ANNEXES

Annex I. Annex II. Annex III. Annex IV. Annex V. Annex VI. Annex VII. Annex VIII. Annex IX. Annex X. Annex XI. Annex XII. Annex XIII.

PCG-PCGA Chain of Leadership and Management PCGA Application Form Applicants Personal History Statement Form Indoctrination Certificate Director Auxiliary Squadron Endorsement Memorandum PCGA Organizational Structure PCGA National Auxiliary Main Office Staff Organization Auxiliary District Organizational Structure Auxiliary District Staff Organization Auxiliary Squadron Organizational Structure Auxiliary Squadron Staff Organization Auxiliary Division Staff Organization PCGA Identification Card/ Application Form

ANNEX I. PCG-PCGA CHAIN OF LEADERSHIP AND MANAGEMENT

ANNEX II. PCGA APPLICATION FORM

PHILIPPINE COAST GUARD AUXILIARY ________ AUXILIARY SQUADRON

( ) New Enrollment
LAST NAME FIRST NAME

MEMBERSHIP APPLICATION ( ) Re-enrollment

MIDDLE NAME SUFFIX

( ) Transfer of Squadron
GENDER ( ) Male ( ) Female

OTHER NAMES USED: HOME ADDRESS

MARITAL STATUS ( ) Single ( ) Married ( ) Separated ( ) Widow/Widower HEIGHT WEIGHT

NAME OF SPOUSE

NO. OF CHILDREN

COLOR OF EYES

COLOR OF HAIR

SCARS OR MARKS AND OTHER DISTINGUISHING FEATURES:

SSS/GSIS NO. CITIZENSHIP TEL. NO. (HOME) EMAIL 1 ACR NO. (IF ALIEN)

DATE OF BIRTH RELIGION TEL. NO. (BUSINESS) EMAIL 2 PASSPORT NO./EXPIRY DATE

PLACE OF BIRTH BLOOD TYPE MOBILE PHONE FAX NO. TYPE OF VISA ISSUED TIN NO.

SECTION II EDUCATIONAL BACKGROUND College/Post-Grad/Special Studies NAME OF SCHOOL DEGREES OBTAINED INCLUSIVE DATES YEAR GRADUATED

(Attached photocopies of either the transcript of records, diploma or PRC certificate)

SECTION III EMPLOYMENT/OCCUPATIONAL BACKGROUND

( ) EMPLOYED COMPANY COMPANY ( ) OWN BUSINESS COMPANY COMPANY

(Attached latest employments certification, SEC Registration, Art. Of Incorporation o r DTI Registration)

FOR PAST OR CURRENTLY IN GOVERNMENT POSITION Please state highest Appointment/Elected Office Position/Period Assumed: Nature of Office:
(Attached certification from the Office concerned)

SECTION IV ADDITIONAL DATA

PROFESSIONAL LICENCES: SPECIAL TRAININGS: SPECIAL INTERESTS/SKILLS:
(Attached photocopies of license/s or certificate/s)

MA 2009 Page 2 of 4 LAST NAME

MEMBERSHIP APPLICATION FIRST NAME MI SUFFIX RELATIONSHIP

SECTION V EMERGENCY CONTACT INFORMATION

ADDRESS TEL NO. (HOME) TEL NO. (BUSINESS) MOBILE PHONE NO.

SECTION VI READINESS INPUT

A. FUNCTIONS YOU WANTED TO BE INVOLVED IN: (Please check choice/s) ( ) MARSAR Maritime Search and Rescue ( ) MAREP Marine Environmental Protection ( ) MARSAF Maritime Safety ( ) COMREL Community Relations (Civic action activities i.e. Medical/Dental Missions; Youth development) B. ANSWER B1 AND CHECK APPROPRIATE ANSWERS FOR B2 TO B4: 1. What is your purpose in joining the PCGA? (in at least 50 words you may use separate sheet) 2. Are you willing to be trained? ( ) Yes ( ) No 3. Are you willing to travel outside of your home area? ( ) Yes ( ) No 4. Are you available on call 24 hours? ( ) Yes ( ) No If No, need ______days/advance notice

SECTION VII ASSETS/RESOURCES AVAILABLE TO PCGA PROJECTS

(This data will be used for reference as available resources in times of disaster/emergency only and does not mean a full turnover to PCG/PCGA of said items/equipment)

ITEMS/CLASSIFICATION WATERCRAFT (Boat)

QUANTITY

DESCRIPTION Name ________________________ Type____________________ Speed________________________Power___________________ Range_____________Full Capacity (Ltrs/Gals)________________

AIRCRAFT

LAND TRANSPORTATION

AMBULANCE/FIRETRUCKS

OTHER EQUIPMENTS (Please specify) i.e. Communications: Telephone, 2-way radios, generators, etc.

MANPOWER (Please specify-Doctors/Dentists/Nurses/Support Staff, etc)

SECTION VIII ORGANIZATIONS

LIST OF ORGANIZATIONS OR SOCIAL GROUPS WHICH YOU HAVE BEEN A MEMBER OF: ORGANIZATION PLACE DATE OF MEMBERSHIP POSITION HELD

SECTION IX REQUIRED CLEARANCES and ATTACHMENTS

a. NBI CLEARANCE b. POLICE CLEARANCE c. BARANGAY CLEARANCE d. ORIENTATION SEMINAR CERTIFICATE (copy) a. NBI CLEARANCE b. POLICE CLEARANCE c. BARANGAY CLEARANCE d. ORIENTATION SEMINAR CERTIFICATE (copy)

(All of the listed Items must be included with the application package)

MA 2009 Page 3 of 4

MEMBERSHIP APPLICATION

SECTION X MISCELLANEOUS
COPY THE FOLLOWING PARAGRAPH IN YOUR OWN HANDWRITING. As Luis F. Repazo of 105th Xavier Ave., guzzled his way through three bottles of brandy, Josephine Z. Quinsing, a partner in the law firm of San Diego and Ballesteros, located at 2879 Valley Forge St., Quezon City, turned to Richard Ting Sr., a Chinese food expert from O.W. Kwantung Company Ltd., 346 Hadji Jairula Hussein Blvd., and said, I cant for my Government but Im quite sure your country and mine better get together for closer understanding.

SECTION XI APPLICANT STATEMENT AND SIGNATURE

I have ( ) have not ( ) been convicted of a violation of any laws of the Republic of the Philippines, classified as a major misdemeanor or a felony, (If convicted of a major misdemeanor or felony, state specifics, including date, city & state offense/s occurred, disposition and comments and attach to this application.) I affirm under the penalties of perjury as to the truth of all the statements contained in this application and authorize verification for the official use of the Philippine Coast Guard or Philippine Coast Guard Auxiliary. I understand that any false statement contained herein is grounds for my disenrollment from the Philippine Coast Guard Auxiliary. I PLEDGE TO SUPPORT THE PHILIPPINE COAST GUARD AUXILIARY AND ITS PURPOSES AND TO ABIDE BY THE GOVERNING POLICIES ESTABLISHED BY THE COMMANDANT OF THE PHILIPPINE COAST GUARD. NAME AND SIGNATURE OF SPONSOR DATE NAME AND SIGNATURE OF APPLICANT

THUMBMARKS LEFT RIGHT

Please paste here 2 x 2 colored photo with white background

SECTION XII SQUADRON DIRECTOR ENDORSEMENT

APPLICANT IS: ( ) ACCEPTED ( ) NOT ACCEPTED
Note: If applicant is not accepted, explain in detail below

SQUADRON DIRECTOR SIGNATURE

DATE

MA 2009 Page 4 of 4

INSTRUCTIONS MEMBERSHIP APPLICATION

1.

2.

3.

4.

5.

6. 7.

8.

9. 10.

11. 12.

13.

GENERAL Everyone requesting membership in the Philippine Coast Guard Auxiliary must complete this form. a. Read all instructions carefully b. This form is used to supply new member personal information for entry into the Auxiliary database. c. USE BLUE OR BLACK INK FOR COMPLETING THE WRITTEN PORTION OF ALL OF THESE FORMS. SECTION I PERSONAL DATA OF APPLICANT To be completed by applicant. a. LAST NAME, FIRST NAME, MIDDLE NAME and SUFFIX Enter full legal name b. OTHER NAMES USED List all other names you were known by or are now using. If you are female, and are or have been married, include maiden name, and other married names if married more than once. Identify maiden name with NEE. c. GENDER Check one of the genders. d. HOME ADDRESS Enter current home address. e. MARITAL STATUS Check one of the marital status. f. NAME OF SPOUSE Use spouses given name no nicknames g. NO. OF CHILDREN Indicate number h. HEIGHT, WEIGHT, COLOR OF EYES, COLOR OF HAIR Enter appropriate answers i. SCARS OR MARKS AND OTHER DISTINGUISHING FEATURES Enter description j. SSS/GSIS NO. Enter SSS or GSIS No. as the case maybe k. DATE OF BIRTH, PLACE OF BIRTH Enter DOB using MM/DD/YY numeric format, 01/18/45. Membership eligibility begins with 18 years of age. l. CITIZENSHIP, RELIGION, BLOOD TYPE Enter appropriate answers. m. TEL. NOS. (HOME), (BUSINESS) & MOBILE PHONE Enter phone numbers. n. EMAIL 1, EMAIL 2, & FAX NO. Enter email addresses and fax no. o. ACR NO./PASSPORT NO./EXPIRY DATE, TYPE OF VISA & TIN NO. Enter corresponding nos. Attach photo copies of ACR AND PASSPORT. SECTION II EDUCATIONAL BACKGROUND College/Post-Grad/Special Studies To be completed by applicant a. Enter appropriate answers b. Attach photocopies of either the transcript of records, diploma or PRC certificate. SECTION III EMPLOYMENT/OCCUPATIONAL BACKGROUND To be completed by applicant a. Enter appropriate answers b. Attach latest employments certification, SEC Registration, Articles of Incorporation or DTI Registration. If Government employee, attach certification from the office concerned. SECTION IV ADDITIONAL DATA To be completed by applicant a. Enter appropriate answers. b. Attach photo copies of licence/s or certificate/s. SECTION V EMERGENCY CONTACT INFORMATION To be completed by applicant a. Enter name, emergency contacts relationship, address and phone numbers. SECTION VI READINESS INPUT to be completed by applicant after the orientation seminar. a. Answer B1 in at least 50 words. You may use a separate sheet. b. Check appropriate answers for B2 to B4. SECTION VII ASSETS/RESOURCES AVAILABLE TO PCGA PROJECTS To be completed by applicant after the orientation seminar. a. Enter appropriate answers. SECTION VIII ORGANIZATIONS To be completed by applicants a. Enter appropriate answers. SECTION IX REQUIRED CLEARANCES AND ATTACHMENTS - To be attached to application a. NBI Clearance (Original and 3 copies) b. Police Clearance (Original and 3 copies) c. Barangay Clearance (Original and 3 copies) d. Orientation Seminar Certificate (copy) e. Endorsement letter from the Squadron Director. SECTION X MISCELLANEOUS To be completed by applicant a. To be copied by the applicant in his own handwriting. SECTION XI APPLICANTS STATEMENT AND SIGNATURE To be completed by the applicant and sponsor. a. Felony/misdemeanor convictions check appropriate answer to conviction statement. Review application and data to ensure accuracy, then sign and indicate date using either blue or black ink. The sponsor will co-sign the statement. The applicant will affix his thumb marks and attach his 2 x 2 picture. SECTION XII SQUADRON DIRECTOR ENDORSEMENT To be completed by the Squadron Director. a. The Squadron Director check appropriate decision then sign the application form and indicate the date.

ANNEX III. APPLICANTS PERSONAL HISTORY STATEMENT FORM

PERSONAL HISTORY STATEMENT INSTRUCTIONS 1. Answer all the questions completely; if the question is not applicable, write NA. Write UNKNOWN only if you do not know the answer and cannot obtain the answer from personal records. Use the blanks pages at the back of this form for extra details on any question for which you do not have sufficient space. 2. Type, print or write carefully, illegible or incomplete forms will not receive consideration. WARNING 1. The correctness of all statements of entries made herein will be investigated.

2. Any deliberate omission or distortion of material facts may give sufficient cause for denial of clearance. 3. The statement made herein is classified CONFIDENTIAL. Revelation or use for purposes other than that authorized is prohibited by pertinent provisions of AFPRG 200-052. ________________________________________________________________________ I. PERSONAL DETAILS A. Name: ___________ ______________________________________________ (Last) (First) (Middle) B. Rank: ____________ PCGSN: ______________ Br/Svc: _________________ C. Present Job / Assignment: __________________________________________________ D. Business or Duty Address: ________________________________________________ E. Home Address (Include St. & Nr): ___________________________________________ F. Birth Date: _____________________ Place of Birth: ________________________ G. Change in Name (If by Court Action give details): ______________________ H. Nicknames:_____________________ Nationality: _____________ I. TIN: _______ ___________ National Reg. Card: _________ __________

J. Religion: ____________________ Blood Type: ___________________ II. PERSONAL CHARACTERISTICS

A. Description: Sex: _______ Age: ____ Height: ___ (cms) Weight _ (kgs) Build (heavy, Medium, Light): _____ Complexion (Dark, Fair, Light): _____ Color of Eyes: __________ Color of Hair: ____ ______ Scars or marks and other distinguishing features: __ ______ B. Physical Condition/Present State of health (Excellent, Good, Poor) __ __ Physical or Mental Defects: ___ ____ Recent Serious Illness: _ _

III.

MARITAL HISTORY

A. Marital Status: _______________________________________________________ (Single, Married, Separated or Widow) B. Name of Spouse: _____________________________________________________ (Full Name) Date and Place of Marriage: ____________________________________________ Occupation and Place of Employment: ____________________________________ C. Children: Name Date of Birth Citizenship

IV.

FAMILY HISTORY AND INFORMATION A. Fathers Name: _____________________________________________________ (Full name) Date and Place of Birth: ______________________________________________ Address: __________________________________________________________ Occupation and Place of Employment: __________________________________ Citizenship: ____________ if naturalized, give date and place where naturalized

B. Mothers Name: _ ___________________________________________________ (Full Name) Date and Place of Birth: ______________________________________________ Address: __________________________________________________________ Occupation and Place of Employment: __________________________________ Citizenship: _____________ if naturalized, give date and place where naturalized C. Brothers and Sisters NAME

AGE

ADDRESS

OCCUPATION

D. Step-parent or Guardian: _________________________________________________ Address ______________________________________________________________ Occupation and Place of Employment ______________________________________ Citizenship __________________ if naturalized, give date and place where naturalized

E. Father-in-Law _________________________________________________________ Date and Place of Birth __________________________________________________ Address ______________________________________________________________ (Street) (Bo/Brgy) (Town/City) _________________________________ Tel Nr ______________________________ (Province) Occupation and Place of Employment ______________________________________ Citizenship__________________ If naturalized, give date and place where naturalized F. Mother-in-Law ________________________________________________________ Date and Place of Birth __________________________________________________ Address ______________________________________________________________ (Street) (Bo/Brgy) (Town/City) _____________________________ Tel Nr __________________________________ (Province) Occupation and Place of Employment _______________________________________ Citizenship __________________ if naturalized, give date and place where naturalized V. EDUCATIONAL BACKGROUND

A. Elementary School

Location

Date of Attendance

Year Graduated

B. High School School

Location

Date of Attendance

Year Graduated

C. College School Course Location Date of Attendance Year Graduated

D. Post Graduate School

Course

Location

Date of Attendance

Year Graduated

E. Other Schools Attended and Date of Attendance School Course

Location

Date of Attendance

Year Graduated

F. Civil Service Eligibility, if any, and others similar qualifications__________________ ________________________________________________________________________

VI.

MILITARY HISTORY A. Date Enlisted in the AFP _________________________________________________ B. Date of Commission__________________Source of Commission________________ C. Important Unit Assignment since Enlistment/CAD: ____________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ D. Military Schools Attended Name of Schools & Location Date of Attendance Nature of Training Rating

E. Decorations and Awards or Commendations Received _________________________________________________________________________ _________________________________________________________________________ ________________________________________________________________________

VII.

PLACES OF RESIDENCE SINCE BIRTH Inclusive Dates Places/Address

VIII.

EMPLOYMENT Inclusive Dates Type of Employment Name/Address of Employment Reason of Leaving

Have you ever been dismissed or forced to resign from a position? Yes ________No ______ If yes, explain _______________________________________________________________

IX.

FOREIGN COUNTRIES VISITED (In chronological order) Date Country Visited Purpose of Visit

X.

CREDIT REPUTATION A. Are you entirely dependent on your salary? Yes ______ No ______ if no, state other sources of income ______________________________________________________ B. Name and Address of Banks or other Credit/Institution with which your have accounts/loans: _________________________________________________________ C. Have you filed a statement of your Assets and Liabilities with any government agency Yes _____ No _____ If so, what, agency? ___________________________________ D. Have you filed your last income tax return? __________________________________ E. Three (3) credit references in the Philippines: Name Address

XI.

ARREST RECORD AND CONDUCT A. Have you ever investigated / arrested, indicted or convicted for any violation of law? ______________? If so, state name of court, nature of offense and disposition of case. ____________________________________________________________________ B. Has any member of your family ever been investigated / arrested, indicated or convicted for any violation of law? _____________ If so, state name of court, nature of the case and disposition of case. _________________________________________ C. Have you, ever been charged in any Administrative Case? ______________________ D. Have you ever been arrested or detained pursuant to the provision of PD 1081 and its implementation order (GO, PO, LOI)? _________If so, state the nature of the case and the place of your detention _______________________________________________ E. Do you use intoxicating liquor or narcotics? _____________ If so, what extent? _____________________________________________________________________

XII.

GENERAL REPUTATION A. Give five (5) character references (not relatives) known three years or longer, who are not your relatives: Name Business Address/Residence (Include Street & Number)

B. List down three (3) neighbors at your present residence: Name Business Address/Residence (Include Street & Number)

XIII.

ORGANIZATION List of organization or social groups which you have been a member: Organization Address Date of Membership & Position held

XIV.

MISCELLANEOUS A. Hobbies, sports and past times ________________________________________________________________________ ____________________________________________________________ B. Language and Dialect (indicate ability as fluent, fair or poor): Language or Dialect Speak Read Write

C. Are you willing to undergo periodic lie detection test? ____________________ D. Copy exactly the following paragraph in your own handwriting As Luis E Rapazo III of 105th Xavier Ave guzzled his way trhough three bottles of brandy, Josephine Z Quinsing, a partner in law firm of San Diego and Ballesteros located at 2879 Valley Forge St., Quezon City turned to Richard Ting Sr., a Chinese food expert from O.W. Kwantung Company, Ltd., 346 Hadji Jairul Hussein Blvd., and said, I cant speak for my Government but Im quite sure your country and mine better get together for closer understanding. ___________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ______________________________________________

I certify that the foregoing answers are true and correct to the best of my knowledge and belief and I agree that my misstatement or omission as to material facts will constitute ground for denial of my application for clearance. Signed at ________________________________ Date ____________________________

_____________________________________ (Signature of Applicant)

____________________________________ (Witness)

____________________________________ (Witness)

THUMBMARKS

2x2 picture

LEFT

RIGHT

Subscribed and sworn to before me this _____day of _______________20 _________ Philippines, affiant exhibited to me his /her Community Certificate Nr ___________________ Issued on _____________________at ____________________________________________

_______________________________ (Administrative Officer/Notary Public)

________________________________ (Rank and Designation) ________________________________ (TIN)

Annex IV:

INDOCTRINATION CERTIFICATE

Department of Transportation and Communications Philippine Coast Guard Coast Guard District Southwestern Mindanao PHILIPPINE COAST GUARD AUXILIARY DISTRICT SOUTHWESTERN MINDANAO 308TH PCGA SQUADRON Port Area, Pagadian City

Certificate of Indoctrination
This is to certify that

MS./mr. juan dela cruz

has undergone the required eight (8) hours Indoctrination and Orientation Seminar per requirements for membership under the Philippine Coast Guard Auxiliary Manual, series 2012 at ________________________________ on _________________. Given this ___th day of __________.

CAPT MAGITING VOLUNTER PCGA Squadron Auxiliary Director, 308th PCGA Squadron

LT PEDRO DUGUMON PCG Station Commander, CGS Pagadian

Annex V: DIRECTOR AUXILIARY SQUADRON ENDORSEMENT MEMORANDUM Philippine Coast Guard PHILIPPINE COAST GUARD AUXILIARY COAST GUARD AUXILIARY DISTRICT _____________________ 0000TH PCGA SQUADRON address MEMORANDUM FOR : Via : Director Auxiliary District _________________ Station Commander, CGS _____________ Director Auxiliary Squadron 0000th PCGA Squadron Individual Application Form ______________

From : Encl :

Date :

1. The 0000th PCGA Squadron has recruited prospectIve PCGA members. After completion of the necessary documents, the required eight(8) hours orientation and indoctrination seminar has been conducted on ____________ and the participants have been issued Certificates of Indoctrination. 2. In this regard, the following-named recruits are respectfully endorsed for appointment into the Philippine Coast Guard Auxiliary (PCGA) service with honorary ranks as indicated hereunder: To be rank Mr./Ms. ____________________ Mr./Ms. ____________________ rank Mr./Ms.____________________ Mr./Ms.____________________

To be

3. Furthermore, request that the above-named applicants be endorsed for appointment as members of the unit as indicated: To be members of 000TH Squadron LT ____________________ ENS ____________________

TO BE MEMBERS OF 0000.00 PCGA DIVISION LT __________________ ENS __________________

4.

For your favorable consideration.

CAPT MAGITING VOLUNTEER PCGA Squadron Auxiliary Director, 0000th PCGA Squadron

Noted by:

LT SUPER MAN PCG Station Commander, CGS ___________

Annex VI: PCGA ORGANIZATIONAL STRUCTURE

NATIONAL DIRECTOR

DEPUTY NATIONAL DIRECTOR FOR OPERATIONS

DEPUTY NATIONAL DIRECTOR FOR ADMINISTRATION

AUXILIARY

SUPPORT GROUPS

Maritime Search and Rescue Group

Maritime Safety Group

Marine Environmental Protection Group

Maritime Community Relations Group

External Affairs Group

Volunteer Services Training & Protocol Group

AUXILIARY DISTRICTS
CGADNCR-CL CGADCEV
CGADSWM

CGADPAL

CGADSTL

CGADWV

CGADNLZ

CGADSEM

CGADBCL

CGADNM

Annex VII: NATIONAL AUXILIARY MAIN OFFICE ORGANIZATION NATIONAL DIRECTOR PERSONAL
GENERAL LEGAL COUNSEL
PUBLIC INFORMATION OFFICER (CDR)

STAFF
FLAG SECRETARY (CDR) FLAG LIEUTENANT (LT)

DEPUTY NATIONAL DIRECTOR FOR OPERATIONS

CHIEF OF STAFF

DEPUTY NATIONAL DIRECTOR FOR ADMINISTRATION

AUXILIARY
ADMIN AND PERSONNEL (1) INTELLIGENCE (2) OPERATIONS (3)

CENTRAL STAFF
FINANCE AND LOGISTICS (4)
PLANS AND PROGRAMS AND EXTERNAL AFFAIRS (5)

VOLUNTEER SERVICES TRAINING & PROTOCOL GROUP (6)

MARITIME SAFETY (7)

MARINE ENVIRONMENT PROTECTION (8)

SPECIAL AND TECHNICAL STAFF

INTERNAL AUDITOR AUXILIARY ADJUTANT MEDICAL STAFF DENTAL STAFF ECUMENICAL STAFF LEGAL AFFAIRS

Annex VIII: AUXILIARY DISTRICT ORGANIZATIONAL STRUCTURE DIRECTOR AUXILIARY DISTRICT

DEPUTY DIRECTOR AUXILIARY DISTRICT FOR OPERATIONS DEPUTY DIRECTOR AUXILIARY DISTRICT FOR ADMINISTRATION

AUXILIARY SQUADRONS
101st Auxiliary Squadron 102nd Auxiliary Squadron 103rd Auxiliary Squadron 104th Auxiliary Squadron 105th Auxiliary Squadron

AUXILIARY

DIVISIONS

Auxiliary Division

Auxiliary Division

Auxiliary Division

Auxiliary Division

Auxiliary Division

Annex IX: AUXILIARY DISTRICT STAFF ORGANIZATION DIRECTOR AUXILIARY DISTRICT

DEPUTY DIRECTOR AUXILIARY DISTRICT FOR ADMINISTRATION

DEPUTY DIRECTOR AUXILIARY DISTRICT FOR OPERATIONS

AUXILIARY DISTRICT CHIEF OF STAFF

ADMIN AND PERSONNEL (1)

INTELLIGENCE (2)

OPERATIONS (3)

FINANCE AND LOGISTICS (4)

PLANS AND PROGRAMS AND EXTERNAL AFFAIRS (5)

VOLUNTEER SERVICES TRAINING & PROTOCOL (6)

MARITIME SAFETY (7)

MARINE ENVIRONMENT PROTECTION (8)

AUXILIARY DISTRICT PUBLIC INFORMATION OFFICER

AUXILIARY DISTRICT ADJUTANT

AUXILIARY DISTRICT LEGAL AFFAIRS

MEDICAL/DENTAL STAFF

Annex X: AUXILIARY SQUADRON ORGANIZATIONAL STRUCTURE

DIRECTOR AUXILIARY SQUADRON

DEPUTY DIRECTOR AUXILIARY SQUADRON FOR OPERATIONS

DEPUTY DIRECTOR AUXILIARY SQUADRON FOR ADMINISTRATION

AUXILIARY DIVISION

AUXILIARY DIVISION

Annex XI: AUXILIARY SQUADRON STAFF ORGANIZATION

DIRECTOR AUXILIARY SQUADRON

DEPUTY DIRECTOR AUXILIARY SQUADRON FOR OPERATIONS DEPUTY DIRECTOR AUXILIARY SQUADRON FOR ADMINISTRATION

CHIEF OF STAFF

ADMIN AND PERSONNEL (1)

INTELLIGENCE (2)

OPERATIONS (3)

FINANCE AND LOGISTICS (4)

PLANS AND PROGRAMS & EXTERNAL AFFAIRS (5)

VOLUNTEER SERVICES TRAINING & PROTOCOL (6)

MARITIME SAFETY (7)

MARINE ENVIRONMENTAL PROTECTION (8)

Annex XII: AUXILIARY DIVISION STAFF ORGANIZATION

DIRECTOR AUXILIARY DIVISION

DEPUTY DIRECTOR AUXILIARY DIVISION

CHIEF OF STAFF

ADMIN AND PERSONNEL (1)

INTELLIGENCE (2)

OPERATIONS (3)

FINANCE AND LOGISTICS (4)

PLANS AND PROGRAMS & EXTERNAL AFFAIRS (5)

VOLUNTEER SERVICES TRAINING & PROTOCOL (6)

MARITIME SAFETY (7)

MARINE ENVIRONMENTAL PROTECTION (8)

ANNEX XIII. PCGA IDENTIFICATION CARD APPLICATION FORM

PHILIPPINE COAST GUARD AUXILIARY

ID APPLICATION FORM
2 X 2 PICTURE

ID No.: ___________________ Auxiliary District: ____________________ Squadron No.: _________ FIRST NAME: MIDDLE NAME: LAST NAME:
APPLICABLE FOR MARRIED FEMALE

ATTACHMENTS
IN MARLEN BLUE BACKGROUND 1. Appointment/Promotion Order/Affidavit if lost/damage. 2. Endorsement letter from Squadron, District and STATEMENT OF CONSENT National Commander.

MAIDENS MIDDLE NAME: MAIDENS LAST NAME: RANK: DESIGNATION: HOME ADDRESS: AUTHORITY:

*For ID renewal/replacement, old PCGA ID should be surrendered. I declare that I am fully aware that the above

MARITAL STATUS:
(PLS. CHECK ONE)

SINGLE MARRIED

WIDOWED SEPARATED EYES: HAIR: SEX:

DIVORCED

data shall be used for securing my PCGA Identification membership card. I trust that the above data shall remain confidential hence I give my consent that the same data be secured and accessed for subsequent validation, verification, and for other purposes. I further affirm that all statements/data, which appear in this registration form and made by me are true and complete to the best of my knowledge and belief.

WEIGHT[Kgs]: HEIGHT[Cms]: BLOOD TYPE: RELIGION: DATE OF BIRTH (DD-MMM-YYYY) : IDENTIFYING DATA/ MARK:

____________________________________

SIGNATURE OVER PRINTED NAME

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY AND RELATIONSHIP: ADDRESS OF PERSON TO BE NOTIFIED: CONTACT NO.:
____________________________________ DATE SIGNED

RIGHT THUMBMARK

SPECIMEN SIGNATURE

ENDORSED BY: SIGNATURE OVER PRINTED NAME ______________________________ SQUADRON DIRECTOR NOTED BY: CDR ERWIN O BALAGAS PCG DC of CGS for CRS, CG-7 SIGNATURE OVER PRINTED NAME ______________________________ DISTRICT AUXILIARY DIRECTOR APPROVED BY: EDMUND C TAN VADM PCG SIGNATURE OVER PRINTED NAME _________________________________ PCGA NATIONAL DIRECTOR