Form No. 391 (Rev.

2001)
Application for Postal I.D.
Republic of the Philippines
PHILIPPINE POSTAL CORPORATION

The Postmaster ________________________________

____________________________ Date

Sir/Madam:
I have the honor to apply for a Postal I.D. Attached are three(3) identical copies of my picture (2x2) and One Hundred Seventy Five Pesos
(Php 175.00) for the fee therefore.

My personal circumstances are as follows:

________________________________________________________________
SURNAME FIRSTNAME MIDDLE NAME
Occupation: ____________________Nationality: ________________________
Residence: _______________________________________________________
Photo
Provincial Address: ________________________________________________
Date of Birth: ___________________________________Age: _____________ (2x2)
Place of Birth: ____________________________________________________
Height: _____________Eyes: _______________Complexion: ______________
Distinguishing Marks:
Witnesses to Thumbark:
1. ______________________________ _____________________________________
2. ______________________________ Applicant’s Signature

________________________________________________________________________________________________________________________

Statement of Issuing Postmaster

I hereby certify that I have this day of _________,20_____ issued Postal Identification Card No. _____________________________ on the foregoing
application strictly in accordance with Sections 733-737 of the Postal Manual of the Philippines.

The applicant exhibited to me his/her Community Tax Certificate No. ________________________ issued at_______________on________________.
No Community Tax Certificate because ____________________________________________________________________________________________________.
Cross out words not Applicable

Application fee paid under

Official Receipt No. _______________________ Postmaster’s Signature ________________________
Dated ___________________________________ Printed Name ________________________________
Post Office of _________________________________________
________________________________________________________________________________________________________________________

Support Affidavit of Witness

I, ___________________________________ solemnly swear that I have known ______________________________________________, whose picture

appears below, personally for ___________________________years and I know him/her to be the person who made the foregoing application, and that his/her
circumstances as stated above are true to the best of my knowledge and belief.

Signature ____________________________________
___________________________________ Printed Name ________________________________
Position/Occupation of Witness Address _____________________________________
___________________________________
Name of Office

Subscribed and sworn to before me this _____________________ day of ____________________________ 20____________ at the City/Municipality
of ________________ with Residence Certificate No. _________________________ issued at or
________________, 20___________.
No Community Tax Certificate because ____________________________________________________________________________________________________.
Cross out words not applicable

________________________________
Signature of Authorized Officer
Documentary Stamp ________________________________
Printed Name
________________________________
Title of Officer

SKETCH LOCATION OF RESIDENCE

APPLICANT’S IDENTITY AND VERIFIED BY:

RECOMMENDATION:

Approval

Disapproval
_________________________________________
Signature of Letter Carrier
_________________________________________
Name of Letter Carrier
_________________________________________
Date

________________________________________________________________________________________________________________________

ADDITIONAL INFORMATION:

Sex: Male Female

Civil Status: Single Married

Widow/er
LEFT RIGHT

(THUMBMARKS)
________________________________________________________________________________________________________________________

I hereby waive the Postal ID fee and all applicable fees case application is denied due to fraud or misrepresentation by the
undersigned.

I prefer to have my Postal ID delivered to my stated address. In case of my absence or inability to receive, I hereby
authorize ____________________________________________ with address at _____________________________________________________
________________________________________________________________________to accept my Postal ID card.

_____________________________________________
Printed Name and Signature of Applicant