Have you acquired the status of an immigrant or

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Have you acquired the status of an immigrant or permanent resident of another country? Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines. I authorize the agency head/authorized representative to verify/validate the contents stated herein. I agree that any misrepresentation made in this document and its attachments shall cause the filing of administrative/criminal case/s against me.Government Issued ID(i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.) ID picture taken within the last 6 months3.5 cm. X 4.5 cm(passport size)With full and handwrittenname tag and signature overprinted nameComputer generated or photocopied picture is not acceptable PLEASE INDICATE ID Number and Date of Issuance
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AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as in Person Administering Oath CS FORM 212 (Revised 2017), Page 4 o
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  • Fall '19
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