CONFIDENTIAL
PHILIPPINE NAVY
HEADQUARTERS PHILIPPINE MARINE CORPS
Fort Bonifacio, Makati City
SUMMARY OF INFORMATION
(As of _____________)
INSTRUCTION:
To fill up the form type or print legibly all items entered.
1. RANK/NAME/AFPSN/BR SVC:
2. SEX 3. MARITAL STATUS :
4. POSTAL ADDRESS/TEL NR:
5. DATE/PLACE OF BIRTH
6. NEXT OF KIN:
DATE OF ADDRESS
7. DEPENDENT RELATIONSHIP BIRTH
8. SKILL: ACTIVE COMSD SVC:
9. LENGTH OF MILITARY ACTIVE SERVICE:
DAY MONTH YEAR
10. PRESENT DUTY ASSIGNMENT:
11. SCHOOLING:
A. CIVILIAN:
COURSE NAME OF PERIOD OF STANDING COMPLETED (Y/N)
TAKEN SCH/LOCATION ATTENDANCE
B. MILITARY:
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COURSE TAKEN NAME OF PERIOD OF STANDING COMPLETED (Y/N)
SCH/LOCATION ATTENDANCE
PREVIOUS ASSIGNMENT:
PRIMARY DUTIES:
POSITION UNIT INCL DATE AUTHORITY
A. ADDITIONAL DUTIES:
12. STATEMENT OF SERVICE:
A. MILITARY SERVICE:
B. PROMOTION/DEMOTION
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C. REMARKS:
13. AWARDS/DECORATIONS AND COMMENDATIONS
A. AWARDS/DECORATION:
TYPE OF AWARDS AUTHORITY
B. COMMENDATIONS:
DATE AWARDED BY
C. APPRECIATION/MERITS:
14. DATE OF COMPULS0RY RETIREMENT: _______________
I CERTIFY THAT THE FOLLOWING ANSWER ARE TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE AND BELIEF.
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TIN NR: ___________
AUTHENTICATED BY:
___________________________
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