Philippine Army Application Form
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1
2APPLICATION FORM
(ACCOMPLISH & PRINT ALL ENTRIES)
ATTACH
Applying as (Check one):
2X2 Photo
HERE
OFFICER
(
OCC
CAD)
ENLISTED PERSONNEL
CIVILIAN EMPLOYEE
LAST NAME
FIRST NAME
MIDDLE NAME
DD
MM
YY
A
HOME: ________________________________________________________________
BIRTHDATE: _____ ______________ ______
D
MAILING: ______________________________________________________________
BIRTHPLACE: ___________________________
D
E-MAIL: _______________________________________________________________
__________________________________________
R
E
GENDER:
MALE
FEMALE
HEIGHT _____
WEIGHT _____
S
E - MAIL: ________________________________ LANDLINE/CELLPHONE No.: ____________________________________
S
Highest Degree Completed _____________________________________________________________ Nr. of Units _____
E A
D T
Name of School last attended _____________________________________________
Skill/s ________________________
U T
Civil Service Eligibility/Licensure _____________________________ ___________
______________________________
C A
A I
CMT/ROTC Training:
POTC Graduate
Basic ROTC
CMT
Field/s of Interest ________________
T N
I M
Preferred Field of Specialization _____________________(Refer to Instructions page)
_____________________________
O E
If previously employed, nature and type of work ______________________________________________________________
N N
A T
Name and Address of employer ___________________________________________________________________________
L
Father’s Name: ________________________________ Birth date: _____________
Occupation: ____________________
P B
E A
Mother’s Name: ________________________________ Birth date: _____________
Occupation: ___________________
R C
S K
List three (3) Character References (who are not relatives)
OG
N R
NAME
ADDRESS
A O
L U
1._________________________________________________
__________________________________________________
N
_
2._____________________________________________
_____________________________________________
D
3._________________________________________________
__________________________________________________
Please answer the following questions:
1. Have you been involved in any case/investigation pending against you? /If yes, what is its nature and status?
___________________________________________________________________________________________________________
2. Do you have any history of drug abuse? /If yes, where and when did you undergo rehabilitation?
___________________________________________________________________________________________________________
3. Have you previously applied for any position in the PA? /If yes, why were you not considered?
___________________________________________________________________________________________________________
rd
4. Do you have a relative in the military up to the 3
degree of consanguinity? /If yes, please indicate full name, rank and unit.
_________________________________________________________________________________________________________
5. What/who motivated you to join the service?
___________________________________________________________________________________________________________
How did you learn about the Army’s need for applicants?
Identify the nearest major Army unit most accessible to you for
purposes of pre-screening and processing. You can also visit any of
Newspaper
Poster/Leaflet
these stations for more information.
Radio
Website
Army Recruitment Centers
Luzon: Fort Andres Bonifacio, Taguig
TV Plug
Family members or relatives
Contact No: (02) 845-9555 local 6843 mobile: 0921-9785548
Movie Plug
Talk with friends
Visayas: Camp Lapu-lapu, Lahug, Cebu City
Contact No: (032) 231-5157
Career/Job Fair/Exhibit
Info caravan/dialogue
Mindanao: Camp Evangelista, Cagayan de Oro City
Contact No: (088) 350-2088
Invitation Letter
Others _________________
I hereby declare that all information indicated in this application form are correct and truthful. I am fully aware that any false
information or willful omission shall be sufficient cause for my dismissal or refusal for recruitment.
______________________________
______________________________
Date Accomplished
SIGNATURE OF APPLICANT
THIS FORM IS FREE AND ITS REPRODUCTION IS ALLOWED
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Parent category: Business