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ARMED FORCES OF THE PHILIPPINES ID APPLICATION FORM RESERVIST Reserve Officer / Reserve Enlisted Personnel ID No. Control No. REQUIREMENTS 1. Applaton form dy accomplishes, rinstmames | || | | ‘codbteed by thai Asma Oar and LASTNAME: | | 2.EROERS :Arponiment Promotion, ‘asinment race rnin ete 3. Srrondor ok, AFP 10 lost, atached vars Hone Ooo Ani RANK: | arsve: EPH: | Home ADDRESS: | weicin tgs. HEIGHT cms, 61000 7VPE:[] ‘OTHER IDENTIFYING DATA: Pt reucton: | |_| i | PHILHEALTH no. | [ S55/G5IS NO. I [ DATE OF BIRTH: (OD-MM-YYYY): I - coe Puce oF exert: | | i ee OSE BRR cn oe ESSERE [snes | |wenenco [jynoowen. [ SSAFERRE awiateo NAME OF PARENTS FATHER MOTHER'S MAIDEN NAME FIRSTNAME: \ | MIDDLENANE ms ! i LastHAMe: | Suge anasaey | | FeRSON TOBE NOTIFIED VASE OF eNERGENE AN REUATIONS fOORES OF FERSON TOBE NOTES | i corner ‘Statement of Consent dine nt amy avo ta sore ten asf curing ry Ean Rferans Number CRN or ‘ractatin show cuto shana content hence my consort tnt arn dete Decacsrooand acsoread Executve Order Ne. 430 ony further afr at alsiterartsicata whch appear inh regraton form and me By ‘ostets sedcomplate eboney Locos stale! ENDORSED Br: permoven Br PROCESSED BY: Sears er TD caniccniae "FR SICA RECORDED BY aac tno: DATE: (ela OFAG-PERD) Co Firstname/tastname Control Nov contol Cleary lene) 1) Pa the amount of SEVENTY PESOS (PhP70.00) fr SFP, 2} Plaaae pres this whan ctming Your AFP I o Receive the amount of SEVENTY PESOS (PhP70.00) for payment of AFP ID Cashiers signature Cashiers Signature CASHIER'S COPY CLAIM STUB

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