First Name*

Middle Name*

Last Name*

Address*

Gender* Male Female

Date of Birth

Place of Birth*

Mobile Number

Rank/Position/Course*

Agency/Institution*

Address (Agency/Institution)*

School Last Attended

Email / Username*

Password

Confirm Password

Requirements 1. PSA Birth Certificate (PSA Marriage Certificate—for married woman) 2. Valid Medical Certificate in PEME format issued by DOH & MARINA-accredited hospital/clinic 3. Drug Test Result 4. Any valid government-issued ID 5. Vaccination Card 6. Latest 2x2 ID picture in awhite Polo-shirt on a white background Note: Submit both the photocopy and the original for verification purposes.

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