Professional Documents
Culture Documents
New Application Form WLRDM
New Application Form WLRDM
(Philippine Eagles)
First Philippine Born Fraternal Socio - Civic Organization
Service Through Strong Brotherhood
PHILIPPINE EAGLES INSTITUTE OF LEADERSHIP (PEIL)
WESTERN LUZON REGION - DATU MAHARLIKANS
LAKAN MAHARLIKA Eagles CLUB
MEMBERSHIP APPLICATION
PERSONAL INFORMATION:
NAME
PLACE OF BIRTH
FIRST NAME (NICKNAME) MIDDLE LAST NAME
CIVIL STATUS 2X2
DATE OF BIRTH SINGLE MARRIED
PHOTO
HEIGHT WEIGHT SEPARATED WIDOW/ER
ADDRESS
STREET NO. BARANGAY MUNICIPALITY/CITY PROVINCE ZIP CODE
TELEPHONE NO. CELLPHONE NO. EMAIL
EMPLOYMENT / PROFESSION:
NAME OF OFFICE
ADDRESS
LINE OF BUSINESS
TITLE AND POSITION TEL. NO. FAX NO.
OF 2.
3.
C
H 4.
I 5.
L
D
R 6.
E
N
EDUCATIONAL ATTAINMENT:
ELEMENTARY DATE GRADUATED
HIGH SCHOOL DATE GRADUATED
COLLEGE DATE GRADUATED
COURSE
HOBBIES
SPECIAL SKILLS
Eagle
APPLICANT’S SIGNATURE
ENDORSED BY:
I believe that I have a lot to offer, both in terms of my desire to be a positive influence in the lives of others
and with my personal strengths as a member of LAKAN MAHARLIKA Eagles CLUB, I will work hard to
uphold the reputation and exceed the standards that those before me have set.
In my opinion, becoming a member of LAKAN MAHARLIKA Eagles CLUB means joining a group of highly
educated men that together I believe are capable of facilitating the type of change that is imperative in today's
society. It is my hope that I will be accepted as a member and be afforded the opportunity to take part in that
change. I look forward to hearing from you regarding my request to join your great fraternity.
Sincerely,
HOME ADDRESS:
PERSONAL CONTACT NUMBER: HEIGHT: ( FEET ) WEIGHT BLOOD RELIGION:
( KGS ) TYPE:
2X2 PICTURE
WHITE BACKGROUND
Eagle DATU ARA WALEED ALFREDO “X.O” RINGOR AGCAOILI Eagle NELSON ALONTO SARAPUDDIN
REGIONAL GOVERNOR, WESTERN LUZON REGION EY 2022 NATIONAL PRESIDENT EY 2021 - 2022