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    Data Captured Form

    Uploaded by

    Emil Sayse
    This document contains a data capture form for reservist personnel that collects personal and service-related information. It requests details such as rank, name, branch of service, contact information, assignment history, education background, military training, awards, combat gear sizes, emergency contacts, and a signature. The form is used to document an individual's service record for administrative purposes in the reservist organization.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Data Captured Form

    Uploaded by

    Emil Sayse
    248 views3 pages
    This document contains a data capture form for reservist personnel that collects personal and service-related information. It requests details such as rank, name, branch of service, contact information, assignment history, education background, military training, awards, combat gear sizes, emergency contacts, and a signature. The form is used to document an individual's service record for administrative purposes in the reservist organization.

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    captured APP FORM

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    This document contains a data capture form for reservist personnel that collects personal and service-related information. It requests details such as rank, name, branch of service, contact information, assignment history, education background, military training, awards, combat gear sizes, emergency contacts, and a signature. The form is used to document an individual's service record for administrative purposes in the reservist organization.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    248 views3 pages

    Data Captured Form

    Uploaded by

    Emil Sayse
    This document contains a data capture form for reservist personnel that collects personal and service-related information. It requests details such as rank, name, branch of service, contact information, assignment history, education background, military training, awards, combat gear sizes, emergency contacts, and a signature. The form is used to document an individual's service record for administrative purposes in the reservist organization.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    RESERVIST PERSONNEL INFORMATION

    DATA CAPTURED FORM


    PERSONAL INFORMATION
    Rank

    Last Name

    Br of Svc

    AFPSN

    First Name
    Primary AFSC

    Source of Enlistment

    Middle Name
    Other Skills

    Duty AFSC

    Authority

    Date of Enlistment/Incorporation

    Initial Rank

    Authority

    Date of Commission/Incorporation

    Initial Rank

    ROTC
    BCMT
    MOT(PAFARU)
    INCORPORATION

    Source of Commission
    ADV ROTC/POTC
    Cir 30,PROFESSIONAL
    Cir 6,ELECTED/APPOINTED
    Cir 14, PD190, NDCP/MNSA
    Cir 19, RA718, Deserving NCO
    EO 138
    Cir 3,PAFARU
    INCORPORATION
    PROJ 36-70
    Cir 4
    Others(Specify):

    Reservist Classification

    Authority

    Date of Classification

    READY RESERVE
    STANDBY RESERVE
    RETIRED RESERVE
    AFFILIATED RESERVE

    Reserve Unit Assignment

    Date Assigned

    Unit Capability

    Present Designation

    Mobilization Center

    Home Address(Nr/Street/Brgy)

    Town/City

    Province

    Present Occupation
    Date of Birth (dd/mm/yy)

    Age

    Place of Birth (Town, Province)


    Residence Tel Nr

    Office Tel Nr

    Ethnic Group

    Sex

    Marital Status

    Male
    Female

    Single
    Married

    ROMAN CATHOLIC
    ISLAM
    EVANGELICAL
    IGLESIA NI KRISTO
    AGLIPAYAN
    CHRISTIAN
    OTHERS:

    Region

    Business Address

    Email Address

    Religion

    Zip Code

    Mobile Nr

    Widowed
    Divorced

    Separated

    Blood Type

    Color of Eyes

    Color of Hair

    Complexion

    Identifying Marks

    Weight(kg)

    TIN

    SSS Nr

    GSIS Nr

    PhilHealth Nr

    Height(cm)

    Dialect Spoken: (list all known)

    Pag-ibig Nr

    STATEMENT OF SERVICE
    1. Assignment/Reassignment
    Position

    Unit

    Authority

    Inclusive Date
    From
    To

    2. Promotion/Adjustment of Rank
    Rank

    Effective Date

    (Use back page for additional


    entries)

    Authority

    3. Active Service ( ADT/ ADTT/ Auxiliary/ Mobilization)


    Type

    Purpose

    Authority

    Inclusive Date
    From
    To

    EDUCATIONAL BACKGROUND
    1.Civilian Schooling/Training/Seminars
    Name of School/Location

    Inclusive Date
    From
    To

    Standing/Grade

    Name of School/Location

    Inclusive Date
    From
    To

    Standing/Grade

    Primary
    Secondary
    Tertiary/Course
    Post Graduate

    Board Eligibility
    Type of License

    Date of Exam

    License Nr

    Board Rating

    2. Military Schooling/Training/Seminar
    Courses

    School/Location

    Inclusive Date
    From
    To

    Standing/Grade

    Military Awards and Decorations Received (Medals, Ribbons, Badges)


    Types of Award

    Achievements

    Other Awards

    (Use back page for additional


    entries)

    Authority

    Commendations
    Date

    Given By

    Appreciation/Recognition, Plaque of Merit, Spcl Awards


    Date Awarded

    Given By

    Dependents
    Name

    Tariff Sizes
    Built

    COMBAT BOOTS

    Relationship

    BDU

    Contact Person in Case of Emergency


    Name
    Address

    Cap

    Date of Birth

    T-Shirt

    Short

    Tel Nr

    Dress Shoes

    Relationship

    I hereby certify that the foregoing entries are true and correct to the best of my knowledge and belief.

    Thumb Marks

    Left Thumb

    Right Thumb

    2x2 RecentPicture
    SGOU White Background

    Signatur
    e

    Administering Officer

    (Use back page for additional


    entries)

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