CONFIDENTIAL
HEADQUARTERS
ARMED FORCES OF THE PHILIPPINES RESERVE COMMAND
Camp General Emilio Aguinaldo, Quezon City
+ INFORMATION
RESERVIST SUMMARY OF 6 FORM
(As of _____________________)
1. RANK/NAME/AFSN/BR OF SVC : SGT JUDEL K. VALDEZ/BE-R11-004532/PAFR
2. POSTAL ADDRESS/TEL NR : BANENGBEANG, SABLAN, BENGUET/09100830879
3. DATE & PLACE OF BIRTH : 22 APRIL 1993/BANENGBENG, SABLAN, BENGUET
4. OCCUPATION/PROFESSION : SECURITY OFFICER
5. OCCUPATION ADDRESS : BAGUIO CITY
6. SOURCE OF ENLISTMENT : ROTC
7. DATE OF ENLISTMENT :
8A. CIVILIAN SCHOOLING
COURSE TAKEN NAME OF SCHOOL PERIOD OF DATE OF
ATTENDANCE COMPLETION
COLLEGE CORDILLERA CAREER
DEVELOPMENT COLLEGE
HIGH SCHOOL BENGUET NATIONAL HIGH
SCHOOL
ELEMENTARY EBBES ELEMENTARY
SCHOOL
8B. MILITARY SCHOOLING/TRAINING/SEMINAR
COURSE TAKEN NAME SCHOOLS PERIOD OF ATTENDANCE COMPLETED
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9. ASSIGNMENTS
A. PRIMARY DUTIES
DESIGNATION UNIT INCLUSIVE DATES
B. ADDITIONAL DUTIES
DESIGNATION UNIT INCLUSIVE DATES
10A. AWARDS/DECORATIONS
TYPES OF AWARD AUTHORITY/DATE
10. B COMMENDATION, HONORS AND MERITS RECEIVED
TYPE DATE AWARDED AUTHORITY/AWARDING
PERSON
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11. STATEMENT OF SERVICE
A. MILITARY SERVICE
APPOINTMENT/COMMISSIONSHIP EFFECTIVE DATE AUTHORITY
N/A N/A N/A
B. PROMOTION/DEMOTION
RANK EFFECTIVE DATE AUTHORITY
C. ADT/AADT/WADT/UADT
TYPE OF TRAINING LOCATION INCLUSIVE DATES
12. ELIGIBILITY/TECHNICAL QUALIFICATIONS
TYPES OF EXAM DATE PASSED RATINGS/GRADE
PRC 01/12/2019 81.30
13. SLL N/A
14. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY:
_________________________________________________________
_________________________________________________________
15. MARITAL STATUS: SINGLE
16. SPOUSE: N/A
17. DEPENDENTS ___________________________________________________
___________________________________________________
___________________________________________________
18. PERSONAL CHARACTERISTICS
A. SEX: ___MALE___ HEIGHT: _163_cms WEIGHT: ___72_ kgs
B. BUILT: ___MEDIUM____
C. COMPLEXION: __FAIR___ COLOR OF EYES: __BLACK__ COLOR OF HAIR: _BLACK_
D. DISTINGUISHING MARKS/FEATURES: _SCAR ON RIGHT FACE__
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E. BLOOD TYPE: _B+_
F. RELIGION: __ROMAN CATHOLIC___
G. ETHNIC GROUP: ____IBALOI_____
H. TARIFF SIZES
HEADGEAR: ___MEDIUM_____
SIZE OF BDA: ___SMALL_____
SIZE OF SHOES: ___7 1/2_______
H. TIN: _333-191-280_ GSIS: ____N/A____ PHILHEALTH: _04-025204563-7_
19. MOBILIZATION CENTER: 2nd Air Force Reserve Center (2AFRCen),
Clark Air Base, Pampanga
I hereby certify that the foregoing answers are true and correct to the best of my
knowledge and belief.
____________________________
_____________________PAFR
AUTHENTICATED BY:
Command Adjutant
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