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  • DX7RC Personal Data Sheet 2016

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    This document contains a personal data sheet for an applicant to the RECON PHILIPPINES organization. The data sheet requests information such as the applicant's name, address, date of birth, places of residence, education history, employment history, and contact information. It also requires the applicant's signature to certify the accuracy of the provided information and the signature of a sponsoring regular member.

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    This document contains a personal data sheet for an applicant to the RECON PHILIPPINES organization. The data sheet requests information such as the applicant's name, address, date of birth, places of residence, education history, employment history, and contact information. It also requires the applicant's signature to certify the accuracy of the provided information and the signature of a sponsoring regular member.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    50 views1 page

    DX7RC Personal Data Sheet 2016

    Uploaded by

    Gadgets Pro
    This document contains a personal data sheet for an applicant to the RECON PHILIPPINES organization. The data sheet requests information such as the applicant's name, address, date of birth, places of residence, education history, employment history, and contact information. It also requires the applicant's signature to certify the accuracy of the provided information and the signature of a sponsoring regular member.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    RECON PHILIPPINES, INCORPORATED

    PNP-CES AUXILIARY GROUP


    RECON CLARE7, INCORPORATED
    DX7RC 144.74 -0.60 mHz. VHF Band
    SEC Registration No. CN201127790
    TIN 411-854-866-000
    Email ad: [email protected]

    PERSONAL DATA SHEET


    PHOTO
    INSTRUCTIONS: 1. Print all data with your own HANDWRITING. WRITE LEGIBLY
    2. If question is not applicable write “NA”

    NAME:
    LAST NAME FIRST NAME MIDDLE NAME ALIAS
    PRESENT EMPLOYMENT
    HOME ADDRESS
    TELEPHONE NO.
    CHANGE IN NAME, (if by court, give details)
    DATE OF BIRTH: PLACE OF BIRTH:
    CITIZENSHIP IF NATURALIZED, STATE PREVIOUS CITIZENSHIP, COUNTRY
    AND NATURALIZATION CERTIFICATE NUMBER
    (Single/Married/Separated/Widow/widow
    DESCRIPTION MARITAL STATUS
    er)
    SEX NAME OF SPOUSE
    HEIGHT OCCUPATION/EMPLOYER
    WEIGHT
    NAME OF FATHER OCCUPATION
    NAME OF MOTHER OCCUPATION
    NAME OF BROTHER(S) NAME OF SISTER(S)

    PLACES OF RESIDENCE SINCE BIRTH


    LOCATION INCLUSIVE DATES

    SCHOOLS ATTENDED SCHOOL NAME LOCATION INCLUSIVE DATES


    SECONDARY
    COLLEGE
    POST GRADUATE
    PREVIOUS EMPLOYMENTS
    NAME OF EMPLOYER LOCATION POSITION INCLUSIVE DATES

    I HEREBY CERTIFY THAT THE FOREGOING ARE TRUE AND CORRECT to the best of my knowledge and belief
    and I agree that any MISTATEMENT OR OMISSION AS TO THE MATERIAL FACTS will constitute ground for
    immediate denial or cancellation of my application for Membership.

    Signed at _____________________ Date_________________________

    _________________________________________
    (NAME AND SIGNATURE OF APPLICANT)

    SUBSCRIBED AND SWORN BEFORE ME, this __________th day of ____________________________________


    Applicant having exhibited his/her Res. Cert. No._________________________ issued at
    ________________________ on ____________________________________

    _________________________________________________
    (NAME & SIGNATURE OF SPONSORING REGULAR MEMBER)

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