ARMED FORCES OF THE PHILIPPINES

RESERVIST INFORMATION DATA SHEET

FOR FILLING CN
REFERENCE ONLY

I. PERSONAL DATA:

PERSONNEL CLASSIFICATION

RANK FIRSTNAME MIDDLE NAME LAST NAME EXT

AFPSN BOS CLASSIFICATIO MOB CEN SOURCE OF COMMISSIO

N COMMISSIO N
N CATEGORY

II. CAREER DETAILS

A. CIVILIAN OCCUPATION/DESIGNATION
INCLUSIVE
Occupation Designation Company Name Company Address Tel Nr
DATES

B. ELIGIBILITY AND LICENSE

Eligibility License Eligibility Type Authority

C. EDUCATIONAL ATTAINMENT
Date
Course Date Honor Completed
Course School Name and Location Complete
Type Started Received (Yes/No)
d

***USE ADDITIONAL SHEET/S IF NECESSARY***

D. OTHER TRAININGS/SEMINARS/WORKSHOP ATTENDED

E.
Date
Date Honor Completed
Course/Seminar School Name and Location Complete
Started Received (Yes/No)
d

***USE ADDITIONAL SHEET/S IF NECESSARY***

F. MILITARY TRAININGS/COURSES TAKEN

Total
Date Date Status (On going,
Course/Class Studen Standing Grade
Started Completed Completed or Dropped)
t

***USE ADDITIONAL SHEET/S IF NECESSARY***

 G. POSITION/DESIGNATION

DATE DATE AUTHORITY DETAILS

UNIT DESIGNATION DUTY TYPE
ASSUMED TERMINATED

***USE ADDITIONAL SHEET/S IF NECESSARY***

III. MILITARY SERVICE RECORD

A. COMMISSIONSHIP/ENLISTMENT

TYPE RANK EFFECTIVITY AUTHORITY

***USE ADDITIONAL SHEET/S IF NECESSARY***

B. PROMOTIONS/DEMOTIONS
FROM TO
TYPE EFFECTIVITY AUTHORITY
RANK: RANK:

***USE ADDITIONAL SHEET/S IF NECESSARY***

C. ACTIVE DUTY TRAINING(ADT)

ADT TYPE PURPOSE INCLUSIVE DATES AUTHORITY

***USE ADDITIONAL SHEET/S IF NECESSARY***

D. AWARDS
TYPES OF AWARD ACHIEVEMENT AUTHORITY

***USE ADDITIONAL SHEET/S IF NECESSARY***

E. CERTIFICATES/PLAQUES/MERITS

TYPE DATE AWARDED DESIGNATION

***USE ADDITIONAL SHEET/S IF NECESSARY**

IV. PERSONAL INFORMATION

PRESENT ADDRESS:

PERMANENT ADDRESS:
 NICKNAME BIRTHDAY BIRTHPLACE (CITY, PROVINCE) TEL NR PRIMARY CP NR: ______________
(MM/DD/YEAR) ALTERNATE: __________________
SEX CIVIL STATUS HEIGHT (CM) WEIGHT (KG) BUILD EMAIL

PRIMARY: ___________________
ALTERNATE: _________________
BLOOD COMPLEXION EYES HAIR DISTINGUISHING SKILLS
TYPE (COLOR) (COLOR) MARK

RELIGION ETHNIC HOBBIES SHOES SIZE WAISTLINE CAP SIZE

GROUPS (IN) (IN) (CM)

SSS NR TIN NR GSIS NR PHILHEALTH NR

V. FAMILY INFORMATION
A. FAMILY MEMBERS
BIRTH CITIZEN-
NAME RELATION BIRTHPLACE ADDRESS
DATE SHIP

B. NEXT OF KIN
BIRTH- CITIZEN-
NAME RELATION BIRTHPLACE ADDRESS
DATE SHIP

I HEREBY CERTIFY that all entries in these documents are true and correct according to my personal knowledge and
that failure to report any discrepancies or false entries contained herein be considered as a deliberate omission or falsification
and shall be ground for filing criminal, Courts-Martial as well as other administrative charges against me.

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ADMINISTERING OFFICER
Date Submitted:

Recommended By;

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Signature:

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