Form No. 391 (Rev.

2001)
Application for Postal I.D.
Republic of the Philippines
The Postmaster PHILIPPINE POSTAL CORPORATION _________________________
Date

Sir/Madam

I have the honor to apply for a Postal I.D. Attached are four (4) identical copies of my picture (2"x2") and One Hundred Fifty Pesos
for the fee therefore.

My personal circumstances are as follows:

Surname First Name Middle Name

Occupation ___________________________ Nationality ____________________
Residence __________________________________________________________
Place of Birth
Date of Birth _________________________ Hair Color:_______________________
Height ______________ Eyes ____________ Complexion ___________________

Distinguishing marks ______________________ ____________________________

___________________________________________________________________
Witness to Thumbmark

1. _____________________________
_________________________________________
2. _____________________________ Applicant's Signature

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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 ______________________________________
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Support Affidavit of Witness
I, ___________________________________ solemnly swear that I have known M ______________________________________
_____________________ , 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 personal circumstances as stated above are true to the best of my knowledge and belief.

Signature ________________________________________
Position/Occupation of Witness Printed Name _____________________________________
Post Office of _____________________________________

Name of Office

Subscribed and sworn to before me this _______ day of ____________________________ 20 ____ at the City/Municipality of
_________________________________________ . The affiant exhibited to me his/her Community Tax Certificate No. _____________________
issued at ______________________________ , ___________________________________________ on _______________________ , 20 _
No Community Tax Certificate because _________________________________________________________________________________ .
Cross out words not applicable

_________________________________________________
Signature of authorized Officer
Documentary Stamp _________________________________________________
Printed Name
_________________________________________________
Title of Officer
__