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APPLICATION FOR COMMISION IN THE RESERVE FORCE

ARMED FORCES OF THE PHILIPPINES

1. Name: BONSUCAN ARJAM BELOCURA


(Last Name) (First Name) (Middle name)

2. Date of Birth: AUGUST 12, 1987

3. Place of Birth: CEBU CITY

4. Citizenship: FILIPINO Religion: ROMAN CATHOLIC


L10 B3 VIZKAYA SUBD., LOWER CALAJOAN, MINGLANILLA,
5. Address: A: Permanent: CEBU
B: Temporary:
(Note: Report of Change of address to Reserve
Affairs Division, HPA, Ft. Bonifacio, immediately)

6. Marital Status: MARRIED

7. Dependent and Relationship:

AGNES L. BONSUCAN WIFE


AESAM BLAKE L. BONSUCAN SON
AERAJ BLARE L. BONSUCAN DAUGHTER

8, Nearest of kin to be notified in case of death of accident:


Name and Relationship: AGNES L. BONSUCAN WIFE

9. Previous Military Experience:


a. Trainee Instructions: CITIZENS ARMY TRAINING (CAT)
b. Place and Inclusive Dates: CEBU CITY (SCHOOL YEAR 2003 – 2004)
c. ROTC or ROTS: NOT APPLICABLE
(Number of Years, Place and Date of Training)
d. Military School Including SRC: NOT APPLICABLE
e. Philippine Army Service (Chronological Records of Service, indicate
period of enlistment, if any)
(1) NOT APPLICABLE
(2)

10. Present Status in the Reserve Force, AFP;

a. Rank, Branch of Service & Armed Forces Serial No: NOT APPLICABLE

b. Unit Assignments: NOT APPLICABLE


c. Mobilization Center: NOT APPLICABLE
d. State whether you have, received a notification of your mobilization unit
assignment in the Reserve Force, AFP and have acknowledged it, state reason
of you failure. NOT APPLICABLE

e. Source of being a reservist: (whether an honorable discharged EM of the AFP or


AUS, a recognized guerilla ROTC Basic Graduate etc). NOT APPLICABLE
11. EDUCATION ATTAINEMENT:
No of Years Instructors Subject Graduated Yes Decree
High School Mr. Venancio Physical Yes High School
Esparaguerra Education, Graduate
Health, Music
College of University Mr. Albert Auditing Yes Bachelor of
Keith Problems Science in
Dominguito Accountancy
Post Graduate Atty. Peter Remedial Yes Bachelor of
Cañamo Law Laws

12. Civilian Employment (Gov’t and Private) in Chronological Order:


Employer or Name Cause of
DUTY PERFORM Period
of Firm Separation
FROM TO
Accounting Head MLD Dream April June 08, Pursue Legal
Builders, Inc. 04, 2018 Profession
2016
Tax Examiner / Revenue Bureau of Internal Novem March Reshuffling
Officer Revenue ber 2016
2009
Internal Auditor VICSAL Novem July 2009 Office Relocation
Development Corp. ber
2008

13. Civil Service Examination Board or Bar Passed (State eff Date & Rating)

a. Bar Exams November 2017


b. Real Estate Broker May 2015 82.00%
c. Real Estate Appraiser July 2014 77.00%
d. Certified Public Accountant October 2008 81.57%

14. A. LOCAL DIALECTS:


Tagalog Ilocano Ilongo Cebu Pangasinan Pampango etc
Speak Yes No No Yes No No
Write Yes No No Yes No No
Translate Yes No No Yes No No

B. FOREIGN LANGUAGES:
English Spanish Chinese French German Russian etc
Speak Yes No No No No No
Write Yes No No No No No
Translate Yes No No No No No

15. Information about Parents: Father Mother


a. Name: Edwardo S. Bonsucan Carmelita B. Bonsucan
b. Place of Birth: Cebu City Dumanjug, Cebu
c. Citizenship: Filipino Filipino
d. Occupation: Deceased Housewife

16. Have you ever been accused or convicted by any court any crime except minor traffic
violation: No

17. Take Armed Forces General Classification Test (AFPGCT) in the Office of the Adjutant
General, GHQ, AFP Camp, General Emilio Aguinaldo, Quezon City or at the Office of
the Adjutant General, HPA, Fort Bonifacio, Rizal (Applicant for Medical Corps (MC) not
Required)

18. Supporting papers required in filling application. Attach to this Application the following
papers marks “X” below in five (5) copies.
x a. Full sized picture of applicant (Postcard Size)

x b. Birth or Baptismal Certificate. If not available legal


Document’s in lieu thereof.

c. If not Professional submit Photostat copy of:

(1) College Diploma (Original must be initially shown to


processing Officer)
(2) ROTC Basic Course or ROTC Advance Course Cert.
Summer Camp Training Certificate if required

______x_________d. (1) Transcript of records as prop of highest Educational


Attainment or include total number of college units earned
(2) Basic or Advanced ROTC Certificate (Photostat)

________________e. If with prior Military Experience, submit the following:


(1) Statement of Military Service from the Adjutant General
(2) Photostat copy of Discharge Certificate
(3) Guerilla Verification Slip from PVAO, if guerilla personnel
received for outstanding ability and/or exceptional service
rendered in criteria (RA 718).

________________ f. If for commission in the Chaplain Service, submit certificate


from Ecclesiastical Superior permitting recommending the
commission

______x_________g. Physical and Medical Examination Reports to be conducted


by an AFP Physician

________________h. Affidavit prescribed in paragraph 3 Basic Letter

Date Application is accomplished June 04, 2018

I HEREBY CERTIFY to the correctness of the entries made in this application and in
witness thereof I hereto set my signature this 4th day of June 2018 at ____
______ Philippines

(Signature of Applicant)

SUBSCRIBED AND SWORN TO BEFORE ME THIS day of 20


at affiant exhibited to me his/her Residence Certificate No.
issued at on 20

(Administering Officer)
TABLE OF CONTENTS
A. APPLICATION FORM

B. WHOLE BODY PICTURE (COLORED)


2 PCS 2 X 2 PICTURES

C. COLLEGE OFFICIAL TOR/DIPLOMA

D. BAR CERTIFICATE/BAR RATING

E. PHYSICAL AND MEDICAL EXAMINATION


REPORT

F. NSO BIRTH CERTIFICATE/MARRIAGE


CONTRACT

G. CLEARANCES
BARANGAY
POLICE
MAYOR
RTC
MTC
NBI
J2

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