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Pid Application Form

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0% found this document useful (0 votes)
44 views4 pages

Pid Application Form

Uploaded by

lasamchin21
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines PID Form No.

PHILIPPINE POSTAL CORPORATION Revision (No.) (Date)

APPLICATION FOR POSTAL ID


Application Control No.:
Accepting Post Office Code:
Accepting Post Office Name:
CARD OR No: OR Date:
ALL FIELDS WITH ( ) ARE REQUIRED PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING POSTAL REFERENCE NO. (Leave blank if New Application)
THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.

PART I - TO BE FILLED OUT BY THE APPLICANT


A. APPLICATION TYPE
PURPOSE DELIVERY CARD REPLACEMENT
Amendment of Name Amendment of Authenticating
INITIAL REGULAR
Replacement of Lost Card Finger Replacement of Damaged
Card
RENEWAL RUSH Amendment of Biographic Others
Data

APPLICANT’S NAME (FIRST NAME) B. APPLICANT DETAILS (LAST NAME) (SUFFIX)


(MIDDLE NAME)

GENDER
DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH (CITY/MUNICIPALITY) (PROVINCE) (COUNTRY)

FATHER’S NAME (FIRST NAME)


(MIDDLE NAME) (LAST NAME) (SUFFIX)

MOTHER’S MAIDEN NAME (FIRST NAME)


(MIDDLE NAME) (LAST NAME) (SUFFIX)

NATIONALITY OCCUPATION CIVIL STATUS


Singl Married Widowed Separated Divorced/Annulled
e
GSIS No.(If GSIS member)
SSS No.(If SSS member) TIN No.(If Available)

CRN No.(If Available)


PHILHEALTH No.(If member) HDMF No.(If member)

EYES (COLOR)
HAIR (NATURAL COLOR) COMPLEXION TELEPHONE NUMBER MOBILE NUMBER

DISTINGUISHING FACIAL FEATURES


WEIGHT (KILOS) HEIGHT (CENTIMETERS) EMAIL ADDRESS
C. ADDRESS DETAILS
PREFERRED MAILING ADDRESS (CHOOSE ONE) PRESENT
WORK
PRESENT ADDRESS
(RM/FLR/UNIT NO./ BLDG. NAME) (HOUSE/ LOT & BLK NO.) (STREET NAME)

(SUBDIVISION) (BARANGAY/DISTRICT/LOCALITY)

(CITY/MUNICIPALITY) (PROVINCE) (COUNTRY) (POST CODE)

WORK ADDRESS
EMPLOYMENT STATUS COMPANY TYPE
Contractual Regular / Permanent Household Self Employed OFW Government Private Others
(COMPANY/RM/FLR/UNIT NO./BLDG. NAME) (HOUSE / LOT & BLK NO.) (STREET NAME)

(SUBDIVISION) (BARANGAY/DISTRICT/LOCALITY)

(CITY/MUNICIPALITY) (PROVINCE) (COUNTRY) (POST CODE)

D. APPLICANT’S CERTIFICATION
Further, all statements/ data on FINGERPRINTS IF APPLICANT CANNOT SIGN:
the operator's screen, which were
shown to me

herein, are t rue, correct and complete to


correct and complete. While applying for this card, I likewise fully agree to and the best of my knowledge and belief.
understand all the terms of its issuance as governed by Postal rules and
regulations. Higit pa r i to, ang aking lagda sa form
na i to ay nagpapatunay na ang l ahat
Ibinibigay ko ang aking pahintulot na gamitin ang mga kompidensyal na ng impormasyong makikita sa
impormasyong nakasaad sa itaas sa pagpapatunay, pagbeberipika at iba pang kompyuter screen ng operator ay
pamamaraang kaugnay sa proseso ng paggawa ng Postal ID. Ang aking lagda sa totoo, tama at kumpleto sa aking buong
form na i to ay nagpapatibay na ang lahat ng impormasyong makikita sa form na kaalaman at paniniwala.
ito ay totoo, tama at kumpleto. Naiintidihan ko rin at s u mas an g- ayon ako sa mga RIGHT THUMB RIGHT INDEX
alituntunin at reglamento na sumasaklaw sa pagkakaroon ng Postal ID card. WITNESS’ SIGNATURE
APPLICANT’S SIGNATURE APPLICANT’S SIGNATURE

SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME

PART II - TO BE FILLED OUT BY PHLPOST


SUPPORTING DOCUMENTS PRESENTED:
APPROVED BY:
ADDRESS VERIFIED:
Proof of Identity

SIGNATURE OVER PRINTED NAME DATE PID-PRN:


Proof of Address

Others DATA CAPTURE SCHEDULE DATA CAPTURED BY:


Capturing Post Office Name /
Code: LC Signature Over
SIGNATURE OVER PRINTED NAME DATE Date / Time: SIGNATURE OVER PRINTED NAME DATE Printed Name
TEAR HERE
Republic of the Philippines
PHILIPPINE POSTAL CORPORATION CARD
ACKNOWLEDGEMENT SLIP (
APPLICATION FOR POSTAL ID CLIENT COPY )
Application Control No.: No : OR Date:
Accepting Post Office Code: Accepting Post Office Name: OR

POSTAL REFERENCE NO. (Leave blank if New


Application) NAME (FIRST NAME) (MIDDLE NAME) (LAST NAME) (SUFFIX)

APPROVED BY: DATA CAPTURE SCHEDULE: DATA CAPTURED BY:


Capturing Post Office Name / Code:

SIGNATURE OVER PRINTED NAME DATE Date / Time: SIGNATURE OVER PRINTED NAME DATE

NOT FOR SALE


NOT FOR SALE
GENERAL TERMS AND CONDITIONS:
a. The Improved Postal ID is issued exclusively by PHLPost as proof of address and identity of the cardholder.

b. The card is the property of the cardholder.

c. The card is non-transferable.

d. A unique Postal Reference Number (PRN) is assigned to each cardholder.

e. The card is valid for three (3) years for Filipinos and foreign residents with Diplomatic Visa for foreign government
officials/
personnel serving in foreign embassies or consulates in the Philippines, Long Stay Visitor Visa Extension, Temporary
Resident Visa and Special Resident Retiree’s Visa while one (1) year for foreign residents holding Alien Certificate
Registration Identity Card and any equivalent document allowing the applicant to stay in the Philippines for three
(3) months or more issued by the Bureau of
Immigration and or Department of Foreign Affairs.

f. The cardholder is responsible for the proper use of his/her card at all times and must keep the card secure.

g. Alteration or intentional damage to the card, using another person’s card, or allowing the card to be used by
another person is not allowed and it may result in confiscation and/or termination of the card as well a legal action/s
by government enforcement agencies and PHLPost.

h. If card is lost, stolen or damaged, the cardholder must report to the Postal Payment Delivery Division, Business
Lines Department (PPDD-BLD) by SMS, email, call and/or mail within five (5) working days:

Mailing address: The Postal Payment Delivery Division


Mobile No: (0917) 5215373
Business Lines Department
(0998) 8847629
5/F Manila Central Post Office Bldg.
(0925) 3212291
Magallanes Drive
1000 Manila, Metro Manila
Website: www.phlpost.gov.ph
E-mail Address: [email protected]
[email protected]

i. The cardholder may request for replacement of the lost, stolen or damaged card to any post office, subject to
compliance to the requirements for replacement and payment of applicable fees and charges.

j. The PHLPost is not responsible for any unauthorized use of the card or for any loss arising from the failure of
the cardholder to comply with item G of this guideline.

k. If the cardholder is found to have provided false information, falsified documents or has willingly applied for a
Postal ID through fraudulent means, he/she may be subjected to legal action/s and/or sanction/s.

l. By applying for and/or using the card, the cardholder agrees to the terms of its issuance as governed by the PHLPost
regulations.

m. Privacy Statement. The personal information that PHLPOST being provided is necessary to complete this application
and/or
transaction. Said information will be kept confidential and secure, and shall not be used without the express consent
of the data subject..
For Inquiries, Please Call Customer Service Service Hotline (02) 742-7349 / (02) 230-9875,
Globe - 09175215373, Smart - 09988447629, Sun - 09253212291, Mondays to Fridays from
8AM to 5PM
Visit: www.facebook.com/newpostalid, www.postalidph.com

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