ARMED FORCES OF THE PHILIPPINES

ID APPLICATION FORM
ACTIVE OFFICER / ENLISTED PERSONNEL
ID NO.:___________ Control No.:_____________ REQUIREMENTS
1. Duly accomplished application form and
FIRST NAME: endorse by their Admin officer.
2. ORDERS: CAD/ETAD (for Officers)
Enlistment/Reenlistment (For Enlisted
Personnel). Promotion, Assignment, Change
MIDDLENAME: of Branch of Service, Change of Marital
LASTNAME: Status, Amendment Orders, whatever
applicable
APPLICABLE FOR MARRIED FEMALE
3. Present old AFP ID, if lost attached Affidavit

MAIDENS MIDDLENAME
MAIDENS LASTNAME

RANK: BRSV
PASTE
AFPSN: Recent (15 days old) 2x2 color
picture In GOA Uniform, w/ white
UNIT ASSIGNMENT: background no mustache/ beard, in
proper haircut, authorized
HOME ADDRESS: nameplate must be visible In
proper placement

WEIGHT: HEIGHT: BLOOD TYPE:

kgs. cms.

OTHER IDENTIFYING DATA:

RELIGION: TIN:
PHILHEALTH NO.

ETAD/ETE (DD-MMM-YYYY)

DATE OF BIRTH: (DD-MMM-YYYY) : GENDER:

PLACE OF BIRTH: KEEP SIGNATURE INSIDE THE BOX

(PLEASE USE BLACK SIGN PEN
MARITAL STATUS: SEPERATED BY
(PLEASE CHECK ONE) SINGLE MARRIED WIDOWED COURT ORDER ANNULLED

NAME OF PARENTS FATHER MOTHER MAIDEN NAME

FIRSTNAME:
MIDDLENAME:
LASTNAME:
CRN (IF PPLICABLE)
 RIGHT THUMBMARK
OCCUPATION:

PERSON TO BE NOTIFIED IN CASE OF EMEGENCY AND RELATIONSHIP

ADDRESS OF PERSON TO BE NOTIFIED

Statement Of Consent
I declare that I am fully aware that the above data shall be used for CONTACT
securing NO:
my Common Reference Number (CRN) for the Unified
Multi Purpose ID (UMID) System or updating my personal data and that it shall form part of the CRN Registry. I trust that the above
data shall remain confidential hence I give my consent tha the data be secured and accessed for sunsequent validation verification,
and other purposes consistent with the objectives of the UM-ID System under Executive Order No. 420 only. I further affirm that all
statements/data, which appear in this registration form and made by me are true and complete to the best of my knowledge and
belief.

Date Signed Signature over Printed Name

 ENDORSED BY: APPROVED BY: PROCESSED BY:

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME VERIFIED BY:

RANK BR OF SVC TAG, AFP/ MAJ SVC ADJ ` RECORDED BY:

UNIT ADJ/ADMIN O
#########################################################################################################################################################################################################################################################################################################################################################################################################################################

ID no. Date: ID no. Date:

(c/o OTAG-PCRD) (c/o OTAG-PCRD)

Firstname/Last name
 Control No: Control No:
(c/o GMP) (c/o GMP)
1) Paid the amount of Seventy Pesos (PhP70.00) for AFP ID.
2) Please present this when claiming your AFP ID on ________________ Received the amount of SEVENTY PESOS (PhP70.00) for payment of AFP ID

Cashiers Signature Cashiers Signature

CLAIM STUB CASHIERS COPY