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    MMGEC - Membership Application Form R8 Gideons v2

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    AYSA GENEVIERE O.LAPUZ
    The document is a membership application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization. The application requests personal information such as name, date of birth, address, employment details, education history, and contact information from applicants. It also requires applicants to list any legal dependents and provide details on hobbies and special skills. At the bottom, portions are designated for endorsement and approval by current members and leadership of the organization.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    MMGEC - Membership Application Form R8 Gideons v2

    Uploaded by

    AYSA GENEVIERE O.LAPUZ
    52 views1 page
    The document is a membership application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization. The application requests personal information such as name, date of birth, address, employment details, education history, and contact information from applicants. It also requires applicants to list any legal dependents and provide details on hobbies and special skills. At the bottom, portions are designated for endorsement and approval by current members and leadership of the organization.

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    gideons

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    MMGEC_Membership-Application-Form-R8-Gideons-v2

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    The document is a membership application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization. The application requests personal information such as name, date of birth, address, employment details, education history, and contact information from applicants. It also requires applicants to list any legal dependents and provide details on hobbies and special skills. At the bottom, portions are designated for endorsement and approval by current members and leadership of the organization.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    52 views1 page

    MMGEC - Membership Application Form R8 Gideons v2

    Uploaded by

    AYSA GENEVIERE O.LAPUZ
    The document is a membership application form for the Fraternal Order of Eagles (Philippine Eagles), a fraternal socio-civic organization. The application requests personal information such as name, date of birth, address, employment details, education history, and contact information from applicants. It also requires applicants to list any legal dependents and provide details on hobbies and special skills. At the bottom, portions are designated for endorsement and approval by current members and leadership of the organization.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    THE FRATERNAL ORDER OF Eagles

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

    PHILIPPINE EAGLES INSTITUTE OF LEADERSHIP


    Manila Matikas Gideons Eagles Club
    MEMBERSHIP APPLICATION FORM
    PERSONAL INFORMATION:
    NAME
    GILBERT BERT DELACRUZ LAPUZ
    FIRST NAME (NICKNAME) MIDDLE LAST NAME
    CIVIL STATUS
    PLACE OF BIRTH SAN PEDRO, STA.ANA PAMPANGA
    DATE OF BIRTH SEPTEMBER 14,1984 SINGLE MARRIED

    HEIGHT 5’10” WEIGHT 92 kgs. SEPARATED WIDOW/ER

    CITIZENSHIP Filipino RELIGION Catholic BLOOD TYPE O

    ADDRESS
    1465 ULI ULI ST. BARANGAY 639 SAN MIGUEL, MANILA NCR
    STREET NO. BARANGAY MUNICIPALITY/CITY PROVINCE ZIP CODE

    TELEPHONE NO. CELLPHONE NO. 09167347280 EMAIL aysa30lapuz@gmail.com

    EMPLOYMENT / PROFESSION:
    NAME OF OFFICE POLYTECH CONS.DEVELOPMENT ADDRESS CUBAO, QUEZON CITY
    LINE OF BUSINESS CORPORATION
    TITLE AND POSITION ELECTRICIAN TEL. NO. FAX NO.

    LIST OF LEGAL DEPENDENTS:


    NAME DATE OF BIRTH AGE
    SPOUSE NAME AYSA GENEVIERE O. LAPUZ AUGUST 30,1973 48
    NAME 1. JED CHRISTIAN O. LAPUZ NOVEMBER 28.2009 12
    OF 2. KASSANDRA O. LAPUZ AUGUST 12,2015 7
    C 3.
    H
    I
    L 4.
    D
    R 5.
    E
    N 6.

    EDUCATIONAL ATTAINMENT:
    SAN JUAN SAN PEDRO ELEMENTARY SCHOOL
    ELEMENTARY DATE GRADUATED 1996
    PAMPANGA
    HIGH SCHOOL SAN ISIDRO HS PAMPANGA DATE GRADUATED 2000
    COLLEGE DON HONORIO VOCATIONAL SCHOOL DATE GRADUATED 2002
    COURSE ELECTRICIAN
    HOBBIES
    SPECIAL SKILLS DRIVING
    SPONSOR: (Regular Member of the Club)
    NAME DATE SIGNATURE

    Eagle
    APPLICANT’S SIGNATURE
    ENDORSED BY:

    Eagle HERBERT S. DAYON Eagle JERICO S. DE GUZMAN


    REGIONAL GOVERNOR, NCR - XXII EY 2022
    CONCURRED BY: APPROVED BY:

    Eagle ALEXANDER T. ALAG Eagle NELSON ALONTO SARAPUDDIN


    EXECUTIVE PEIL DIRECTOR EY 2021 - 2022 NATIONAL PRESIDENT EY 2021 - 2022

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