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Psis Ap

Lowie Villasor applied for membership with the security and investigation agency. He is currently the head guard at 1957 Security & Investigation Agency Corporation and has over 7 years of experience in industrial security. Villasor certified that the personal information provided is true and consented to the processing of his personal data for membership purposes.

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41 views1 page

Psis Ap

Lowie Villasor applied for membership with the security and investigation agency. He is currently the head guard at 1957 Security & Investigation Agency Corporation and has over 7 years of experience in industrial security. Villasor certified that the personal information provided is true and consented to the processing of his personal data for membership purposes.

Uploaded by

pAtUdAz Official
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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APPLICATION FOR MEMBERSHIP

DATE: (mm-dd-yyyy) 0 2 1 5 2 0 2 3

PERSONAL DATA: (Please use ballpen and write legibly. Any false statement will cause for disapproval.)
LAST NAME FIRST NAME MIDDLE NAME M.I.
VILLASOR LOWIE DUBLIN
Agency / Company: Position:
1957 Security & Investigation Agency Corporation Head Guard
Business Address: Office Phone Number:
244 A & T Bldg. rm. 502, Escolta st., 232-1373 & 559-2514
Rm. number, Floor, Building, Street

Binondo, Manila E-Mail Address:


City, State
Home Address: Home Phone Number:
Phase 3 Lot 1 Block 3 Vista Verde
Rm. number, Floor, Building, Street

Caybiga, Caloocan Mobile Number: 09094926542


City, State
Birthdate: (mm-dd-yyyy) 1 0 2 5 1 9 9 0 Birth Place: Carles, Iloilo
0
Sex: M Civil Status: Married Height: 5"9 Weight: 65kl Age: 32
M F
EDUCATIONAL ATTAINMENT: (COLLEGE AND HIGH SCHOOL ONLY)
Degree Earned School & Address Years Attended
From To
High School Granada National High School 2006 2010
Carles, Iloilo

Professional Examination Taken:

MILITARY / AFP / PNP SERVICE UNIT & POSITION HELD: (Use back page or attached service record)
Military / AFP / PNP Service? N If yes, What is your Highest Rank?
Yes No
Were you Honorably Discharged/Retired from the Military / AFP / PNP? N
Yes No
Were you ever convicted to other crime? N If Yes, What?
Yes No
Honors / Awards:
EMPLOYMENT/EXPERIENCE IN INDUSTRIAL SECURITY: (Use back page for additional Info)
Position Company / Address Date Employed Reason for Leaving

SEMINARS/TRAINING/COURSES ATTENDED: (Use back page for additional info)


Title / Name Length Date Taken

Organization/Club Membership:
I HEREBY CERTIFY THAT THE ABOVE PERSONAL DATA ARE TRUE AND CORRECT, THAT ANY
FALSE STATEMENT DECLARED BY ME SHALL CAUSE MY EXPULSION AS MEMBER OF THE SOCIETY. I
FURTHER PERMIT THE SOCIETY TO VERIFY ANY INFORMATION GIVEN BY ME IN THIS APPLICATION.

CONSENT: I have read this form, understood its contents and consent to the processing of my personal data. I understand that my consent does not preclud the
existence of other criteria for lawful processing of personal date, and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.

Applicant Signature

Endorsed By: Approved / Disapproved by:


Member in Good Standing Chairman, Membership Committee

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