PID Form No.

Republic of the Philippines Revision (No.)

PID Form No.(Date)
PID Form No.
P H I L I P P I N E RPe O
p uSbTA
l i c LoRfCetO
phuR
e bP iO
Pl hci R
loi pAT
f pt ihIneO
ePsNh i l iApplication
p p i n e s Control No. : Revision (No.) Revision
(Date) (No.) (Date)
PID Form No.

APPLICATION FOR POSTAL ID CARD P H I L I P PPI N

HEI LPI P
OPSITA
NR eE
pLuP
bClO
iO
c So
RTA
f Pt hO
Le RPChAT
O R
I pO
Pi nN
Oe sR AT I O NPost
Accepting Office Code
ilip
Application Control : : Control
Revision
Application
No. (No.)
Accepting Post Office Name :No.(Date)
:
P H I L I P P I N E P O S TA L C O R P O R AT I O N Accepting
APPLICATION
APPLICATION
FOR FOR
POSTAL
POSTAL
IDIDCARD
ID CARD OR No : Post
Application Office
Accepting
Control No.Code
:PIDPost
:Form
Office
OR No. Code
Date : :

APPLICATION FOR POSTAL CARD

R e p u bAT
PLEASE READ THE GENERAL TERMS AND CONDITIONS l i THE
c oBACK
f t hBEFORE
e P hACCOMPLISHING
i l i p p i n e s Accepting
Accepting Post
Post Office
Accepting
Office Name
Code :Post
: Office
Revision (No.)Name
(Date):
ALL FIELDS WITH ( ) ARE REQUIRED.THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY. OR
POSTAL REFERENCE NO. (Leave blank if New Application)
PPLEASE
PLEASE READ THE GENERAL
H I LREAD
ITERMS
PP THE
IN
AND
E
GENERAL
P TERMS
O S TA
CONDITIONS AT
AND
LCONDITIONS
THE
C O R PATO
BACK BEFORE
R AT I O N Accepting
ACCOMPLISHING
No : Post
Application
THE BACK BEFORE ACCOMPLISHING
Office
OR No
Control
Name :
No. :: OR Date : OR Date :
OR No : REFERENCE OR Date : New(Leave

APPLICATION FOR POSTAL ID CARD

PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING POSTAL POSTAL NO.REFERENCE
: (Leave blank ifNO.
ALL FIELDSALL
WITH FIELDS
(
ALL FIELDS WITH (
WITH
) ARE ( REQUIRED. ) ARE REQUIRED.
) ARE REQUIRED.THIS FORM.PART
THIS FORM. PRINT ALL
PRINT ALL I
THISINFORMATION IN CAPITAL
- TO BE
FORM. PRINT ALL
INFORMATION
INFORMATIONLETTERS
FILLED
IN CAPITAL
IN CAPITAL
LETTERS OUT LETTERS
AND USE
BY
AND USE THE
BLACK INK
BLACK
AND Accepting
APPLICANT
USE BLACK
ONLY.
INK ONLY.
INK Post Office
ONLY.
POSTAL REFERENCE
Accepting
Code
NO. (Leave
Post Office Name
Application)
: blank if New Application)
blank if New Application)

R e p u b l i c o f t h e P h i l i p pPART I - PART
TO BE AIAND
.-PID
APPLICATION
FILLED
TO
Form No.
BE
(No.)OUT FILLED BY TYPE
THE
OUT
OR No :
APPLICANT
BY THE
OR Date :
POSTALAPPLICANT
PLEASE READ THE GENERAL TERMS CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
ALL FIELDS WITH ( ) ARE REQUIRED. ines
PART
THIS FORM. PRINT ALL I -CARD
TO
INFORMATION BE FILLED
Revision
IN CAPITAL
REPLACEMENT LETTERS OUT
(Date) BY
AND USE THE
BLACK APPLICANT
INK ONLY.
REFERENCE NO. (Leave blank if New Application)
P H IPURPOSE CARD
L I P P I N E P O S TA L TYPEC O R P O R AT DELIVERY
I O N Application Control No.
AA.. A
: APPLICATION
A . APPLICATION
APPLICATION
. APPLICATION
Amendment of Name TYPE
TYPE TYPE
TYPE Amendment of Authenticating Finger

N FOR POSTAL ID CARD

INITIAL BASIC REGULARAccepting Post Office Code :
PURPOSE
PURPOSE PURPOSE DELIVERY CARD
Accepting
DELIVERY REPLACEMENT
Post CARD
OfficeREPLACEMENT
Name PART I - TO BE FILLED OUT BY THE APPLICANT
: REPLACEMENT
Replacementof Lost Card Replacement of Damaged Card
CARD TYPE
RENEWAL CARDCARD
TYPE TYPE
PREMIUM DELIVERY
RUSH CARD
Amendment ofORBiographic Data Others
OR No : Date : Amendment A . APPLICATION TYPE
ofAmendment
AmendmentName
of Name of Name Amendment
Amendment ofofAuthenticating
Amendment
Authenticating
of Authenticating
Finger
Finger Finger
B.NO.APPLICANT LostDETAILS
PLEASE INITIAL
READ THE GENERAL TERMS AND CONDITIONS
INITIAL
INITIAL BASIC AT THE BACK BEFOREREGULAR
BASIC ACCOMPLISHING
REGULARREGULAR
BASIC POSTALReplacementof
REFERENCE
UIRED.THIS FORM. PRINTPURPOSE
ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.
RENEWAL CARDPREMIUM
TYPE DELIVERY
RUSH CARD
Replacementof
Lostblank
(Leave
Replacementof
REPLACEMENT
Card
Lost ifCard Card
New Application) Replacement
Replacement ofofReplacement
PID
PID
Damaged
Damaged
Form
Form No.
No.
Card
Card of Damaged Card
RENEWAL NAME
APPLICANTS (FIRSTPREMIUM
RENEWAL NAME) PREMIUM
RUSH RUSH (MIDDLE NAME)ofAmendment
Amendment
Amendment
Amendment Reeof
ppBiographic
RBiographic
of offfData
uubblliicc Data
Name oo Biographic ppppiinneess (LAST NAME) Others
tthhee PPhhiilliiData Others Others
Revision
AmendmentRevision (No.)(Date)
(No.) (Date)
of Authenticating Finger (SUFFIX)
PART I INITIAL
- TO BE FILLED
RENEWAL
OUT BY THEREGULAR
BASIC APPLICANT B.
HIILLIIPPB.
PPH P N B. APPLICANT
APPLICANT
NAPPLICANT
OOSSB.
PIIReplacementof
EE PP TA
TA APPLICANT
LLCard
Lost CCOORRPPDETAILS
DETAILS
DETAILS
ORRAT
O DETAILS
ATIIO
O N Application
N ApplicationReplacement
No.:: of Damaged Card
ControlNo.
Control
PREMIUM RUSH

APPLICATION FOR POSTAL ID CARD

A(FIRST
.OFAPPLICATION TYPE
APPLICANTS NAMEDATE BIRTH (MM/DD/YYYY) PLACE OF BIRTH (CITY/MUNICIPALITY) (PROVINCE)
Amendment of Biographic DataCode::(COUNTRY) Others
PLICANTSGENDER
NAME
APPLICANTS
(FIRST NAME
NAME) NAME)
(FIRST NAME) (MIDDLE(MIDDLE
NAME)NAME)
(MIDDLE NAME) (LAST
(LAST NAME) Post
Accepting
Accepting
NAME) Post Office
Office
(LAST Code
NAME) (SUFFIX)
(SUFFIX) (SUFFIX
DELIVERY CARD REPLACEMENT B. APPLICANT DETAILS AcceptingPost
Accepting
ORNo
OR No ::
PostOffice
OfficeName
Name::
ORDate
OR Date::
APPLICANTS
FATHERS
GENDER
REGULAR
NAME
NAME DATE OF BIRTH
(FIRST
Amendment NAME)(MM/DD/YYYY)
of Name PLACE OF BIRTH
PLEASE
PLEASE (CITY/MUNICIPALITY)
READ
READ (MIDDLE
Amendment
THEGENERAL
THE GENERAL NAME)
TERMS
TERMS AND
AND ofCONDITIONS
Authenticating
CONDITIONS AT THEFinger
ATTHE BACKBEFORE
BACK (PROVINCE)
BEFOREACCOMPLISHING
ACCOMPLISHING (LAST NAME) (COUNTRY) (SUFFIX)
NDER DATE OF BIRTH
GENDERALL FIELDS
ALL (MM/DD/YYYY)
DATE OF BIRTH
FIELDS WITH
WITH ((
Replacementof Lost Card PLACE OF BIRTHTHIS
(MM/DD/YYYY)
)) ARE PLACE
(CITY/MUNICIPALITY)
ARE REQUIRED.
REQUIRED. OFPRINT
THISFORM.
BIRTH
FORM.PRINT
(CITY/MUNICIPALITY)
ALLReplacement
ALL INFORMATIONIN
INFORMATION CAPITAL
CAPITAL
INof Damaged LETTERS
LETTERS
Card AND USEBLACK
ANDUSE BLACKINK
(PROVINCE)
INKONLY.
ONLY.
POSTAL(PROVINCE)
POSTAL REFERENCENO.
REFERENCE NO.(Leave
(COUNTRY)
(Leave blankififNew
blank (COUNTRY)
NewApplication)
Application)
RUSH Amendment of Biographic Data Others
GENDER
FATHERS MAIDENDATE(FIRST
MOTHERSNAME OF BIRTH (MM/DD/YYYY)
NAME) PLACE OF BIRTH (CITY/MUNICIPALITY)
(MIDDLE NAME) (LAST NAME) (PROVINCE)
(LAST NAME) (COUNTRY) (SUFFIX)
THERS NAME
FATHERS
NAME NAME
(FIRST B. APPLICANT
NAME) (FIRST NAME) DETAILS PART
(MIDDLEIINAME)
PART -- TO
TO BE FILLED
BE
(MIDDLEFILLED
NAME) OUT BY
OUT BY THE
THE APPLICANT
APPLICANT
(LAST NAME) (LAST NAME) (SUFFIX) (SUFFIX
FATHERS
MOTHERSNAME
(MIDDLE NAME)
MAIDEN (FIRST NAME) OCCUPATION
NATIONALITY
(LAST NAME)
CIVIL AA .. APPLICATION
STATUSNAME)
(MIDDLE APPLICATION TYPE
TYPE (SUFFIX)
(LAST NAME) (SUFFIX)
Single Married Widowed Separated Divorced/Annulled
OTHERS NAME
MAIDEN
MOTHERS MAIDEN
(FIRST
PURPOSE
PURPOSE NAME) (FIRSTCARD NAME)TYPE
CARD TYPE DELIVERY
DELIVERY CARD(MIDDLE
CARD
(MIDDLE NAME) REPLACEMENT
REPLACEMENT
NAME) (LAST NAME) (LAST NAME) (SUFFIX) (SUFFIX
PLACE OF BIRTH (CITY/MUNICIPALITY) (PROVINCE) (COUNTRY)
ME NAME
GSIS No.(If GSIS member) SSS No.(IfAmendment
SSS member)of
Amendment ofName
Name TINAmendment
No.(If Available
Amendment )AuthenticatingFinger
ofAuthenticating
of Finger
MOTHERS
NATIONALITY MAIDEN
INITIAL(FIRST NAME) OCCUPATION
INITIAL BASIC
BASIC REGULAR
REGULAR CIVIL STATUSNAME)
(MIDDLE (LAST NAME) (SUFFIX)
Replacementof
Replacementof
SingleLostCard
Lost Card Married Replacementof
Replacement
Widowed ofDamaged
Damaged Card
Separated Card Divorced/Annulled
TIONALITY NAME
NATIONALITY RENEWALOCCUPATION PREMIUM
RENEWAL
(MIDDLE NAME) OCCUPATION
PREMIUM RUSHCIVIL STATUS
RUSH
(LAST NAME) CIVIL STATUSof
Amendment
Amendment ofBiographic
BiographicData
Data Others
Others
CRN
GSISNo.(If
No.(IfAvailable )
GSIS member) PHILHEALTH
SSS No.(If
CIVIL STATUS Single
SSSNo.(If member)
member) Single Married (SUFFIX) Married Widowed
TIN
HDMFNo.(If Widowed
Available
No.(If member) ) Separated Separated Divorced/AnnulledDivorced/Annu
NATIONALITY OCCUPATION
B. APPLICANT
B. APPLICANT
Single DETAILS
DETAILS
Married Widowed
TIN No.(If Available )Separated
TIN No.(If Available ) Divorced/Annulled
IS No.(If GSIS GSIS
member)
No.(If GSIS member)
(MIDDLE NAME) SSSNAME)
(LAST No.(If SSS member)
SSS No.(If SSS member) (SUFFIX)
APPLICANTS
APPLICANTS NAME
NAME (FIRSTNAME)
GSIS No.(If GSIS member)(FIRST NAME) (MIDDLENAME)
(MIDDLE NAME) (LASTNAME)
(LAST NAME)
TIN
TELEPHONE NUMBER No.(If Available ) MOBILE NUMBER
(SUFFIX)
(SUFFIX)
GSISNo.(If
EYES
CRN No.(IfAvailable
(COLOR)GSIS member)
) HAIR (NATURAL COLOR) PHILHEALTH COMPLEXION
SSS No.(If SSSNo.(If
member)
member) HDMF No.(If member)

N No.(If Available ) CIVILAvailable

CRN No.(If
GENDER
GENDER STATUSDATE) OF
DATE OFBIRTH
BIRTH(MM/DD/YYYY)
(MM/DD/YYYY) PLACE
PLACE OFBIRTH
OF PHILHEALTH
BIRTH No.(If
PHILHEALTH
member) No.(If member)
(CITY/MUNICIPALITY)
(CITY/MUNICIPALITY) (PROVINCE)
(PROVINCE) HDMF No.(If member)
HDMF No.(If member)
(COUNTRY)
(COUNTRY)
DISTINGUISHING
CRN
EYES No.(If
(COLOR) FACIAL
Available Single
) FEATURES WEIGHT
Married
HAIR (KILOS)
(NATURAL COLOR) Widowed
PHILHEALTH No.(If Separated
HEIGHT (CENTIMETERS)
member)
COMPLEXION EMAIL
Divorced/Annulled ADDRESS
TELEPHONE HDMF No.(If member)
NUMBER MOBILE NUMBER
SSS No.(If SSS member) TIN No.(If Available )
FATHERS
FATHERS
S (COLOR) EYES
EYES
NAME NAME
OF NAME
(COLOR)
SPOUSE NAME) HAIR (NATURAL
(FIRSTNAME)
(FIRST HAIR
COLOR)
(NATURAL COLOR) COMPLEXION
(MIDDLE
(MIDDLE NAME)
NAME) COMPLEXION TELEPHONE NUMBER
TELEPHONE NUMBER
(LASTNAME)
(LAST NAME) MOBILE NUMBERMOBILE NUMBER
(SUFFIX)
(SUFFIX)
DISTINGUISHING
(COLOR)
EYES (COLOR) FACIAL FEATURES
PHILHEALTH No.(If member)
WEIGHT
HAIR (KILOS)
(NATURAL COLOR)
HAIR (NATURAL COLOR) HEIGHT
COMPLEXION C.COMPLEXION
(CENTIMETERS) ADDRESS DETAILS TELEPHONE
EMAIL ADDRESS
NUMBER MOBILE NUMBER
HDMF No.(If member)
TINGUISHING PREFERRED
MOTHERS
MOTHERS MAIDEN
MAIDEN
DISTINGUISHING
FACIAL FEATURES MAILING
(FIRST
(FIRST
FACIAL ADDRESS
NAME)
NAME)
FEATURES (CHOOSE
WEIGHT (KILOS) ONE) (KILOS)
WEIGHT PRESENT
(MIDDLE
(MIDDLE NAME)
NAME)
HEIGHT WORK
(CENTIMETERS)
HEIGHT (CENTIMETERS) (LAST
EMAIL(LAST NAME)
ADDRESS EMAIL ADDRESS
NAME) (SUFFIX)
(SUFFIX)
DISTINGUISHING
NAME
NAME
FACIAL
PRESENT ADDRESS
(NATURAL COLOR)
FEATURES
COMPLEXION
WEIGHT (KILOS)
TELEPHONE NUMBER C.C.ADDRESS
ADDRESS DETAILS
HEIGHT
DETAILS EMAIL ADDRESS
(CENTIMETERS)
MOBILE NUMBER
(RM/FLR/UNIT NO. / BLDG. NAME) OCCUPATION ( HOUSE/ LOT & BLK NO.) (STREET NAME)
PREFERRED
NATIONALITY
NATIONALITY MAILING ADDRESS OCCUPATION(CHOOSE ONE) CIVIL
CIVIL STATUS
STATUS
PRESENT WORK
HT (KILOS) PRESENT ADDRESS ADDRESS
HEIGHT (CENTIMETERS) EMAIL ADDRESS C. ADDRESS
Single
Single C. ADDRESS
C. ADDRESSDETAILS
DETAILS
DETAILS
Married
Married Widowed
Widowed Separated
Separated Divorced/Annulled
Divorced/Annulled
GSIS
GSIS No.(IfGSIS
No.(If GSISmember)
(SUBDIVISION)member) SSS
SSS No.(If
No.(If SSSNO.)
SSS member)
member) TINNo.(If
TIN No.(IfAvailable
Available))
PREFERRED
PREFERRED MAILINGMAILING
PREFERRED ADDRESSADDRESS
(RM/FLR/UNIT
MAILING NO. / BLDG. NAME)
ADDRESS
(CHOOSE (CHOOSE(CHOOSE
ONE) ONE) ONE) ( HOUSE/ LOT & BLK PRESENT PRESENT
PRESENT WORK
WORK (BARANGAY/DISTRICT/LOCALITY)
(STREET NAME)
WORK
PRESENTPRESENT
CRN ADDRESS
PRESENT
CRN(RM/FLR/UNIT
No.(If
No.(If Available
Available
C. ADDRESS DETAILS
ADDRESS
)) /ADDRESS PHILHEALTH
PHILHEALTH No.(Ifmember)
member)
NO.
(CITY/MUNICIPALITY)
(RM/FLR/UNIT
(SUBDIVISION)
(RM/FLR/UNIT NO. NO.
(RM/FLR/UNIT
/ BLDG. NAME)BLDG. NAME)
/NO.
BLDG. NAME)NAME)
/ BLDG. (PROVINCE) ( HOUSE/ LOT & BLK No.(If
( HOUSE/ LOT & BLK
( HOUSE/ NO.)
NO.) LOT & BLK NO.) (COUNTRY) HDMFNo.(If
HDMF
(STREETNAME)
(STREET NAME)
(BARANGAY/DISTRICT/LOCALITY) No.(Ifmember)
member)(POST CODE)
(STREET NAME)
OOSE ONE) PRESENT WORK
EYES
EYES (COLOR)
(COLOR) HAIR(NATURAL
HAIR (NATURAL COLOR)
COLOR) COMPLEXION
COMPLEXION TELEPHONENUMBER
TELEPHONE NUMBER MOBILE
(POSTMOBILE NUMBER
CODE) NUMBER
( WORK
HOUSE/
(SUBDIVISION) LOTADDRESS
(CITY/MUNICIPALITY)
(SUBDIVISION)
& BLK NO.)
(SUBDIVISION)
(PROVINCE)
(STREET NAME) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
(COMPANY/RM/FLR/UNIT NO. / BLDG. NAME) ( HOUSE/ LOT & BLK NO.) (STREET NAME)
DISTINGUISHING
DISTINGUISHING FACIALFEATURES
FACIAL
(CITY/MUNICIPALITY) FEATURES WEIGHT(KILOS)
WEIGHT (KILOS) HEIGHT(CENTIMETERS)
HEIGHT (CENTIMETERS) EMAILADDRESS
EMAIL ADDRESS
WORK ADDRESS
WORK ADDRESS (PROVINCE)
(BARANGAY/DISTRICT/LOCALITY) (COUNTRY) (POST CODE)
(CITY/MUNICIPALITY) NO. / BLDG. NAME)(PROVINCE)
(CITY/MUNICIPALITY)
(SUBDIVISION)
(COMPANY/RM/FLR/UNIT (PROVINCE)
( HOUSE/ LOT & BLK NO.) (COUNTRY) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE) (POST CODE)
EMPLOYMENT STATUS COMPANY(STREET
TYPE NAME)
(PROVINCE) Contractual
WORK ADDRESS Regular / Permanent
(COUNTRY) Household C. ADDRESS
C. ADDRESS DETAILS
DETAILS
Self Employed
(POST CODE) OFW Government Private Others

WORK ADDRESS
WORK ADDRESS
(COMPANY/RM/FLR/UNIT
(CITY/MUNICIPALITY)
PREFERRED
PREFERRED
(SUBDIVISION) NO. / BLDG. NAME)
MAILING
MAILING ADDRESS (CHOOSE
ADDRESS (PROVINCE) ( HOUSE/ LOT & BLK NO.)
(CHOOSEONE)
ONE) PRESENT
PRESENT WORK
WORK (COUNTRY) (STREET NAME)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE)
(COMPANY/RM/FLR/UNIT
(COMPANY/RM/FLR/UNIT
PRESENT
PRESENT NO.ADDRESS
/ BLDG. NAME)
ADDRESS NO. / BLDG. NAME) ( HOUSE/ LOT & BLK
( HOUSE/
NO.) LOT & BLK NO.) (STREET NAME) (STREET NAME)
((CITY/MUNICIPALITY)
HOUSE/ LOT & BLKNO.
(RM/FLR/UNIT
(RM/FLR/UNIT
(SUBDIVISION) NO.)//BLDG.
NO. BLDG.NAME)
NAME) (STREET
(PROVINCE) NAME)LOT
((HOUSE/
HOUSE/ LOT&&BLK
BLKNO.)
NO.) (BARANGAY/DISTRICT/LOCALITY)
(COUNTRY) (STREET NAME)
(STREET NAME) (POST CODE)
D. APPLICANTS CERTIFICATION
(SUBDIVISION) (SUBDIVISION) (BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
FINGERPRINTS IF APPLICANT CANNOT SIGN:
(SUBDIVISION)
(SUBDIVISION)
(CITY/MUNICIPALITY) (BARANGAY/DISTRICT/LOCALITY)
(PROVINCE) (COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY) (POST CODE)
my consent that the same be secured and
D. APPLICANTS CERTIFICATION
"Notwithstanding the confidentiality of the data that I have supplied herein, I hereby give
accessed for subsequent validation, verification, and
(CITY/MUNICIPALITY) (CITY/MUNICIPALITY) (PROVINCE) (PROVINCE) (COUNTRY) (COUNTRY) (POST CODE)
FINGERPRINTS IF APPLICANT CANNOT(POST CODE)
SIGN:
(PROVINCE) other purposes consistent with the objectives
(CITY/MUNICIPALITY)
(CITY/MUNICIPALITY)
(COUNTRY) this card enrolment. I further affirm(POST
of (PROVINCE)
(PROVINCE) that CODE)
by (COUNTRY)
(COUNTRY) (POSTCODE)
(POST CODE)
"Notwithstanding
affixing my signature theD.D.
APPLICANTS
APPLICANTSCERTIFICATION
on this CERTIFICATION
confidentiality of the data that Iappearing
form, all statements/data have supplied in thisherein,
formI hereby
and ongive the
my consentscreen,
operators that the samewere
which be secured
shown andto me accessed for subsequent
at or about validation,
the time I affixed verification,
my signature and
herein,
FINGERPRINTS IF APPLICANT CANNOT SIGN:
are
WORK
WORK true,
affixing
for
ADDRESS
ADDRESS
"Notwithstanding
my signature
this card,
D. APPLICANTS
D. APPLICANTS CERTIFICATION
other purposes
correct consistent
I likewise on
D. APPLICANTS
and complete
the
fullythis
CERTIFICATION
withtothe
agreeform,
CERTIFICATION
theobjectives
best of myof
confidentiality of the data
this card enrolment.
knowledge
all statements/data
to and that
understand all the I have supplied
appearing
terms of in
I furtherwhile
and belief. Further,
herein,
its this
affirmapplying
I
form as
issuance hereby
and
that by
give
on the
governed
(COMPANY/RM/FLR/UNIT
(COMPANY/RM/FLR/UNIT
myPostal
consent that the NO.
NO.
samewere // BLDG.
BLDG.
be secured NAME)
NAME) (( HOUSE/
HOUSE/ LOT
LOT &
& BLK
BLK
FINGERPRINTS NO.)
NO.) IF APPLICANT CANNOT SIGN: (STREET NAME)
(STREET NAME)
FINGERPRINTS FINGERPRINTS
IF APPLICANT CANNOT
IF APPLICANT
SIGN:CANNOT SIGN:
operators
by screen,
rules and which
regulations." shown andto me accessed for subsequent
at or about validation,
the time I affixed verification,
my signature and
herein,
other
he data that I have supplied
are purposes
true, herein,
correct Iconsistent
hereby
and givewithtothe
complete objectives of this card enrolment. I furtherwhile
affirmapplying
that by
"Notwithstanding
essed for subsequent "Notwithstanding
validation,the confidentiality
verification, and ofthe best
the confidentiality
the dataof my
thatknowledge
ofI have
the data and
thatbelief.
supplied Iherein,
have Further,
supplied
I herebyherein,
give I hereby give RIGHT THUMB RIGHT INDEX
affixing
for this my
card, signature
APPLICANTS
I likewise on
fullythis form,
SIGNATURE
agree to all statements/data
and understand appearing
all thevalidation,
terms in this
of its issuanceform and on
as governed the
s of my
this consent (SUBDIVISION)
(SUBDIVISION)
that my the
Iconsent
same bethat
secured
the same
byand be
accessed
secured (BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY) WITNESS SIGNATURE
card enrolment.
operators
by Postal further
screen,
rules affirm
and thatwere
which
regulations." shown to mefor and
at subsequent
oraccessed
about thefor time subsequent
I affixedverification,
myvalidation,
signature and verification, and
herein,
other purposes
ments/data areother
appearing consistent
purposes
in this
true, formand
correct with consistent
thethe
andcomplete
on objectives
towith of
thethis
the best objectives
of mycard enrolment.
knowledgeof thisand card
I further
belief.enrolment.
affirm
Further, Ithat
whilefurther
by affirm that by
applying
affixing
the my signature
affixingmyonmy this
signature
form, RIGHT THUMB RIGHT INDEX
or about timefor I affixed
this card, signature
(CITY/MUNICIPALITY)
(CITY/MUNICIPALITY) I likewise
APPLICANTS fullyall
herein, on statements/data
agree this form,
to and
SIGNATURE all statements/data
understand appearing in this
all the terms
(PROVINCE)
(PROVINCE)
appearing
of itsform and
issuance in asthis
ongoverned
the
form and on the
(COUNTRY)
(COUNTRY) (POSTCODE)
(POST
WITNESS CODE)
SIGNATURE
my knowledge
operators and belief.
screen,
by Further,
operators
which
Postal while
ruleswere
screen,applying
shown
which
and regulations." to were
me atshown
orNAME
aboutto me
theat time
or about
I affixedthemy time signature
I affixedherein,
my DATE
signature herein,
SIGNATURE
erstand all the terms of its issuance OVER
as governed PRINTED SIGNATURE OVER PRINTED NAME
are true, correctare andtrue,
complete
correctto and
thecomplete
best of my to knowledge
the best of my andknowledge
belief. Further,and while
belief.applying
Further, while applying RIGHT THUMB RIGHT INDEX
for this card, I likewise APPLICANTS
for this card,
fully agree
I likewise SIGNATURE
to and
fully
understand
agree to and
all understand PART
the terms ofall
itsthe II as
issuance
terms
RIGHT THUMB
-ofTO BE FILLED
governed
its issuance
D. OUT
PHLPOST
as governed
D. APPLICANTS
APPLICANTS CERTIFICATION
CERTIFICATION BY
RIGHT INDEX
WITNESS SIGNATURE
by Postal rules and
by Postal
SUPPORTING regulations."
rules and
SIGNATURE
DOCUMENTS regulations."
OVER PRINTED
PRESENTED:NAME APPROVED BY:DATE
WITNESS SIGNATURE SIGNATURE OVER PRINTED NAME
FINGERPRINTS
RIGHTFINGERPRINTS
THUMB RIGHT IFTHUMB
IF APPLICANTCANNOT
APPLICANT CANNOTSIGN:
SIGN:
RIGHT INDEX RIGHT INDEX
NSO Birth Certificate
APPLICANTS APPLICANTS
SIGNATURE
"Notwithstanding
"Notwithstanding the SIGNATURE
theconfidentiality
confidentiality
Barangay Certificate
ofthe
of thedata
datathat
thatIIhavePART
have suppliedII
supplied - TO
herein,
herein, BE give
IIhereby
hereby
SIGNATURE
FILLED
give OUT BY PHLPOST
OVER PRINTED NAME WITNESS SIGNATURE
WITNESS SIGNATURE
DATE
Others
SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME
SUPPORTING
my consentDOCUMENTS
myconsent thatthe
that thesame
samebebePRESENTED:
securedand
secured andaccessed
accessedfor
forsubsequent APPROVED
subsequentvalidation,
validation, BY: and
verification,
verification, and
DATE DATA CAPTURE
SIGNATURE SCHEDULE:
OVER PRINTED NAME DATA CAPTURED BY:
other
other purposes
purposes consistent
consistent
NSO Birth Certificate
affixing BY:
affixing my signature
with
with
signature on
the
the objectives
objectives
on this
of
of this
this card
card
Barangay Certificate
this form,
form, allall statements/dataPART II - TO BE FILLED OUT BY PHLPOST
enrolment.
enrolment. II further
further
statements/data appearing
affirm
affirm
appearing
that
that
Capturing
in this
by
by
Post
this form
form Office
and onName
on the / Code :
PART
SCREENED IImy
Others
SUPPORTING
operators
operators -screen,
TO
DOCUMENTS
screen, BEwhich
which FILLED
were
werePRESENTED:
shown
shown OUT tome
to meat BY
ator PHLPOST
orabout
about thetime
the
in
timeIIaffixed
affixedAPPROVED
mysignature
my
and
SIGNATURE
signature
the
BY:herein,
herein,
OVER PRINTED NAME DATE
SIGNATURE OVER
SIGNATURE
APPROVED PRINTED
BY: OVERNAME PRINTED NAME DATA CAPTURE DATE SCHEDULE: DATE DATA SIGNATUREBY:
CAPTURED OVER
SIGNATURE
PRINTEDOVER
NAMEPRINTED NAME
SIGNATURE
are
are true,
true, correctOVER PRINTED NAME
correct and
and
NSO Birth Certificate complete
complete to
to the
the best
best BarangayDATE
of
of my
my knowledge
knowledge and
and
Certificate belief. Further,
Date / Time :
belief. Further, while
while applying
applying SIGNATURE OVER PRINTED NAME DATE
rangay Certificate forOthers
for
SCREENED this
this
TEAR
byPostal
by
card,
card, II likewise
BY:HERE
Postalrules
rules
likewise fully
fully agree
andregulations."
and
SIGNATURE
agree to
regulations."
to and
OVER PRINTED NAME
PART II -PART
and understand
TO BEIIFILLED
understand all
- TO BEOUT
all the
FILLED
the terms
BY PHLPOST
terms of
of
OUT BY PHLPOST
Capturing
its Post
its issuance
issuance Office
as
as NameOVER
governed
governed
SIGNATURE / CodePRINTED
Republic o
:
DATE
NAME
f the Philippines
DATE
SUPPORTINGSUPPORTING
DOCUMENTS DOCUMENTS
PRESENTED: PRESENTED: DATE DATA CAPTURE
APPROVED SCHEDULE: DATAApplication
CAPTURED Control
BY:No. :
SIGNATURE
DATA CAPTURE OVER PRINTED NAME
SCHEDULE: P DATA
HDate I P PBY:
I L/CAPTURED
Time : APPROVED
I N EBY:P O SBY: TA L C O R P O R AT I O RIGHT N SIGNATURE
RIGHTTHUMB
THUMB
Accepting
OVER PRINTED NAME
Post OfficeSIGNATURE
Code :
RIGHTINDEX
RIGHT INDEX DATE
Capturing Post Office Name / Code :

APPLICATION FOR POSTAL ID CARD

SCREENED
NSO Birth TEAR
Certificate
NSO APPLICANTS
APPLICANTS
BY:HERE
Birth Certificate SIGNATURE Certificate
SIGNATURE WITNESS
WITNESS SIGNATURE
Capturing Post Office Name / Code Barangay
: Barangay Certificate
Republic of the Philippines
SIGNATURE OVER
SIGNATUREPRINTED OVER
NAME PRINTED NAME Accepting Post Office Name
Application Control No. : :
Others SIGNATURE OthersOVER PRINTED NAME DATE PH Date L/ Time
I P P: I NOVER
ISIGNATURE E PPRINTED
O S TANAME L C O R P O RDATE AT I O N SIGNATURE OVER PRINTED NAME DATE DATEDATE
DATE Date / Time : OR No : Post
Accepting Office Code : OR Date
BY::

APPLICATION FOR POSTAL IDOUTCARD

TEAR HERE DATA CAPTURE DATA SCHEDULE:
CAPTURE SCHEDULE: DATA CAPTURED DATA BY:CAPTURED
SIGNATURE OVER
SIGNATURE ACKNOWLEDGEMENT
OVER PRINTED
PRINTED NAME SLIP ( CLIENT COPY DATE R e p)u b l i c o f t h e P h i l i p p i n e s SIGNATURE OVER PRINTED NAME
SCREENED BY: SCREENED BY: NO.(LeaveRblank ep u b l i c oNAMEf t h e P h i l i p p i n eCapturing
s Post Office
Capturing
Application Name DATE
ControlPost
/ Code
No. : Office
:NAME)
Name / Code : SIGNATURE
Accepting Post
Application OVER
Office
Control PRINTED
No.Name
: : NAME
POSTAL REFERENCE if New Application) NAME (FIRST
P H I L I P P I N E P O S TA L C O R P O R AT I O N P H IAccepting
PART
PART IIII -- TO
TO BE
BE FILLED
FILLED OUT BY PHLPOST
BY PHLPOST L I P P I N E P O S TA L C O R P O R AT I O N
NAME) (MIDDLE
OR
(LAST NAME) (SUFFIX)
No : Post Office Code : OR Date :
Accepting

APPLICATION FOR POSTAL ID CARD

Post Office Code :

N FOR POSTAL ID CARD

SIGNATURE OVER
SIGNATURE
PRINTED OVER
NAMEACKNOWLEDGEMENT
PRINTED NAME DATE SLIP
DATE
Date / Time( :CLIENT
DatePost COPY
/ Time : Name :) SIGNATURE
Accepting Post OVER
SIGNATURE
Office PRINTED OVER
NAME PRINTED NAME DATE DA
SUPPORTING
SUPPORTING
APPROVED BY: DOCUMENTS PRESENTED:
DOCUMENTS PRESENTED: DATAAPPROVED
APPROVED
Accepting
CAPTURE BY:
BY:
Office
SCHEDULE: DATA CAPTURED BY: Name :
TEARPOSTAL REFERENCE
HERENSO TEAR NO.(Leave blank if New Application) NAME (FIRST NAME)
HERE (MIDDLE NAME) (LAST NAME)
OR (SUFFIX)
NSO BirthCertificate
Birth Certificate Certificate Capturing
BarangayCertificate
Barangay OR No :Post OfficeRName
e p u/bCode c :Date
l iOR oRf e:tphue bPl h
i ci loi pf pt ihnee P i nNo
e s:
s h i l i p pApplication Control
Application
OR Date :
No. : Control No. :
DGEMENT SLIP Others ( CLIENT COPY
Others ACKNOWLEDGEMENT
) SLIP ( CLIENT SIGNATURECOPY
SIGNATURE OVER
OVER) PRINTED
PRINTED NAMENAME DATE
DATE
SIGNATURE
APPROVED BY: OVER PRINTED ifNAME DATE P H I L IDATA P P/ Time
Date PICAPTURE
N
H:EI LPI P
CAPTURE O PSITA
SCHEDULE:N EL PCOOSRTA P OLRCAT OR IO PN O R DATA
ATDATA ICAPTURED
O N PostOVER
CAPTURED
SIGNATURE
Accepting BY:
OfficePRINTED
Accepting : NAME
CodePost Office Code : DATE

APPLICATION
APPLICATION
FORFOR
POSTAL
POSTAL
ID CARD
ID CARD
NAME (FIRSTPOSTAL
NAME) REFERENCE NO.(Leave blankNAME)
(MIDDLE New Application) NAME (FIRST NAME)
(LAST NAME)DATA
DATA CAPTURE SCHEDULE:
SCHEDULE:
(MIDDLE NAME)
(SUFFIX) DATA
(LAST NAME) CAPTURED BY:
BY: (SUFFIX)
Capturing Post Office Name / Code :
SCREENEDBY:
SCREENED BY: CapturingPost
Capturing PostOffice
OfficeName
Name//Code
Code:: Accepting Post Office
Accepting
Name Post
: Office Name :
For Inquiries , Please
DATA BY: Call Customer Service Hotline 5275409 DATA
DATA CAPTURE
APPROVED
SIGNATURE BY: OVERSCHEDULE:
PRINTED NAME DATE Date /CAPTURED
DATA CAPTURE
Time : SCHEDULE: CAPTURED
SIGNATURE
OR No : OVER BY:
OVER PRINTED
ORPRINTED
No : NAME
OR Date : OR DATE
Date :
SIGNATURE
SIGNATURE OVER
Capturing PostOVER PRINTED
PRINTED
Office Name NAME
/ CodeNAME
: DATE
DATE Date//Time
Date TimePost
Capturing :: Office Name / Code : SIGNATURE
SIGNATURE OVER PRINTED NAME
NAME DATE
DATE
ACKNOWLEDGEMENT
TEAR HERE
TEAR HERE ACKNOWLEDGEMENT SLIP ( CLIENT SLIP (COPY CLIENT ) COPY )
For Inquiries
DATE REFERENCE
POSTAL DateNO.(Leave
POSTAL / Time
SIGNATURE : OVER
REFERENCE NO.(Leave
blank ifPRINTED
New Application)
blank if New
NAME Application)
NAME DATE
(FIRST NAME (FIRST
NAME) / Time : , Please
DateSIGNATURE
NAME) OVER Call
(MIDDLE
eeCustomer
RRNAME)
PRINTED liicc ooService
ppuubbNAME
l(MIDDLE ff ttNAME) Hotline
hhee PP lliipppp5275409
hhiiDATE ii(LAST
nneess NAME) Application
Application
SIGNATURE Control
Control
(LAST NAME) OVER No.PRINTED
No. ::
(SUFFIX) NAME(SUFFIX) DATE
PPH
HIILLIIPPPPIIN
NEE PPO
OSSTA
TALL CCO
ORRPPO
ORRAT
ATIIO
ONN Accepting
Accepting PostOffice
Post OfficeMondays
Code:: to Fridays from 8AM to 5PM
Code

APPLICATION FOR POSTAL ID CARD

For Inquiries , Please Call Customer Service Hotline 5275409
(02) 742-7349
For / (02) 230-9875,
Inquiries Globe
,SCHEDULE:
Please - 09175215373,
Call Customer Smart
Service - 09988447629,
Hotline Sun
5275409 DATA - 09253212291,
APPROVED BY:
APPROVED BY: DATA CAPTURE
Visit: DATA CAPTURE SCHEDULE:
www.facebook.com/newpostalid, www.postalidph.com
CAPTURED
Accepting
Accepting DATA
Post
Post BY:
Office
Office CAPTURED
Name::
Name BY:
Capturing Post Office
Capturing
NamePost
/ Code
Office
: Name / Code : ORNo
OR No :: ORDate
OR Date::
 GENERAL TERMS AND CONDITIONS:
a. The Improved Postal ID is issued exclusively by PHLPost as proof of address and identity of the cardholder.

b. The card is the property of the cardholder.

c. The card is non-transferable.

d. A unique Postal Reference Number (PRN) is assigned to each cardholder.

e. The card is valid for three (3) years for Filipinos and foreign residents with Diplomatic Visa for foreign
government officials/personnel serving in foreign embassies or consulates in the Philippines, Long Stay
Visitor Visa Extension, Temporary Resident Visa and Special Resident Retirees Visa while one (1) year for
foreign residents holding Alien Certificate Registration Identity Card and any equivalent document allowing
the applicant to stay in the Philippines for three (3) months or more issued by the Bureau of Immigration and
or Department of Foreign Affairs.

f. The cardholder is responsible for the proper use of his/her card at all times and must keep the card secure.

g. Alteration or intentional damage to the card, using another persons card, or allowing the card to be used by
another person is not allowed and it may result in confiscation and/or termination of the card as well as legal
action/s by government enforcement agencies and PHLPost.

h. If card is lost, stolen or damaged, the cardholder must report to the Postal Payment Services
Division, Business Lines Department (PPSD-BLD) by SMS, email, call and/or mail within five (5)
working days:

Mailing address: The Postal Payment Services Division

Business Lines Department
5/F Manila Central Post Office Bldg.
Magallanes Drive
1000 Manila, Metro Manila
E-mail Address: phlpostal.payment@gmail.com
ppsddiv.bld.phlpost@gmail.com

Mobile No: (0917) 5215373

(0998) 8847629
(0925) 3212291

Telefax No: (02) 5275872

(02) 5270151

Website: www.phlpost.gov.ph

i. The cardholder may request for replacement of the lost, stolen or damaged card to any post office, subject to
compliance to the requirements for replacement and payment of applicable fees and charges.

j. The PHLPost is not responsible for any unauthorized use of the card or for any loss arising from the failure of
the cardholder to comply with item G of this guideline.

k. If the cardholder is found to have provided false information, falsified documents or has willingly applied for a
Postal ID through fraudulent means, he/she may be subjected to legal action/s and/or sanction/s.

l. By applying for and/or using the card, the cardholder agrees to the terms of its issuance as governed by the
PHLPost regulations.