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Dependent ID Form AFP

This document is an application form for an Armed Forces of the Philippines (AFP) dependent identification card. It lists the requirements for applying including a completed application form endorsed by an administrative officer, documents proving identity and relationship to the military personnel such as birth certificates and marriage contracts, and orders related to the military personnel's status. It also contains fields for entering the dependent and military personnel's personal details to issue the identification card.

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7K views1 page

Dependent ID Form AFP

This document is an application form for an Armed Forces of the Philippines (AFP) dependent identification card. It lists the requirements for applying including a completed application form endorsed by an administrative officer, documents proving identity and relationship to the military personnel such as birth certificates and marriage contracts, and orders related to the military personnel's status. It also contains fields for entering the dependent and military personnel's personal details to issue the identification card.

Uploaded by

Metazorl
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ARMED FORCES OF THE PHILIPPINES

10 APPLICATION FORM

DEPENDENTCtrl. No.:

Please check
--l

REQUIREMENTS
I. Application form duly accomplished endorsed by their admin officer.

Active Officer

2.

-, Active Enlisted

~-

Authenticated copy of Certificate of Non-Marriage issued by NSO.


For children - Authenticated copy of birth certificate issued by NSO.

~ - Authenticated copy of marriage contract and active personnel birth certificate (fr.Qil\ll\II'rledf,
of parents should be 60 yrs old & above to be qualified).

i _,'

Civilian Personnel

i -!

Reservist Officer/Enlisted

3, ORDERS. CAD IETAD. EnlislmenVRe-Enlistment. Promotion. Assignment, Change of Br nchof&lrvice.


Change of Marital Status. Amendment Orders. whatever is applicable.
4. Surrender Old AFP 10. If Lost attached Affidavit and Police Blotter.
S. Present any valid 10.

~==-------------~~--~~"

ID No.:

DEPENDENT DATA

FIRSTNAME: rJJl]eJ10DCJeIJejnODODOD[lDDDOO

MIDDLENAMEc-:r JJ[JLJOOCDLIJlJODOlJ MIDDLE INmALOIJ


LASTNAME:
:-:~[J[~LJD;-lJDDL :UDOOODUDDDDD
BIRTH DATE: rTi_nr:ii-1l0'nil (DD-MMM'VYYY)
OTHER
ADDRESS:IDENTIFYING DATA: :Ilr
__iL:f1111-:;'DDnn)I'IDL~~'
I~_L
,----,L -- ,''- l-<I-J'_~l--"'--'
,-, 10'---'n,i onr:JO' TJ]... rrw~"r
-=: - -j'=lHriHl 'r...J
L-il,r- ~JL ~ L-l}=:r'-li=-l~~~~
" .J Ii.
"_J _ __L-.L-J, LJD~LJl]DDDLJ~'--"'.l~L
11_

--'

1~1---,

L..jl

JL

_ --'

L_

l 1; -

l __ ',

[JLTJOL II~D[-JOD[lODDLI

COLOR OF EYES: [J-1ClOL_JO=JDL"!l'JO[JLlD


- .
RELATIONSHIP:~jCLJU:-

COLOR OF HAIR: ~_TI';-J[l' ]I][L '; _l[.liJO'

WEIGHT: I':::~_I;J!~ kgs. BLOOD TYPE DOl,]

'I 'I'
HEIGHT: .: _;,-~,--i-.J,.J
ems.
TIN DDD(J[)r-"1r-1r~~Y
LJ --",,~~....Jt.-1lo-J1r.:...J"--'IE'a.L
NAME OF PARENTS
FATHER
FIRSTNAME: oonC1JUDDDDD
MlDDLENAME: ]rlJJJi-1DCO[]O....J
-~
'-TlEJ
LASTNAME: ~"r<nr~D'
~-.JLJLJLJLj U
U
MILITARY PERSONNEL
DATA:
lr::t~tti!j~ii~b~~t~
FIRSTNAME:
nDOUDDDD~

MIDDLENAME: DonDD DOD

DO MIDDLE IN
LASTNAME: DOOr J Z][]DO
[JD~O
RANK / DESIGN~~~N~ . 0 I 'JllqD[lD_ 1 J . _ ~ -,pOD
AFPSN:
ur II J ,--JL _ I LJDUDCJDD J '"' I llD

BRSVC:
; 0
GDt. 'lJDDDDDDO 000

EXJ>lAAn{tt;!E%IJ:~~!-&NLISTEDDO-DOD-DODD

----'L...J'-~'--.JL...JL...J11DL.J IU LJDDDDDDDDDODDDD

I'

-~--------

',,'

II
L_____

___ J

RIGHT THUMBMARK

_!

DDDDDDDDDDDDDDDDD

?=:F---~lo'''''i~J;=-=[li:--=;:=:lo={~~~~,n~nDIlLJnDDDO[J~
~ _.~~~L ._'-.JuU :...J L J _ .

ENDORSED BY: _. _

-----

r-l0ni]
LJL
. .JU_
PROCESSED BY:
VERIFIED BY :
RECORDED BY :

APPROVED BY:

SIGNATURE OVER PRINTED NAME

SIGNATURE OVER PRlNTED NAME

TAG. AFP / M1J

sve AOJ

_
_
_

---o~rTMTrAOMiNo---

Firstname/ Lastname

Control No.:
1) Paid the amount ofP 70.00 fo. AFP 10.
2) Please present this when claiming your AFP ID on

Cont.ol No.:

_
(c/o GMP)
_

Received the amount

ot P

70.00

tor

_
(c/o GMP)
payment ot AFP 10

Cashier's Signature

Cashier's Signature

CLAIM STUB

CASHIER'S COPY

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