THE FRATERNAL ORDER OF Eagles

(Philippine Eagles)
First Philippine-Born Fraternal Socio-Civic Organization
Service Through Strong Brotherhood

APPLICANT PERSONAL DATA SHEET

• Fill-up completely and legibly using black ink.
• Indicate “N/A” if not applicable.
• Attach a 2”x2” ID picture with white background. Write your surname at the back of the photo.
2” x 2”
I. PERSONAL INFORMATION PHOTO
SURNAME

FIRST NAME

MIDDLE NAME

NICKNAME RESIDENTIAL ADDRESS

DATE OF BIRTH (mm/dd/yyyy)

 Single  Widowed
ZIP CODE
CIVIL STATUS  Married  Separated CONTACT NO.
 Annulled  Others, specify _______________
PLACE OF BIRTH PERMANENT/PROVINCIAL
ADDRESS
CITIZENSHIP
ZIP CODE
HEIGHT CONTACT NO.

WEIGHT (kg)

BLOOD TYPE RELIGION E-MAIL ADDRESS

SSS/GSIS NO.
MOBILE NUMBER(S)
PAG-IBIG ID NO.

PHILHEALTH NO. TIN NO.

II. FAMILY BACKGROUND

FULL NAME DATE OF BIRTH (mm/dd/yyyy) AGE
SPOUSE
(Maiden Name)

CHILDREN

III. EDUCATION
PRIMARY YEAR
GRADUATED
SECONDARY YEAR
GRADUATED
TERTIARY/COLLEGE YEAR
GRADUATED
COURSE

YEAR
GRADUATED
GRADUATE STUDIES YEAR
GRADUATED
YEAR
GRADUATED
SPECIAL SKILLS HOBBIES

IV. PROFESSION/EMPLOYMENT
NAME OF OFFICE/BUSINESS ESTABLISHMENT

LINE OF BUSINESS
OFFICE/BUSINESS ADDRESS

CONTACT NO. E-MAIL

POSITION/DESIGNATION

Form is exclusive for Kadaugan Sa Mactan Eagles Club use only.

 V. MEMBERSHIP IN OTHER FRATERNITIES, ORGANIZATIONS & ASSOCIATIONS
NAME OF ORGANIZATION / ASSOCIATION POSITION
(Write in full)

VI. Q & A
I.a. Do you have any relatives that are members of any Eagles Club?  YES  NO
If YES, give details:

_____________________________________________________________________
_________________________________________________________________

1.b. Do you have any history whereby your application for membership was rejected  YES  NO
by any fraternity or organization? If YES, give details:

_____________________________________________________________________
_________________________________________________________________

II.a. Have you ever been formally charged?  YES  NO

If YES, give details:

_____________________________________________________________________
_________________________________________________________________

II.b. Have you ever been a party to any criminal, civil or administrative case?  YES  NO
(Include pending cases) If YES, give details:

_____________________________________________________________________
_________________________________________________________________

II.c. Have you ever been convicted of any crime or violation of any law, decree,  YES  NO
ordinance or regulation by any court or tribunal? If YES, give details:

_____________________________________________________________________
_________________________________________________________________
III. Do you have any pending applications for membership in any other fraternities or  YES  NO
organizations? If YES, give details:

_____________________________________________________________________
_________________________________________________________________
I hereby certify that I have voluntarily and freely accomplished this Personal Data Sheet and all the information contained herein is true, correct, complete and is based on
my personal knowledge.

I hereby authorize the Membership and Extension Committee of the Tacloban City Eagles Club or it’s authorized representative to verify and validate the contents stated
herein.
SIGNATURE OF APPLICANT (Sign inside the box) DATE ACCOMPLISHED (Write in full)

NAME OF SPONSOR NAME OF CLUB

Eagle_______________________________________________________________
SIGNATURE & DATE
ENDORSED BY:

__Eagle_________________________________________________________________ __Eagle _______________________________________________________

CHAIRMAN, CLUB COMMITTEE ON MEMBERSHIP/SCREENING (Name, Date & Signature) CLUB PRESIDENT (Name, Date & Signature)
CONCURRED BY: RECOMMENDING APPROVAL:

Eagle_______________________________________________________________ _____________________________________________________________
ROSEI Director / REGION Eagle RUFUS CAESAR C. MONEVA
National Executive PEIL Director

____________________________________________________________________ _____________________________________________________________
Eagle Dennis Patricio Enage Jr Eagle LOUIS C. SUDARIO
Regional Governor Secretary General

APPROVED BY:

____________________________________________________________________________
Eagle CONRADO A. CEDEÑO
National President, TFOE-PE
TFOE-PE Form 101

Form is exclusive for Kadaugan Sa Mactan Eagles Club use only.