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
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
- Family name, surname, Jr.