USER REGISTRATION

Personal Information

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Last Name

First Name

Suffix

Middle Name

Birthdate (DD/MM/YYYY)

Age

Birth Place (TOWN/CITY)

Rank Classification

Rank

UNIT ASSIGNMENT

SUB UNIT ASSIGNMENT

Serial No.

Personal Information

Region

City/Province

Municipality

Barangay

Street

House No.

Blood Type

Civil Status

Gender

Nationality

Religion

Contact Number

BIR Tax No.

PHILHEALTH No.

Email Address

Username

Password

Confirm Password