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Kalinga-sa-Kalihim-Members-Data-Sheet

The document is a membership data sheet for the Philippine League of Secretaries to the Sangguniang, Inc. (PLEASES, INC.), which includes sections for personal information, contact details, educational background, and emergency contacts. It also outlines membership classifications such as Charter Member, Regular Member, and Lifetime Member.

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Danilo Delima
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44 views1 page

Kalinga-sa-Kalihim-Members-Data-Sheet

The document is a membership data sheet for the Philippine League of Secretaries to the Sangguniang, Inc. (PLEASES, INC.), which includes sections for personal information, contact details, educational background, and emergency contacts. It also outlines membership classifications such as Charter Member, Regular Member, and Lifetime Member.

Uploaded by

Danilo Delima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHILIPPINE LEAGUE OF SECRETARIES TO THE SANGGUNIAN, INC.

(PLEASES, INC.)
SEC Reg. No. AN096-00987
TIN 004-412-708-000
DILG-1996 Accredited National League
ULAP-1999 Registered League as Associate Member

KALINGA SA KALIHIM MEMBER’S DATA SHEET


NAME OF MEMBER: ___________________________________ ________________________________ _________________________
Family Name Given Name Middle Name

1.0 CONTACT DETAILS: ____________________ / _________________ / __________________ / ______________________________


Mobile Number Office Telephone Number Fax No. Email Address

2.0 RESIDENTIAL ADDRESS: ________________________________________________________________________________________


3.0 OFFICE ADDRESS: _____________________________________________________________________________________________
4.0 LOCAL GOVERNMENT UNIT: _________________________________________________________________________ / _________
Municipality / City / Province Region

5.0 APPOINTMENT /DESIGNATION: ______________________________________________ ________________ _________________


Position Status Date of Appointment
6.0 BIRTH DATE AND PLACE: _______________________________________________________________________________________

7.0 MARITAL STATUS : Single Married Widow(er) Legally Separated

________________________________ / ________________________________________ /______________________ / ___________


Name of Spouse Address Contact Number No. of Children

8.0 EDUCATIONAL ATTAINMENT: ____________________________________ / _____________ /________________________________


College Degree Obtained Year Graduated Name of College/University
___________________________________ / _____________ / ________________________________
Post Graduate Studies Year Graduated Name of College/University

9.0 PERSON TO CONTACT IN CASE OF EMERGENCY ________________________________________________ / _________________


Name Relationship
10.0 CONTACT DETAILS: _______________________________________ / ______________ / ____________ / _____________________
Residential Address Telephone Number Mobile Number Email Address

11.0 BENEFICIARY _____________________________________________________________________________ / ___________________


Name Relationship
12.0 CONTACT DETAILS: _______________________________________ / ______________ / ____________ / _____________________
Residential Address Telephone Number Mobile Number Email Address

__________________________________ __________________________
Signature over Printed Name Date Accomplished

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Membership Classification: Charter Member Regular Member Lifetime Member

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