By 2028, a world-class Army that is a source of national pride
CS APPLICANT DATA FORM
Name: __________________________________________________
(First Name)
(Middle Name)
(Last Name)
Applying for: Candidate Soldier Regular Enlistment _______
Candidate Soldier Special Enlistment _______
2X2
COLORED
PICTURE
AFPSAT Score: _________ AFPSAT Code: _______________________
Instruction: Fill out the blanks with your personal data and write N/A if not applicable.
CONTACT DETAILS
Address:
_________________________________________ Region: _______
Mobile Nr:
________________________________ Religion: _______________
Email Address:
_______________________________________________________
Name of Guardian: ________________________________ Contact Nr: _____________
PERSONAL DETAILS
Age:
Place of Birth:
Nationality:
Ethnic Group:
PhilHealth Nr:
____________
Date of Birth: _______________________
__________________________________________________
____________
Gender: _______ Civil Status:__________
____________
Tax Identification Nr: _________________
_________________
Pag-ibig Nr: ___________________
EDUCATIONAL ATTAINMENT
Tertiary / College
Course Degree:
__________________________________________________
School/Institute/University: __________________________________________________
Date of Graduation:
__________________________________________________
Secondary
School/Institute/University: __________________________________________________
Date of Graduation:
__________________________________________________
Elementary
School/Institute/University: __________________________________________________
Date of Graduation:
__________________________________________________
WORK EXPERIENCE
Position
Company Name
___________ ________________
___________ ________________
___________ ________________
Company Address
__________________
__________________
__________________
Period of Employment
__________________
__________________
__________________
SKILLS PROFICIENCY:
Advanced: Highly experienced
Intermediate: Familiar with all the basic functionalities
Beginner: Just started using or learning the skill
Skills
___________________________
___________________________
___________________________
Years
_______
_______
_______
Proficiency
___________________________
___________________________
___________________________
Honor. Patriotism. Duty.
By 2028, a world-class Army that is a source of national pride
LANGUAGES / DIALECTS
Language
_________________________
_________________________
_________________________
_________________________
Spoken
______________
______________
______________
______________
Written
_________________
_________________
_________________
_________________
Instruction: Check the blanks appropriate to you and indicate relevant data as necessary.
Check
If applicable
Remarks
Probationary Officer Training Course
(POTC) Graduate
________
__________________
Basic ROTC (MS 41) Graduate
________
__________________
Advance ROTC (MS 41) Graduate
________
__________________
Former EP/AFP/PNP/CAFGU member
________
__________________
Occupied leadership position (appointed or
Elected) in key organizations such as SK,
Student Council, etc.
________
__________________
Direct dependents of KIA (AFP personnel)
________
__________________
WAIVER
I HEREBY CERTIFY that all entries in this document are true and correct according
to my personal knowledge and I agree that any misstatement or omission as to the
material fact will be grounds for immediate denial of my application for Candidate Soldier.
Further, I hereby waive any right and authorized the bearer of this form to get a
copy of my personal documents such as School Records, Clearances, CENOMAR, Birth
Certificate and any other public records that identify my character as a citizen of the
Republic.
By signing this waiver I also guarantee that I am 18 years of age or older and am
therefore competent in agreeing to this contract.
_______________________________________
(Signature over Printed Name of Applicant)
Date Signed: _________________________
Honor. Patriotism. Duty.