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Application Form of Barangay Id

This document is an application form for a barangay ID. It requests the applicant's name, date of application, address, contact details, employer information, length of stay in the area, date of birth, parents' names, gender, status, emergency contact details, and classification. The applicant must sign and provide a thumbprint. It certifies the information is true and authorizes verification. The homeowner, employer, or relative can attest. It is then recorded, interviewed, and approved by barangay officials.

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Joshua Palma
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6K views

Application Form of Barangay Id

This document is an application form for a barangay ID. It requests the applicant's name, date of application, address, contact details, employer information, length of stay in the area, date of birth, parents' names, gender, status, emergency contact details, and classification. The applicant must sign and provide a thumbprint. It certifies the information is true and authorizes verification. The homeowner, employer, or relative can attest. It is then recorded, interviewed, and approved by barangay officials.

Uploaded by

Joshua Palma
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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APPLICATION FORM FOR BARANGAY ID

Name of Applicant Date of Application:

Last Name First Name Middle Name


Address (Dasma):
Address (Provincial):
Contact Number: Cell. No. Tel. No.
Employer's Name:
Length of Stay in Dasma: year/s month/s Date of Birth:
Father's Name: Gender:
Mother's Name: Status:

EMERGENCY CONTACT DETAILS


Contact Person
Relationship
Address
Contact Number

CLASSIFICATION

Homeowners Household Helpers Barangay Employee

Others (please specify)

RIGHT THUMBMARK SIGNATURE OF APPLICANT (please sign within the box)

This is to certify that this Personal Data Sheet has been accomplished by me, and is true, correct and complete
Statement. I also authorized the Barangay or its representative to validate the contents stated herein.

Homeowner or
Relative living in the
EMPLOYER Representative of the RECORDED BY:
same address
homeowner

Attested by: Atty. Eduardo Martin A. Tankiang III


Signature over printed name Barangay Secretary
APPROVED BY:

Interview Conducted by:


Signature over printed name Rossana Y. Hwang
Barangay Representative Punong Barangay

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