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PAMBANSANG PUNONGHIMPILAN TANOD BAYBAYIN NG PILIPINAS
(National Headquarters Philippine Coast Guard)
139 25th St., Port Area
1018 Manila
SUMMARY OF INFORMATION
As of DD MONTH YYYY
A. NAME: JUAN PEREZ
(LASTNAME) (FIRSTNAME) (MIDDLE NAME)
B. RANK: ENSIGN (ENS) SERIAL NUMBER: O-0000
C. BIRTH DATE AND PLACE: DD MONTH YYYY / Street Name, Barangay, City, Province edit this
D. PERSONAL INFORMATION:
Nickname(s): Jay Gender: Male
Civil Status: Single Citizenship: Filipino
Religion: Roman Catholic Blood Type: O+
Height (cms): 168 Weight (kgs): 49
Head Size (cms): 54 Foot Size (cms): 25
Waist Size (cms): 71 Body Build: Light
Hair Color: Black Skin Color: Tan
Eye Color: Black Distinct Feature: Birthmark on left shoulder
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Home Address: Street Name, Barangay, City, Permanent Address: Street Name, Barangay, City,
Province edit this Province edit this
E-mail Address: emailmo@[Link] Contact Number(s): 0999 123 1234
PAG-IBIG Number: 000 000 000 123 PhilHealth Number: 052 123 000 000
SSS Number: 00-1230000-0 GSIS Number: 123456
Tax Identification Number (TIN): N/A Driver’s License Number: A12 12 123 456
Dependents: Entry will include (1) Name; (2) Relationship; (3) Birth date occasional
(1) (2) (3)
Fathername P Dela Cruz Father 23 October 1957
Morthername P Dela Cruz Mother 13 August 1969
E. EDUCATIONAL ATTAINMENT
1. Civilian: Entry shall be from Present to Past
a. Academic:
NAME OF SCHOOL / PERIOD OF ATTENDANCE STANDING / HONORS /
COURSE
INSTITUTION AND LOCATION (From – To) REMARKS
Post Graduate N/A N/A N/A
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Secondary Education N/A N/A N/A
Primary Education N/A N/A N/A
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b. Vocational:
NAME OF SCHOOL / PERIOD OF ATTENDANCE STANDING / HONORS /
COURSE
INSTITUTION AND LOCATION (From – To) REMARKS
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c. Other Trainings (Seminars/Workshops):
NAME OF SCHOOL / PERIOD OF ATTENDANCE STANDING / HONORS /
COURSE
INSTITUTION AND LOCATION (From – To) REMARKS
N/A N/A N/A N/A
2. Service Related: Entry shall be from Present to Past.
a. Coast Guard
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
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Advance Training N/A N/A N/A N/A
Strategic Training N/A N/A N/A N/A
PCG Admiral Staff
N/A N/A N/A N/A
Course
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a.1. Others: Courses/Seminars: (Local)
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE/SEMINAR AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
N/A N/A N/A N/A N/A
a.2. Others: Courses/Seminars: (Foreign)
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE/SEMINAR AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
N/A N/A N/A N/A N/A
b. Military (AFP)
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
Basic Training N/A N/A N/A N/A
Advance Training N/A N/A N/A N/A
Strategic Training N/A N/A N/A N/A
General Staff Course N/A N/A N/A N/A
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b.1. Others: Courses/Seminars: (Local)
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE/SEMINAR AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
N/A N/A N/A N/A N/A
b.2. Others: Courses/Seminars: (Foreign)
PERIOD OF STANDING /
NAME OF SCHOOL / INSTITUTION
COURSE/SEMINAR AUTHORITY(Order) ATTENDANCE HONORS /
AND LOCATION
(From – To) REMARKS
N/A N/A N/A N/A N/A
F. APPOINTMENTS, PROMOTIONS AND REDUCTIONS: Entry shall be from Present to
DESCRIPTION EFFECTIVE DATE AUTHORITY
N/A N/A N/A
G. DUTY ASSIGNMENTS AND ADDITIONAL DUTIES: Entry shall be from Present to
1. SHIPBOARD:
INCLUSIVE PERIOD
UNIT DUTY/POSITION AUTHORITY
(From-To)
N/A N/A N/A N/A
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1.a. Collateral Duties
INCLUSIVE PERIOD
UNIT DUTY/POSITION AUTHORITY
(From-To)
N/A N/A N/A N/A
2. SHORE BASED:
INCLUSIVE PERIOD
UNIT DUTY/POSITION AUTHORITY
(From-To)
N/A N/A N/A N/A
2.a. Collateral Duties
INCLUSIVE PERIOD
UNIT DUTY/POSITION AUTHORITY
(From-To)
N/A N/A N/A N/A
3. OTHERS:
3.a. Other Government Service
INCLUSIVE PERIOD
POSITION/DESIGNATION AGENCY
(From-To)
N/A N/A N/A
3.b. Non-Government Service
INCLUSIVE PERIOD
POSITION/DESIGNATION AGENCY
(From-To)
N/A N/A N/A
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H. AWARDS AND RECOGNITIONS:
1. Coast Guard
a. Awards and Decorations: Entry shall be in order of merit of the Awards from Highest down to Lowest
TYPE OF AWARD(S) AUTHORITY
N/A N/A
b. Letter of Commendation: N/A
c. Appreciation: N/A
d. Plaque: N/A
2. Military (AFP)
a. Awards and Decorations: Entry shall be in order of merit of the Awards from Highest down to Lowest
TYPE OF AWARD(S) AUTHORITY
N/A N/A
b. Letter of Commendation: N/A
c. Appreciation: N/A
d. Plaque: N/A
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3. Civilian (Commendations/Appreciations/Plaque): N/A
TYPE OF AWARD(S) AUTHORITY
N/A N/A
I. CAREER MANAGAMENT PROFILE: Entry shall include total number of years, months and days
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Sea Duty - N/A
Staff Duty - N/A
Instructor Duty - N/A
Command (Special/Major Unit) - N/A
J. ORGANIZATION AFFILIATION: This text is Sample. Delete this.
K. CIVIL SERVICE ELIGIBILITY/LICENSURE: This text is Sample. Delete this.
L. DATE OF COMPULSORY RETIREMENT: DD MONTH YYYY
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I HEREBY CERTIFY that the aforementioned entries/information is true and correct to the best of my knowledge and belief:
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picture
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In prescribe uniform
FIRSTNAME M LASTNAME
RANK PCG
AUTHENTICATED BY:
JAYSIEBELL B FERRER
CDR PCG
Coast Guard Adjutant
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