BFP Pensioners Update Form
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Republic of the Philippines Department of the Interior and Local Government BUREAU OF FIRE PROTECTION NATIONAL HEADQUARTERS Agham Road, Sitio San Roque, Brgy. Bagong Pag-asa, Quezon City PENSIONERS UPDATE FORM Name: Retired Rank (for Uniformed Personnel) Region Current Address: ATM/Bank Account No. Name of Bank/Branch Contact No./s Date of Birth Place of Birth Civil Status Date Retired Beneficiaries Date of Birth Spouse: CHILDREN ( below Eighteen (18) yrs Old Only) Date of Birth CERTIFIED CORRECT (Attach 3R (3 1/2 X 5 in.) full-body picture holding latest newspaper of national circulation with the date clearly shown and two (2) valid IDs, such as Retiree’s/Pensioner’s ID, SSS, Driver’s License, COMELEC Voter’s ID, PRC/IBP ID and Passport.)
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Sample form
Transcript of BFP Pensioners Update Form
Republic of the PhilippinesDepartment of the Interior and Local Government
BUREAU OF FIRE PROTECTIONNATIONAL HEADQUARTERS
Agham Road, Sitio San Roque, Brgy. Bagong Pag-asa, Quezon City
PENSIONERS UPDATE FORM
Name: Retired Rank (for Uniformed Personnel) Region
Current Address:
ATM/Bank Account No. Name of Bank/Branch
Contact No./s Date of Birth
Place of Birth Civil Status Date Retired
Beneficiaries Date of Birth
Spouse:
CHILDREN ( below Eighteen (18) yrs Old Only) Date of Birth
CERTIFIED CORRECT
NHQ/Regional Chief, RBS Date
I hereby certify that the above information are trueand correct to the best of my knowledge and belief.
Right Thumbmark FOR RBAS-PMIS PROCESSOR’S USE ONLY
Date Processed
Name/Signature of Processor
Left Thumbmark
(Attach 3R (3 1/2 X 5 in.) full-body picture holdinglatest newspaper of national circulation with thedate clearly shown and two (2) valid IDs, such as
Retiree’s/Pensioner’s ID, SSS, Driver’s License,COMELEC Voter’s ID, PRC/IBP ID and Passport.)
Signature over printed name Date of Retiree / Pensioner
