PID Form No.

Revision (No.) (Date)

Republic of the Philippines

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

Application Control No. :PID Form No.

Accepting Post Office Code
:
Revision
(No.) (Date)
Post Office Name :
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
No. :
OR
No : Control No. :PID Form
OR Date
PLEASE READ THE GENERAL TERMS AND CONDITIONS
R e p u bAT
l i THE
c oBACK
f t hBEFORE
e P hACCOMPLISHING
i l i p p i n e s Accepting Post Office Code
:
Revision
(No.) (Date)
POSTAL REFERENCE NO.
(Leave blank if New Application)
PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.
ALL FIELDS WITH (
) ARE REQUIRED.THIS FORM.
Accepting
OfficeNo.
Name
PID Form
No. Post
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
Application
Control
: :
Republic of the Philippines
OR No(No.)
: (Date)
OR Date :
Revision
PLEASE READ THE GENERAL TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
Accepting
Post
Office
Code
:
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
POSTAL
REFERENCE
NO.
(Leave blank if New Application)
PART
I
TO
BE
FILLED
OUT
BY
THE
APPLICANT
Application
Control
No.
:
CAPITAL
LETTERS
AND
USE
BLACK
INK
ONLY.
THIS
FORM.
PRINT
ALL
INFORMATION
IN
Accepting
Post
Office
Name
:
ALL FIELDS WITH (
) ARE REQUIRED.
Accepting Post
Office Code : OR No :
OR Date :
AAND. APPLICATION
TYPE
PLEASE READ THE GENERAL TERMS
CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
Accepting Post Office Name : POSTAL REFERENCE NO. (Leave blank if New Application)
PART
-CARD
TOREPLACEMENT
BE
FILLED
OUT
BY
THE
APPLICANT
LETTERS
AND
USE
BLACK
INK
ONLY.
THIS FORM.
PRINT ALL I
INFORMATION
IN CAPITAL
ALLPURPOSE
FIELDS WITH ( CARD)TYPE
ARE REQUIRED.
OR No :
OR Date :
PLEASE READ THE GENERALDELIVERY
TERMS AND CONDITIONS AT THE BACK BEFORE ACCOMPLISHING
Amendment
of Name
Amendment
POSTAL REFERENCE
Application) of Authenticating Finger
AUSE
. APPLICATION
TYPENO. (Leave blank if New
REGULAR
INITIAL
BLACK INK ONLY.
FORM. PRINT ALL INFORMATION
IN CAPITAL LETTERS AND
(
) ARE
REQUIRED.THIS BASIC

APPLICATION FOR POSTAL ID CARD

APPLICATION FOR POSTAL ID CARD
APPLICATION FOR POSTAL ID CARD
PLICATION FOR POSTAL ID CARD
Republic of the Philippines

LDS WITH

RENEWAL
PURPOSE

Replacementof
Lost CardOUT BY THE APPLICANT
Replacement of Damaged Card
PART I CARD
- TO
BE FILLED
REPLACEMENT
RUSH
DELIVERY
Amendment
of Biographic Data
Others
Amendment
of Name
Amendment of Authenticating Finger
A
.
APPLICATION
TYPE
PART
I
TO
BE
FILLED
OUT
BY
THE
APPLICANT
REGULAR
BASIC

CARDPREMIUM
TYPE

INITIAL

B. APPLICANT DETAILS

Replacementof Lost Card

INITIAL
CARD TYPE

OSE

RENEWAL

BASIC
DELIVERY

Amendment of Name

PREMIUM

RUSH
Amendment
of Biographic Data
PLACE OF
BIRTH (CITY/MUNICIPALITY)
(MIDDLE
NAME)
Replacementof Lost Card

RENEWAL
REGULAR
DATE
OF BIRTH
(MM/DD/YYYY)
BASIC
GENDER
APPLICANTS
NAME
(FIRST
NAME)

INITIAL

PREMIUM

RENEWAL

B. APPLICANT DETAILS
(MIDDLE NAME)
NAME)
(LAST NAME)
NAME)
PLACEB.
OF BIRTH
(CITY/MUNICIPALITY)
(PROVINCE)
(MIDDLE
(LAST
APPLICANT
DETAILS

RUSH

Amendment of Biographic Data

(FIRST
NAME)
APPLICANTS
NAME
DATE
OF BIRTH
(MM/DD/YYYY)
GENDER
FATHERS
NAME
(FIRST
NAME)

NAME (FIRST NAME)

(MIDDLE NAME)
PLACE OF BIRTH (CITY/MUNICIPALITY)
OF BIRTH
(MM/DD/YYYY)
GENDER
NAME)
(MIDDLE NAME)
MOTHERSNAME
MAIDENDATE(FIRST
FATHERS
NAME
PLACE OF BIRTH (CITY/MUNICIPALITY)
DATE OF BIRTH (MM/DD/YYYY)
NATIONALITY
FATHERS
MOTHERSNAME
MAIDEN (FIRST NAME) OCCUPATION

CIVIL
STATUSNAME)
(MIDDLE

NAME

ME

(FIRST NAME)
(MIDDLE NAME)
GSIS No.(If GSIS member)
NATIONALITY
MOTHERS MAIDEN (FIRST NAME) OCCUPATION

NAME
AIDEN (FIRST NAME)

CRN
)
GSISNo.(If
No.(IfAvailable
GSIS member)
NATIONALITY

OCCUPATION

(LAST NAME)

Single

Married
(LAST NAME)

SSS No.(If SSS member)

CIVIL
STATUSNAME)
(MIDDLE
Single

(MIDDLE NAME)

Married
(LAST NAME)

PHILHEALTH
member)
SSS No.(If
SSSNo.(If
member)
CIVIL
STATUS
Single

Married

DISTINGUISHING
FACIAL
CRN
No.(If
Available
) FEATURES
EYES
(COLOR)

lable )

(COUNTRY)
(LAST NAME)
Widowed

(SUFFIX)
(SUFFIX)

(COUNTRY)

(SUFFIX)
(SUFFIX)

(SUFFIX)
(COUNTRY)

(SUFFIX)
(SUFFIX)
Divorced/Annulled

Separated
(SUFFIX)

TIN No.(If Available )

(LAST NAME)
Separated
Widowed
(SUFFIX)
TIN
No.(If
Available
)
HDMF
No.(If
member)
Separated
Widowed

(SUFFIX)
Divorced/Annulled
Divorced/Annulled

Separated
Divorced/Annulled
TIN
No.(If
Available
)
MOBILE NUMBER
TELEPHONE
NUMBER
HDMF
No.(If
member)
TIN No.(If Available )
EMAIL ADDRESS
HDMF No.(If member)
MOBILE NUMBER
TELEPHONE
NUMBER

Widowed

SSS No.(If SSS member)

WEIGHT
(KILOS) COLOR)
HEIGHT
(CENTIMETERS)
PHILHEALTH No.(If
member)
HAIR
(NATURAL
COMPLEXION
PHILHEALTH No.(If member)
WEIGHT
(KILOS) COLOR)
HEIGHT
(CENTIMETERS)
HAIR
(NATURAL
COMPLEXION

S member)

(PROVINCE)
(LAST NAME)

(PROVINCE)

CIVIL STATUS
Single PHILHEALTH
Married
SSS No.(If SSSNo.(If
member)
HAIR (NATURAL COLOR)
COMPLEXION
member)

OCCUPATION
GSISNo.(If
No.(IfAvailable
GSIS member)
EYES
(COLOR)
CRN
)

Replacement of Damaged Card

Others
Amendment of Authenticating Finger
Replacement of Damaged Card
Amendment of Authenticating Finger
(PROVINCE)
(COUNTRY)
(LAST NAME) Others
Replacement of Damaged Card
Others

CARD
REPLACEMENT
DELIVERY
ARUSH
. APPLICATION
Amendment
of Biographic Data
(MIDDLE
NAME) TYPE
(LAST NAME)
Amendment
of Name
CARD REGULAR
REPLACEMENT
Replacementof
Lost Card
B. APPLICANT
DETAILS

PURPOSE
RENEWAL
CARDPREMIUM
TYPE
APPLICANTS
NAME
(FIRST NAME)

HDMF No.(If member)

EMAIL ADDRESS
DISTINGUISHING
FACIAL FEATURES
TELEPHONE
NUMBER
EYES
(COLOR)
MOBILE NUMBER
TELEPHONE NUMBER
HAIR (NATURAL COLOR)
COMPLEXION
PRESENTHEIGHT (CENTIMETERS)
WORK
PREFERRED
MAILING
(CHOOSE(KILOS)
ONE)
EMAIL ADDRESS
DISTINGUISHING
FACIAL
FEATURES ADDRESSWEIGHT
PRESENT ADDRESS
EMAIL ADDRESS
WEIGHT (KILOS)
NG FACIAL FEATURES
HEIGHT (CENTIMETERS)
(RM/FLR/UNIT NO. / BLDG. NAME)
( HOUSE/ LOT
& BLK NO.)
(STREET NAME)
PRESENT
WORK
PREFERRED
MAILING ADDRESS (CHOOSE ONE)

C. ADDRESS DETAILS

MOBILE NUMBER

C. ADDRESS DETAILS

C. ADDRESS DETAILS

PRESENT ADDRESS

C. ADDRESS
DETAILS
(SUBDIVISION)NO.MAILING
(RM/FLR/UNIT
/ BLDG. NAME)
( HOUSE/ LOT
& BLK
NO.)
PRESENT
WORK
PREFERRED
ADDRESS (CHOOSE ONE)
PRESENT
WORK
RED MAILING
ADDRESS
(CHOOSE ONE)
PRESENT
ADDRESS

(CITY/MUNICIPALITY)
(RM/FLR/UNIT
(SUBDIVISION)NO. / BLDG. NAME)
NT ADDRESS
UNIT NO. / BLDG. NAME)

(COUNTRY)
(STREET NAME)
(BARANGAY/DISTRICT/LOCALITY)
(STREET NAME)

(POST CODE)

(COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
(BARANGAY/DISTRICT/LOCALITY)
( HOUSE/ LOT & BLK
NO.)
(STREET NAME)
(PROVINCE)
(COUNTRY)
(POST CODE)
(COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
( HOUSE/ LOT & BLK
NO.)
COMPANY(STREET
TYPE NAME)

(POST CODE)

(PROVINCE) ( HOUSE/ LOT & BLK NO.)

( HOUSE/ LOT & BLK NO.)

ION)

(SUBDIVISION)
(CITY/MUNICIPALITY)
WORK
ADDRESS
(COMPANY/RM/FLR/UNIT NO. / BLDG. NAME)

ICIPALITY)

(CITY/MUNICIPALITY)
WORK ADDRESS
(PROVINCE)
(SUBDIVISION)
(COMPANY/RM/FLR/UNIT
/ BLDG. NAME)
EMPLOYMENT STATUS NO.

(PROVINCE)

Contractual
Regular / Permanent
Household
Self Employed
WORK ADDRESS
(PROVINCE) ( HOUSE/ LOT & BLK NO.)
ADDRESS(CITY/MUNICIPALITY)
(COMPANY/RM/FLR/UNIT NO. / BLDG. NAME)
(SUBDIVISION)

Y/RM/FLR/UNIT NO. / BLDG. NAME)

( HOUSE/ LOT & BLK NO.)

(SUBDIVISION)
(CITY/MUNICIPALITY)

ION)

ICIPALITY)

(BARANGAY/DISTRICT/LOCALITY)
(STREET NAME)

Government

OFW

Private

(CITY/MUNICIPALITY)
(PROVINCE)
"Notwithstanding the
confidentiality of the data that I have supplied herein,
I hereby give
(PROVINCE)
(COUNTRY)

(COUNTRY)

(POST CODE)
FINGERPRINTS IF APPLICANT CANNOT SIGN:

(POST CODE)

D. APPLICANTS CERTIFICATION
(POST CODE)
my consent that the same be secured and accessed for subsequent validation, verification, and

other purposes consistent with the objectives of this card enrolment. I further affirm that by
"Notwithstanding
confidentiality
of the data that Iappearing
have supplied
herein,
affixing
my signature the
on this
form, all statements/data
in this
formI hereby
and ongive
the
my consentscreen,
that the
samewere
be secured
accessed
for subsequent
validation,
verification,
and
operators
which
shown and
to me
at or about
the time I affixed
my signature
herein,
other
purposes
withtothe
this card enrolment.
I furtherwhile
affirmapplying
that by
are
true,
correct consistent
and complete
theobjectives
best of myof
knowledge
and belief. Further,
"Notwithstanding
confidentiality
of the data that
Iappearing
have
supplied
herein,
hereby
affixing
my signature
on
form,
all statements/data
formIas
and
ongive
the
for
this
card,
I likewise the
fullythis
agree
to and
understand
all the
terms
of in
its this
issuance
governed
twithstanding theoperators
confidentiality
of
the
data
that
I have and
supplied
herein,
hereby
give
my
consent
that
the
same
be
secured
accessed
for Isubsequent
validation,
verification,
and
screen,
which
were
shown
to me
at or
about
the time
I affixed
my signature
herein,
by
Postal
rules
and
regulations."
sent that the sameother
be secured
and accessed
forwith
subsequent
validation,
verification,
and
purposes
consistent
the
objectives
of
this
card
enrolment.
I
further
affirm
that
by
are true, correct and complete to the best of my knowledge and belief. Further, while applying
urposes consistentaffixing
with the
of this
card
enrolment.
I further affirm
that by in this form and on the
myobjectives
signature
form,
all statements/data
appearing
for this card,
I likewise on
fullythis
agree
to and
understand all the
terms of its issuance as governed
APPLICANTS
SIGNATURE
my signature onoperators
this form, screen,
all statements/data
appearing
form and
on the
were shown
to meinatthis
or about
the time
I affixed my signature herein,
by Postal rules
andwhich
regulations."
rs screen, which were
shown
to me
at complete
or about the
timebest
I affixed
signature and
herein,
are true,
correct
and
to the
of mymy
knowledge
belief. Further, while applying
, correct and complete
to the
best
of my knowledge
and
belief.
Further, while
applying
for this
card,
I
likewise
fully
agree
to
and
understand
all
the
terms
of its issuance as governed
APPLICANTS
SIGNATURE
card, I likewise fully
and and
understand
all the terms of its issuance as governed
byagree
Postaltorules
regulations."
DATE
al rules and regulations." SIGNATURE OVER PRINTED NAME

D. APPLICANTS CERTIFICATION
D. APPLICANTS CERTIFICATION

FINGERPRINTS IF APPLICANT CANNOT SIGN:

FINGERPRINTS IF APPLICANT CANNOT SIGN:
RIGHT THUMB

RIGHT INDEX

WITNESS SIGNATURE

RIGHT THUMB

RIGHT INDEX

RIGHT THUMB

RIGHT INDEX

WITNESS SIGNATURE
SIGNATURE OVER PRINTED NAME

APPROVED BY:DATE

SIGNATURE OVER PRINTED NAME

PART II - TO
BE FILLED OUT BY PHLPOST
SIGNATURE OVER PRINTED NAME

NSO Birth Certificate

Barangay Certificate
Others
SIGNATURE OVER PRINTED NAME

SUPPORTING
PRESENTED:
SIGNATURE OVER
PRINTED DOCUMENTS
NAME

DATE

APPROVED BY:DATE
DATA CAPTURE SCHEDULE:

DATE
SIGNATURE OVER PRINTED NAME
SIGNATURE OVER PRINTED NAME
DATA CAPTURED BY:

APPROVED BY:
DATA
CAPTURE
SCHEDULE:
Date / Time
:

DATE
DATA
CAPTURED
BY: PRINTED NAME
SIGNATURE
OVER
DATE
DATE
Application
Control
No. :
DATA
CAPTURED
BY:
SIGNATURE OVER PRINTED NAME

II -OUT
TOOffice
BE
FILLED
BY PHLPOST
Capturing
Post
/ CodePRINTED
: OUTNAME
PART II - TO BE PART
FILLED
BYName
PHLPOST
SIGNATURE
OVER

NSO Birth Certificate

Barangay Certificate
SCREENED
BY:
Others
SUPPORTING
DOCUMENTS PRESENTED:

SIGNATURE OVER PRINTED NAME

FINGERPRINTS IF APPLICANT CANNOT SIGN:

RIGHT
INDEX SIGNATURE
PART II - TO BE FILLED RIGHT
OUTTHUMB
BY PHLPOST
WITNESS
WITNESS SIGNATURE

APPLICANTS SIGNATURE
APPLICANTS SIGNATURE
SIGNATURE
OVER PRINTED
NAME
SUPPORTING
DOCUMENTS
PRESENTED:

TING DOCUMENTS PRESENTED:

NSO Birth Certificate
SIGNATURE
OVER
PRINTED NAME
O Birth Certificate
Barangay Certificate
SCREENED
BY:HERE
Others
TEAR
hers

Others

(POST CODE)

(COUNTRY)
(STREET NAME)
(BARANGAY/DISTRICT/LOCALITY)
(STREET NAME)

(COUNTRY)
(BARANGAY/DISTRICT/LOCALITY)
D. APPLICANTS
CERTIFICATION
(BARANGAY/DISTRICT/LOCALITY)

(PROVINCE)

(POST CODE)

APPROVED BY:

BarangayDATE
Certificate

Capturing Post
Office NameOVER
/ Code :
SIGNATURE
NAME
SIGNATURE OVER PRINTED
NAME R e p u bPRINTED
lic of the Philippines
DATA CAPTURE SCHEDULE:
DATA CAPTURED BY:
DATA CAPTURE
DATE SCHEDULE:

Date
PH
I L/ Time
I P P: I N E P O S TA L C O R P O R AT I O N
Capturing Post Office Name /Capturing
Code : Post Office Name / Code :

Accepting Post Office Code :

Republic of the Philippines
Accepting Post
OfficeNo.Name
Application
Control
: :
SIGNATURE
OVER PRINTED
SIGNATURE
OVER
PRINTED
NAME
DATE
Date
DATE ORNAME
DATE
NAME
ATURE OVER PRINTED NAME
PH
I L/ Time
I P P: I N E P O S TA L C O RSIGNATURE
P O R AT OVER
I O NPRINTED
Date / Time :
OR
No : Post Office Code
Date :
Accepting
:
TEAR
HERE
AR HERE
ACKNOWLEDGEMENT SLIP
( CLIENT COPY ) b el isc o f t h e P h i l i p p i n e s
R e p u b l i c o f t h e P h iRl iepppui n
Accepting
Post
Office
Name
:
Application
Control
No.
:
Application Control
No. :
POSTAL REFERENCE NO.(Leave blank if New Application) NAME (FIRST NAME)
NAME)
(LAST
(SUFFIX)
ILL
I PCPO
IN
P(MIDDLE
OAT
S TA
P O R AT I O
N NAME) Accepting
P H I L I P P I N E P OPSHTA
RE
PO
R
I OLNC O R Accepting
No : Post Office Code : OR Date :
Post Office Code : OR
ACKNOWLEDGEMENT SLIP ( CLIENT COPY )
Accepting
Post
Office
Accepting Post Office Name
: CAPTURED BY: Name :
DATA
APPROVED
BY: NO.(Leave blank if New Application)
DATA CAPTURE SCHEDULE:
POSTAL REFERENCE
NAME (FIRST NAME)
(MIDDLE NAME)
(LAST NAME)
(SUFFIX)
OR
OR Date :
Capturing Post Office Name
/ Code :
OR No :
ORNo
Date: :

APPLICATION FOR POSTAL ID CARD

APPLICATION FOR POSTAL ID CARD
APPLICATION
FOR POSTAL
ID CARD
PPLICATION
FOR POSTAL
ID CARD

D BY:

SCREENED
BY:HERE
TEAR

ACKNOWLEDGEMENT
SLIP) ( CLIENT COPY )
ACKNOWLEDGEMENT
SLIP ( CLIENT COPY
DATE
DATA
CAPTURE
SCHEDULE:
Date / Time
:
NAME (FIRST NAME)
(MIDDLE NAME) NAME)
(MIDDLE NAME)
Capturing Post Office Name / Code(LAST
:

DATE
DATE

DATA
CAPTURED
BY: PRINTED NAME
SIGNATURE
OVER
(SUFFIX)

DATE

For Inquiries , Please Call Customer Service Hotline 5275409 DATA CAPTURED BY:
APPROVED
BY: OVER PRINTED NAME DATA CAPTURE
DATA
CAPTURE
SCHEDULE:
DATA CAPTURED BY:
DATE SCHEDULE:
SIGNATURE
SIGNATURE OVER PRINTED NAME
Date / Time
:

DATE

For Inquiries , Please Call Customer Service Hotline 5275409

DATE NAME
SIGNATURE
OVER PRINTED
SIGNATURE OVER PRINTED
NAME
Date / Time :

DATE

SIGNATURE
PRINTED
APPROVED
BY: OVER
POSTAL
NO.(Leave
blank(FIRST
ifNAME
NewNAME)
Application)
EFERENCE NO.(Leave
blank ifREFERENCE
New Application)
NAME

ED BY:

DATE

(LAST
NAME)
(SUFFIX)

Capturing Post Office Name /Capturing

Code : Post Office Name / Code :

DATE
DATE NAME Date / Time
SIGNATURE
ATURE OVER PRINTED
NAME OVER PRINTED
:

For Inquiries , Please Call

Customer
Hotline
5275409Service
7427349
/ 2309875,
Mondays
to Fridays from 8AM to 5PM
For
InquiriesService
, Please
Call Customer
Hotline
5275409