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Dwtec Id Form 2023 1

This document is a national ID application form for the Fraternal Order of Eagles - Philippine Eagles, Inc. It collects personal information such as name, address, contact details, birthdate, health details, and affiliation with the Davao Waling Waling Tagatugon Eagles Club. If approved, it will be signed by the club president, regional governor, vice president, and national president as the application moves up the approval process within the organization.

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Avelino Biñas Canale Jr.
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49 views

Dwtec Id Form 2023 1

This document is a national ID application form for the Fraternal Order of Eagles - Philippine Eagles, Inc. It collects personal information such as name, address, contact details, birthdate, health details, and affiliation with the Davao Waling Waling Tagatugon Eagles Club. If approved, it will be signed by the club president, regional governor, vice president, and national president as the application moves up the approval process within the organization.

Uploaded by

Avelino Biñas Canale Jr.
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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THE FRATERNAL ORDER OF

Eagles
-Philippine Eagles, Inc.
First Philippine-Born Fraternal Socio-Civic Organization

Service Through Strong Brotherhood

NATIONAL I.D. APPLICATION FORM


NAME (First Name Middle Name Last Name) CLUB POSITION
EULITO GOMEZ GOLORAN MEMBER

HOME ADDRESS
PUROK TAGUMPAY GREDU, PANABO CITY

CONTACT NUMBER/S PHILHEALTH NO. PAG-IBIG NO. TIN NO.


09562154774/ 09230847446 121020967244 914 516 222

BIRTHDATE (mm-dd-yyyy) HEIGHT (ft) WEIGHT (kg) BLOOD TYPE RELIGION


OCTOBER 01 1973 5’5” 75 KLS B+ RC

CONTACT PERSON (IN CASE OF EMERGENCY) & CONTACT NO.

DARLYN S, PALAY 09057469594

CLUB AFFILIATION REGION


DAVAO WALING WALING TAGATUGON EAGLES CLUB DAVAO REGION-7
MEMBER CONTROL NO.
CLUB PRESIDENT
TFOE-PE-132366

Eagle LARRY MARANAN

CLUB PRESIDENT’S SIGNATURE MEMBER’S SIGNATURE


(please sign inside the box)
ENDORSED BY: RECOMMENDING APPROVAL:

Eagle ANASTACIO D. CAMPOREDONDO Eagle


REGIONAL GOVERNOR/ DAVAO REGION-7 VICE-PRESIDENT FOR (ISLAND) EY 2023, TFOE-PE

APPROVED BY:

Eagle NELSON ALONTO SARRAPUDDIN


NATIONAL PRESIDENT EY 2023, TFOE-PE
TFOE-PE Form 102

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