Recruitment Application Form - Philippine Army
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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.
LUZON
VISAYAS
MINDANAO
Radio
Website
HPA (Makati City)
3ID (Jamindan)
1ID (Zambo City)
TV Plug
Family members or relatives
5ID (Gamu, Isabela)
8ID (Catbalogan)
4ID (Cag. de Oro)
Movie Plug
Talk with friends
)
6ID (Cot. City)
7ID (Nueva Ecija)
53Ebde (Cebu City
Career/Job Fair/Exhibit
Info caravan/dialogue
1RCDG
6RCDG (Iloilo)
11RCDG (Davao)
(Pangasinan)
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: Letters