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  • 00 Application Form Final

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    Ricardo Ed
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    This document is a registration form for authorized persons to enter and travel through Ormoc City during the pandemic. It requests the registrant's name, address, contact details, birthdate, place of origin, destination, travel dates and duration of stay, work hours, company information, temporary address in Ormoc, transportation details, purpose of travel, and signature. The registrant certifies the information is true and correct. The form is then processed, checked, and validated by city officials under the authority of the city mayor.

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    00-APPLICATION-FORM-FINAL

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    This document is a registration form for authorized persons to enter and travel through Ormoc City during the pandemic. It requests the registrant's name, address, contact details, birthdate, place of origin, destination, travel dates and duration of stay, work hours, company information, temporary address in Ormoc, transportation details, purpose of travel, and signature. The registrant certifies the information is true and correct. The form is then processed, checked, and validated by city officials under the authority of the city mayor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    72 views1 page

    00 Application Form Final

    Uploaded by

    Ricardo Ed
    This document is a registration form for authorized persons to enter and travel through Ormoc City during the pandemic. It requests the registrant's name, address, contact details, birthdate, place of origin, destination, travel dates and duration of stay, work hours, company information, temporary address in Ormoc, transportation details, purpose of travel, and signature. The registrant certifies the information is true and correct. The form is then processed, checked, and validated by city officials under the authority of the city mayor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    AUTHORIZED PERSONS OUTSIDE RESIDENCE

    REGISTRATON FORM
    Control # ____________

    PLEASE FILL IN COMPLETE INFORMATION FOR YOUR REQUEST OF ENTRY IN AND THROUGH ORMOC CITY.

    NAME:________________________________________________________________________________________
    (Surname) (First Name) (Middle Initial)

    PRESENT ADDRESS: _____________________________________________________________________________


    (PLEASE COMPLETE THE DETAILS) (House No.) (Street)

    (Subdivision/Village) (Barangay)

    (City/Municipality) (Province)

    CONTACT NUMBER: _________________________ BIRTHDATE:_________________________

    PLACE OF ORIGIN: ___________________________ DESTINATION (IF ORMOC RESIDENT): ____________________

    DATE OF TRAVEL:_________________DURATION (DATES) OF STAY IN ORMOC OR DESTINATION:______________

    HOURS OF WORK:_____________ COMPANY NAME:__________________________________

    COMPANY CONTACT PERSON, POSITION&


    NUMBER:______________________________________________________________________________

    TEMPORARY HOME/ HOTEL ADDRESS IN ORMOC: ____________________________________________

    DETAILED NATURE OF WORK/PURPOSE OF TRAVEL ____________________________________

    ______________________________________________________________________________

    MODE OF TRANSPORTATION/DETAILS (FLIGHT #/PLATE #/CAR MODEL/ETC) :

    I certify that the information submitted in this registratiion is true and correct to the best of my knowledge.
    I further understand that any false statements may result in denial or revocation of the certificate.

    __________________________________ _____________________
    Signature over Printed Name Date

    (DO NOT WRITE ON THIS PORTION FOR APOR TASK FORCE ONLY)

    NAME OF APOR: ___________________________________ DURATON: _______________________________

    COMPANY NAME: ____________________________________

    PURPOSE: ______________________________________________ ORMOC ADDRESS: ____________________

    PROCESSED & CHECKED BY: _______________________________ FOR UNDER THE AUTHORITY OF


    CITY MAYOR RICHARD I. GOMEZ, DPA
    VALIDATED BY: ________________________________

    NELSON L. ALINDOGAN
    OIC, ORMOC CITY TOURISM OFFICER

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