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AFP PERSONNEL DATA SHEET

(FOR RETIREMENT PURPOSE)

I - NAME ________________________________________________________________________________

(Rank) (First Name) (Middle Name) (last Name) (AFPSN) (BrSvc)

DESIGNATION/UNIT ASSIGNMENT:__________________________________________________________

MILITARY OOCUPATIONAL SPECIALTY (MOS):_______________________________________________

DATE ENTERED MIL SVC: _________________ AUTHORITY: ____________________________________

CAD/DATE ENLISTMENT:__________________AUTHORITY: ____________________________________

DATE OF RETIREMENT: __________________ NATURE: _______________________________________

(DAY) (MO) (YR) (OPT, COMP,CDD)

LENGTH OF SERVICE –MIL: ____________________ CIV: _______________________________________

(YR) (MO) (DAY) (YR) (MO) (DAY)

DATE OF BIRTH: ___________________ PLACE OF BIRTH: _____________________________________

HEIGHT: _____________WEIGHT: ____________HAIR: ________COMPLEXION: ____________________

RELIGION: ___________TRIBE: ______________IDENTIFICATION MARKS: _______________________

EDUCATIONAL ATTAINMENT: _____________________________________________________________

CIVIL STATUS: _________________DATE OF MARTRIAGE: _____________________________________

PERMANENT ADDRESS(Before & after retirement): _________________________________________________

___________________________________________________________________________________________

TEL NO: ________________ CELL NO: _____________E-MAIL ADD: _____________________________

TIN:

DEPENDENTS: (see annex sheet)

IV – CERTIFICATION/AUTHENTICATION:

I HEREBY CERTIFY UNDER OATH THAT THE FORGOING ENTRIES AND DOCUMENTS SUBMITTED ARE TRUE AND CORRECT TO THE BEST OF KNOWLEDGE AND BELIEF.

_____________________ (SIGNATURE)

DATE SIGNED: ___________________

V – ATTACHMENTS:

- STATEMENT OF SERVICE/CSC Confirmation for Civ Svc, ete

- BIRTH CERTIFICATE OF DEPENDENTS (FROM NSO)

- MARRIAGE CONTRACT FROM NSO)

- ANNEX