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(Afp Retiree) : Philippine Veterans Affairs Office

This document is an application form for an old age pension from the Philippine Veterans Affairs Office for retired AFP (Armed Forces of the Philippines) members. The form requests information such as the applicant's name, address, date of birth, rank, service details, retirement date and documents required. These include a retirement order from AFP and a photocopy of the AFP pensioner's ID. The applicant declares that the information provided is true and understands false statements could result in disapproval. The form is examined by PVAO and is available for free download on their website.

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162 views

(Afp Retiree) : Philippine Veterans Affairs Office

This document is an application form for an old age pension from the Philippine Veterans Affairs Office for retired AFP (Armed Forces of the Philippines) members. The form requests information such as the applicant's name, address, date of birth, rank, service details, retirement date and documents required. These include a retirement order from AFP and a photocopy of the AFP pensioner's ID. The applicant declares that the information provided is true and understands false statements could result in disapproval. The form is examined by PVAO and is available for free download on their website.

Uploaded by

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

Department of National Defense


PHILIPPINE VETERANS AFFAIRS OFFICE PASSPORT
Camp General Emilio Aguinaldo, Quezon City
SIZE
PICTURE
APPLICATION FOR OLD AGE PENSION
(VETERAN)
(AFP RETIREE)

(IMPORTANT: PLEASE FILL-UP THIS FORM COMPLETELY AND SUBMIT THE SAME TOGETHER WITH THE REQUIRED DOCUMENTS
LISTED HEREIN. INCOMPLETE DATA ON APPLICATION FORM & INSUFFICIENT DOCUMENTS WILL NOT BE ACCEPTED).

FAMILY NAME FIRST NAME MIDDLE NAME (LEAVE THIS SPACE BLANK)

CLAIM NO. :
ADDRESS: Street
Town/City ENCODED BY :
Province
DATE :
Zip Code:

DATE OF BIRTH: PLACE OF BIRTH:

NAME OF LEGAL SPOUSE: DATE & PLACE OF MARRIAGE:

RANK: SERIAL NO. MAJOR SERVICE: NATIONALITY:

DATE OF RETIREMENT / DISCHARGE: LAST UNIT OF ASSIGNMENT:

DOCUMENTARY REQUIREMENTS:

 Retirement Order / Military Service Record from AFP


 Photocopy of AFP Pensioner’s ID (Original Presented)

DECLARATION OF APPLICANT

I declare that the information i have given in this application is truthful, complete and correct.
I understand that any false statements or concealment of information may result in the disapproval of my application.
I have not been discharged or separated from the military service under dishonorable conditions.
I am fully aware of the consequences of committing fraud in connection with this application.

In witness whereof, I have hereunto affixed my signature and thumbmarks this ____________________ day of
_____________________________ 20____.

THUMBMARKS OF VETERAN
LEFT RIGHT
______________________________________
(Applicant’s Signature over printed name)

(This portion is to be filled up by the PVAO examiner)

Review and evaluated by: ___________________________________________________________


Date : ___________________________________________________________

** This application form is made available FREE OF CHARGE by the Philippine Veterans Affairs Office. **
** This application form can also be downloaded thru PVAO website at www.pvao.mil.ph **

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