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No.) (Date) P H I L I P P I N E P O S TA L C O R P O R AT I O N Accepting Post Office Name : Form No. Application OR No : Control No. :PID OR Date : PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACKh e P h i l i p p i n e s R e p u b l i c o f t BEFORE ACCOMPLISHING Accepting Post Office Code : Revision (No.) (Date) POSTAL NO. THIS ALL FIELDS WITH ( ) ARE REQUIRED. FORM.H I LALLP P I N E IN CAPITAL LETTERSR PUSE R ATINKO N Form No.REFERENCEName(Leave blank if New Application) PID Applicat.

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