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Rotc Registration Form PCCR Rotcu 1

This document contains a ROTC registration form for a student enrolling in the ROTC program at the Philippine College of Criminology. The form collects the student's personal information such as name, date of birth, address, emergency contact, and military science courses completed. At the bottom, the student signature confirms their willingness to take advanced ROTC courses and a certification is provided that the student is registered for the current semester's Military Science 2 course.

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Lendsikim Tarriela
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363 views1 page

Rotc Registration Form PCCR Rotcu 1

This document contains a ROTC registration form for a student enrolling in the ROTC program at the Philippine College of Criminology. The form collects the student's personal information such as name, date of birth, address, emergency contact, and military science courses completed. At the bottom, the student signature confirms their willingness to take advanced ROTC courses and a certification is provided that the student is registered for the current semester's Military Science 2 course.

Uploaded by

Lendsikim Tarriela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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ARMY 2040: WORLD-CLASS. MULTI-MISSION READY.

CROSS-DOMAIN CAPABLE
HEADQUARTERS
DEPARTMENT OF MILITARY SCIENCE AND TACTICS
PHILIPPINE COLLEGE OF CRIMINOLOGY ROTC UNIT
1304TH (MANILA) COMMUNITY DEFENSE CENTER, NCRRCDG ARESCOM
641 Sales Street., Sta Cruz, Manila

ROTC REGISTRATION FORM

Student No:_________ MS:________ Date:________________


Name:_____________________________________________________________________
(Last Name) (First Name) (Middle Name)
Course:_________________________School:________________Religion:______________
Date of Birth:____________________ Place of Birth:________________________________
Height:_____________ Weight:______Complexion:___________ Blood Type:___________
Permanent Address:
No/St/Vill/Brgy:________________________________________________________
Municipality:__________________________________________________________
Province:_____________________________________________________________
Telephone/CellNumber:__________________
Father:____________________________Occupation:______________________________
Mother:____________________________Occupation:______________________________
Person to be notify in case of emergency:
Name:______________________________Relationship:_________________________
Address:_____________________________________________ Tel No:________________
Military Science Completed:
MS SEMESTER SCHOOL YEAR GRADE REMARKS
_______________ ______________ _______________ _______ _______________
_______________ ______________ _______________ _______ _______________
_______________ ______________ _______________ _______ _______________
_______________ ______________ _______________ _______ _______________
Are you willing to take the Cadet Officer Qualifying / Advance Course? ( ) Yes ( ) No

____________________________
(Signature of Student)

Gerald M Laurio
PFC (Inf) PA
Admin NCO
----------------------------------------------------------------------------------------------------------------------------
HEADQUARTERS
DEPARTMENT OF MILITARY SCIENCE AND TACTICS
PHILIPPINE COLLEGE OF CRIMINOLOGY ROTC UNIT
1304TH (MANILA) COMMUNITY DEFENSE CENTER, NCRRCDG ARESCOM
641 Sales Street., Sta Cruz, Manila
___________________
(Date)
CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that , a student of ____


_______ is duly registered in the ROTC program Military Science 2 for the ___
Semester, School Year 2022 – 2023.

Gerald M Laurio
PFC (Inf) PA
Admin NCO

HONOR. PATRIOTISM. DUTY

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