AFPRESERVE COMMAND RESERVIST MANAGEMENT CENTER

RESERVIST INFORMATION DATA SHEET (RSOI)

Rank Last Name First Name Middle Name AFPSN Br of
Service
AFOS/MOS Source of Comsn/Enlst Authority Date of
Comsn/Enlst
Initial Rank Date of Last Authority Reservist Status MobilizationCenter
Promotion

Designation Squad/Team/Section Platoo Company Reservist Unit

n
Present Occupation Office Address Office Tel Nr

PERSONAL INFORMATION
Home Address: Street/Barangay Town/City/Province/ZIP Code Res.Tel.Nr

Mobile Tel Nr BirthDate(mm- Birth Place (Municipality, Province) Religion Blood Type
dd-yyyy)
T.I.N. Size of Combat Size of Cap Size of BDA Marital Sex
Shoes Status
Height:
SSS Nr: PHILHEALTH Nr: GSIS Nr: Weight: kls
cm

Language/Dialect Spoken:
Special Skills:
PROMOTION/DEMOTION
Rank Date of Rank Authority
1.
2.
3.
4.
5.
6.
7.
MILITARY SCHOOLING/TRAINING
Military Schooling School Date Graduated
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
AWARDS AND DECORATION
Awards/Decoration Authority Date Awarded
1.
2.
3.
4.
5.
6.
7.
JPO®
8.
9.
10.
11.
12.
13.
DEPENDENTS
Relation Name
1.
2.
3.
4.
5.
6.
EDUCATIONAL BACKGROUND (Tertiary Level)
Course School Date Graduated
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
MILITARY ACTIVITIES
Activity Unit Date Date End
1. Start
2.
3.
4.
5.
6.
7.
8.
9.
10

I HEREBY CERTIFY that all entries in this document are true and correct.

2x2
Photo
LEFT RIGHT
THUMBMARK THUMBMARK
SIGNATURE

AFPRESCOM FORM 01-17. This will form part of the Reservist’s MPF to be filed at AFPRESCOM(PLEASE FILL UP CLEARLY)
Note: Attach another papers (If any additional data).

JPO®