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PHILIPPINE ARMY
RESERVIST INFORMATION DATA SHEET
RESERVIST PERSONNEL INFORMATION
Rank Last Name First Name Middle Name AFPSN BrSVC

AFPOS / MOS Source of Commission / Enlistment


O INF O SC O AGS O GSC O MNSA O MS-43 O ROTC O CAA (CAFGU)
O CAV O QMS O FS O MNSA O ELECTED O POTC O CMT O MOT (PAARU)
O FA O MI O RES O PRES APOINTEE O CBT COMISION O BCMT
O DEGREE HOLDER O EX-AFP O SBCMT
Initial Rank Date of Comsn/Enlst Authority Reservist Classification Mobilization Center
O READY O RETIRED
O STANDBY
Designation Squad / Team / Section Platoon Company Battalion / Brigade / Division

Size of Combat Shoes Size of Cap (cm) Size of BDA

PERSONAL INFORMATION
Present Occupation Company Name & Address Office Tel Nr

Home Address: Street / Barangay Town / City / Province / ZIP Code Res.Tel.Nr

Mobile Tel Nr Birth Date(01-Jan-1999) Birth Place (Municipality, Province) Age Religion Blood Type

T.I.N. SSS Nr: PHILHEALTH Nr: Height: cm Weight: kgs Marital Status Sex
O Single O Married O Male
O Widow O Separated O Female
FB Account: Email Address:
Special Skills: Language/Dialect Spoken:
PROMOTION/DEMOTION
Rank Date of Rank Authority
1.
2.
MILITARY TRAINING/SEMINAR/SCHOOLING
Course/Title School & Location Date Graduated
1.
2.
3.
4.
5.
AWARDS AND DECORATION
Awards/Decoration Authority Date Awarded
1.
2.
3.
DEPENDENTS
Relation Name & Contact Number Date of Birth
1.
2.
HIGHEST EDUCATIONAL ATTAINMENT
Course School Date Graduated

CAD/OJT/ADT
Unit Purpose / Authority Date Start Date End

UNIT ASSIGNMENT
Unit Authority Date From Date To

DESIGNATION
Position Authority Date From Date To

I HEREBY CERTIFY that all entries in this document are correct.

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Attesting Personnel
This will form part of the Reservist’s MPF to be filed at HQS ARPMC(P), ARESCOM and Sent a Scan or E-Copy to [email protected]
®
Note: Other information that needs Supporting Documents shall be attached to be valid. J s2019

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