EAGLES-Application-Form METROWALK

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THE FRATERNAL ORDER OF Eagles

(Philippine Eagles)
First Philippine Born Fraternal Socio - Civic Organization
Service Through Strong Brotherhood

MAAGAP MASIDLAK Eagles CLUB


APPLICATION FORM FOR I.D.
NAME: ( LAST NAME, FIRST NAME, MIDDLE NAME ) CLUB POSITION:
TOLEDANES, DANILO, MANALILI
HOME ADDRESS:
BRGY. 40 BALATONG, LAOAG CITY, ILOCOS NORTE
PERSONAL CONTACT NUMBER: HEIGHT: ( FEET ) WEIGHT ( KGS ) BLOOB TYPE: RELIGION:
CATHOLIC
0917 530 2450
CONTACT PERSON IN CASE OF EMERGENCY: LEONARDA I. TOLEDANES CONTACT NO.: 0917 502 5353

BIRTH DATE: APRIL 28, 1957 BIRTH PLACE: NUEVA ECIJA

GSIS/SSS: 011-0369-246 PHILHEALTH: PAG-IBIG: TIN NO. 158-581-534


0-5050027143-1 9133-39036848

CLUB AFFILIATION: REGION: NCR-3


MAAGAP MASIDLAK Eagles CLUB
CLUB PRESIDENT EY 2019: MEMBER CONTROL NO.
Eagle ELIZIER C. BONGABONG

CLUB PRESIDENT SIGNATURE LATEST 2X2 PHOTO EAGLE MEMBER SIGNATURE

PHILIPPINE EAGLES SECRETARIAT:

EMAIL ADDRESS: djcm_const@yahoo.com

POSTAL ADDRESS:
THE FRATERNAL ORDER OF Eagles
(Philippine Eagles)
First Philippine Born Fraternal Socio - Civic Organization
Service Through Strong Brotherhood
PHILIPPINE EAGLES INSTITUTE OF LEADERSHIP (PEIL)

METROWALK UNIVERSAL Eagles CLUB


MEMBERSHIP APPLICATION FORM

PERSONAL INFORMATION:

DANILO ‘DANNY ‘ MANALILI TOLEDANES


NAME
FIRST NAME (NICKNAME) MIDDLE LAST NAME

PLACE OF BIRTH NUEVA ECIJA CIVIL STATUS

DATE OF BIRTH APRIL 28, 1957 SINGLE MARRIED

HEIGHT 5’5 WEIGHT 65 KLS SEPARATED WIDOW/ER

CITIZENSHIP FILIPINO RELIGION CATHOLIC BLOOD TYPE TYPE 0

40 BALATONG LAOAG CITY ILOCOS NORTE 2900


ADDRESS
STREET NO. BARANGAY MUNICIPALITY/CITY PROVINCE ZIP CODE

TELEPHONE NO. 077 677-1192 CELLPHONE NO. 091705302450 EMAIL Djcm_const@yahoo.com

EMPLOYMENT / PROFESSION:
NAME OF OFFICE DJCM CONSTRUCTION CORPORATION
ADDRESS BRGY. 40 BALATONG, LAOAG CITY, ILOCOS NORTE
LINE OF BUSINESS GENERAL CONTRACTOR

TITLE AND POSITION PRESIDENT/ GENERAL MANAGER TEL. NO. 077 677-1192 FAX NO.

LIST OF LEGAL DEPENDENTS:


NAME DATE OF BIRTH AGE

SPOUSE NAME LEONARDA I. TOLEDANES MARCH 2, 1963 58

NAME 1. DIANE CECILIA I. TOLEDANES MAY 19, 1987 33

2. DAN CARLO I. TOLEDANES APRIL 4, 1988 32

OF 3. DAN MICHAEL I. TOLEDANES FEBRUARY 15, 1995 26

4.

C 5.

D 6.

EDUCATIONAL ATTAINMENT:
ELEMENTARY SAN RICARDO ELEMENTARY SCHOOL DATE GRADUATED 1965-1970

HIGH SCHOOL CABANATUAN CITY COLLEGES DATE GRADUATED 1971-1974

COLLEGE NORTHWESTERN UNIVERSITY DATE GRADUATED 1983

COURSE Bachelor of Science in Civil Engineering

HOBBIES PPSA, PINS- Province of Ilocos Norte Shooters

SPECIAL SKILLS Construction Business

SPONSOR: 11(Regular/Active Member of the Club)

NAME DATE SIGNATURE

Eagle
APPLICANT’S SIGNATURE

ENDORSED BY:

Eagle Eagle
CHAIRMAN MEMBERSHIP COMMITTEE CLUB PRESIDENT (EY:2019 )

CONCURRED BY: APPROVED BY:

Eagle Eagle CONRADO ‘DODOY’ CEDENO


NATIONAL PEIL DIRECTOR NATIONAL PRESIDENT ( EY 2019 )

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