PH Postal Corporation Application For Postal ID Card - Fill, Sign Online, Download & Print - No Signup
NOT
FOR
SALE
(HOUSE / LOT & BLK NO.)
(POST CODE)
PURPOSE
APPLICATION FOR POSTAL ID CARD
APPLICANT’S NAME (FIRST NAME)
FATHER’S NAME (FIRST NAME)
MOTHER’S MAIDEN NAME
DATE OF BIRTH (MM/DD/YYYY)
PLACE OF BIRTH (CITY/MUNICIPALITY)
GENDER
NATIONALITY
EYES (COLOR)
DISTINGUISHING FACIAL FEATURES
HAIR (NATURAL COLOR)
WEIGHT (KILOS)
COMPLEXION
HEIGHT (CENTIMETERS)
TELEPHONE NUMBER
EMAIL ADDRESS
GSIS No.(If GSIS member)
CRN No.(If Available)
PHILHEALTH No.(If member)
HDMF No.(If member)
SSS No.(If SSS member)
TIN No.(If Available)
OCCUPATION
CIVIL STATUS
Single
Capturing Post Office Name / Code:
Capturing Post Office Name / Code:
Application Control No.:
Accepting Post Office Code:
Accepting Post Office Name:
OR No:
OR Date:
(Leave blank if New Application)
NSO Birth Certificate
Barangay Certificate
Others
Application Control No.:
Accepting Post Office Code:
Accepting Post Office Name:
OR No :
OR Date:
Date / Time:
Date / Time:
Married
Widowed
Separated
Divorced/Annulled
INITIAL
RENEWAL
Amendment of Name
Replacement of Lost Card
Amendment of Biographic Data
Amendment of Authenticating Finger
Replacement of Damaged Card
Others
CARD REPLACEMENT
PART I - TO BE FILLED OUT BY THE APPLICANT
PART II - TO BE FILLED OUT BY PHLPOST
A. APPLICATION TYPE
B. APPLICANT DETAILS
C. ADDRESS DETAILS
D. APPLICANT’S CERTIFICATION
PHILIPPINE POSTAL CORPORATION
Republic of the Philippines
APPLICATION FOR POSTAL ID CARD
PHILIPPINE POSTAL CORPORATION
ACKNOWLEDGEMENT SLIP ( CLIENT COPY )
Republic of the Philippines
PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
THIS FORM. PRINT ALL INFORMATION IN
CAPITAL LETTER
S
AND
USE BLACK INK
ONLY.
ALL FIELDS WITH ( ) ARE REQUIRED
(PROVINCE)
(COUNTRY)
FINGERPRINTS IF APPLICANT CANNOT SIGN:
WITNESS’ SIGNATURE
APPLICANT’S SIGNATURE
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
DATE
APPLICANT’S SIGNATURE
SIGNATURE OVER PRINTED NAME
DATE
DATE
DATE
DATE
DATE
DATE
SCREENED BY:
APPROVED BY:
SUPPORTING DOCUMENTS PRESENTED:
POSTAL REFERENCE NO.
(Leave blank if New Application)
APPROVED BY:
DATA CAPTURE SCHEDULE:
NAME
(FIRST NAME)
(MIDDLE NAME)
(LAST NAME)
(SUFFIX)
DATA CAPTURED BY:
DATA CAPTURE SCHEDULE
DATA CAPTURED BY:
RIGHT THUMB
RIGHT INDEX
PREFERRED MAILING ADDRESS
(RM/FLR/UNIT NO./ BLDG. NAME)
PRESENT ADDRESS
WORK ADDRESS
(SUBDIVISION)
(CITY/MUNICIPALITY)
(PROVINCE)
(HOUSE/ LOT & BLK NO.)
(STREET NAME)
Contractual
Regular / Permanent
Household
Self Employed
OFW
Government
Private
Others
EMPLOYMENT STATUS
(COMPANY/RM/FLR/UNIT NO./BLDG. NAME)
(STREET NAME)
(SUBDIVISION)
COMPANY TYPE
(CITY/MUNICIPALITY)
(PROVINCE)
(COUNTRY)
(COUNTRY)
(POST CODE)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
MOBILE NUMBER
(MIDDLE NAME)
(MIDDLE NAME)
(MIDDLE NAME)
(LAST NAME)
POSTAL REFERENCE NO.
PID Form No.
Revision (No.) (Date)
(LAST NAME)
(SUFFIX)
(SUFFIX)
(LAST NAME)
(SUFFIX)
(FIRST NAME)
TEAR HERE
correct and complete. While applying for this card, I likewise fully agree to and understand
all the terms of its issuance as governed by Postal rules and regulations.
Further,
all
statements/data
on
the
operator's screen, which were shown to me
herein, are true, correct and complete to the
best of my knowledge and belief.
Higit pa rito, ang aking lagda sa form na ito
ay
nagpapatunay
na
ang
lahat
ng
impormasyong makikita sa kompyuter screen
ng operator ay totoo, tama at kumpleto sa
aking buong kaalaman at paniniwala.
Ibinibigay ko ang aking pahintulot na gamitin ang mga kompidensyal na impormasyong
nakasaad sa itaas sa pagpapatunay, pagbeberipika at iba pang pamamaraang kaugnay sa
proseso ng paggawa ng Postal ID. Ang aking lagda sa form na ito ay nagpapatibay na ang
lahat ng impormasyong makikita sa form na ito ay totoo, tama at kumpleto. Naiintidihan ko
rin at sumasang-ayon ako sa mga alituntunin at reglamento na sumasaklaw sa pagkakaroon
ng Postal ID card.
FILL-UP FIELDS WITH ( ) IF APPLICABLE
(CHOOSE ONE)
PRESENT
WORK
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 Retiree’s 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 person’s 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 a 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 Delivery Division, Business Lines Department
(PPDD-BLD) by email and / or mail within five (5) working days:
For Inquiries, Please Email Customer Service at pidhelpdesk1@gmail.com, pidhelpdesk2@gmail.com, pidpmo.phlpost@gmail.com
Mondays to Fridays from 8AM to 5PM
Visit: www.facebook.com/PostalIDPH, www.postalidph.com
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.
m.
Privacy Statement. The personal information that PHLPOST being provided is necessary to complete this application and/or
transaction. Said information will be kept confidential and secure, and shall not be used without the express consent of the data
subject..
Mailing address:
The Postal Payment Delivery Division
Business Lines Department
Philippine Postal Corporation
Magallanes Drive, Liwasang Bonifacio,
Brgy. 169-A Ermita 1000 Manila, Philippines
E-mail Address:
pidhelpdesk1@gmail.com
pidhelpdesk2@gmail.com
pidpmo.phlpost@gmail.com
Website:
www.phlpost.gov.ph
For Inquiries, Please email:
pidhelpdesk1@gmail.com
pidhelpdesk2@gmail.com
pidpmo.phlpost@gmail.com
Mondays to Fridays from 8:00am to 5:00pm
If the applicant failed to proceed to the capturing station within three (3) months from the date of Service Invoice, PHLPost
reserves the right not to refund the amount paid by the applicant.
n.
