Whole Body Picture (3R)

B. Accomplished Application Form/Resume with 2X2 ID Picture w/name tag

C. Birth Certificate (PSA Copy) with OR

D. Marriage Contract of Parents (PSA Copy) with OR

E. High School Diploma with dry seal (Original Copy)

F. Transcript of Records with Dry seal (Original Copy)

G. Vocational Course/College Diploma with Dry seal (Original Copy)

H. AFPSAT Result with dry seal (if possible attached code number)

I. Medical/Physical Exam Result (Original Copy)

J. PFT Result

K. Drug Test result

L. Hepa Test result

M. Clearances (Barangay, Police, Mayor, NBI, MTC, RTC)

N. Certificate of Legal Beneficiaries (Notarized)

O. Affidavit of Being Single & w/out Child (Notarized)

P. BIR Tax Identification Number (TIN) and Pag-ibig Number

Q. Phil health membership/Identification Card

R. CENOMAR (PSA Certified) with OR must be current & w/in 3 months before
validation period

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