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LEGIBLY, PLEASE READ REQUIREMENTS / INSTRUCTIONS AT THE BACK. LAST NAME MIDDLE NAME Paste one 4.5 cm x 3.5 cm new colored photo with plain, white background Applicant must be in decent attire. FIRST NAME MALE FEMALE DATE OF BIRTH PLACE OF BIRTH Civil Status: AGE Single Married Widow/er Separated Name of Spouse Complete Address in the Philippines Present Occup.
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