Transcription of PID Form No. APPLICATION FOR POSTAL ID CARD
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PID Form No. APPLICATION FOR POSTAL ID CARD
(HOUSE / LOT & BLK NO.)(POST CODE)PURPOSEAPPLICATION FOR POSTAL ID CARDAPPLICANT S NAME (FIRST NAME)FATHER S NAME (FIRST NAME)MOTHER S MAIDEN NAME DATE OF BIRTH (MM/DD/YYYY)PLACE OF BIRTH (CITY/MUNICIPALITY)GENDERNATIONALITYEYES (COLOR)DISTINGUISHING FACIAL FEATURESHAIR (NATURAL COLOR)WEIGHT (KILOS)COMPLEXIONHEIGHT (CENTIMETERS)TELEPHONE NUMBEREMAIL ADDRESSGSIS No.(If GSIS member)CRN No.(If Available)PHILHEALTH No.(If member)HDMF No.(If member)SSS No.(If SSS member)TIN No.(If Available)OCCUPATIONCIVIL STATUSS ingleCapturing Post Office Name / Code:Capturing Post Office Name / Code: APPLICATION Control No.:Accepting Post Office Code:Accepting Post Office Name:OR No:OR Date:(Leave blank if New APPLICATION )NSO Birth CertificateBarangay CertificateOthersApplication Control No.:Accepting Post Office Code:Accepting Post Office Name:OR No :OR Date:Date / Time:Date / Time:MarriedWidowedSeparatedDivorced/Ann ulledINITIALRENEWALA mendment of NameReplacement of Lost CardAmendment of Biographic DataAmendment of Authenticating FingerReplacement of Damaged CardOthersCARD REPLACEMENTPART I - TO BE FILLED OUT BY THE APPLICANTPART II - TO BE FILLED OUT BY PHLPOSTA.
please read the general terms and conditions at the back before accomplishing this form. print all information in capital letters and use black ink only. all fields with ( ) are required (province) (country) fingerprints if applicant cannot sign: applicant’s signature witness’ signature signature over printed name signature over printed name
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