Constituent registration |

Registration

Constituent registration

Last name *

First name *

Middle name *

Suffix name

Alias

Age *

Birth date *

Gender *

Street *

House number *

Unit floor

Building name

Your email address

Your phone number *

Place of birth *

Religion *

Civil status *

What is your role in family *

Number of dependents *

Citizenship *

Educational background

Occupation

Source of income

Covid-19 history

Voters status

Yellow card holder no.

Yellow card issue date

Yellow card expiry date

Residency status *

Others please specify

Place of residence 5 years ago

Your photo * You can take a photo or upload from gallery

Valid id * Upload any government-issued ID

I agree to allow the barangay to collect, process, and store my personal information for the purpose of constituent registration and service delivery in accordance with the data privacy act of 2012. *

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Constituent registration

Dependents information