Register Walk-in

Personal information

As written on official documents.

Last name

First name

Middle name

Suffix

Sex

Civil status

Date of birth

Place of birth

Nationality

Religion

Ethnicity / IP group (IPRA RA 8371)

Contact

Mobile

Format: 09XXXXXXXXX or +639XXXXXXXXX

Landline

Email

Address

Cascading PSGC dropdowns — Region → Province → City/Municipality → Barangay.

Region

Province

City / Municipality

Barangay

Purok / Sitio

Street

House number

ZIP code

Government IDs (encrypted at rest)

Optional but help pre-fill verification for AICS where any government ID is acceptable.

PhilSys number

PhilHealth

SSS / GSIS

TIN

Socio-economic

Occupation

Employer

Monthly household income (₱)

Household size

Dependents

Housing

4Ps Beneficiary Indigenous Peoples (IP) member OFW Family

Data Privacy Act consent

Per RA 10173. Records are retained for 10 years (COA records-retention rules).

I consent to the processing of my personal data by the Municipal Social Welfare and Development Office for the purpose of program enrollment, service delivery, and statutory reporting. I understand that:

my data will be encrypted and access-logged;
I may withdraw consent or request access/correction by writing to the Data Protection Officer;
my data will be retained for ten (10) years after my last interaction with the office.

I have read and consent to the above (required to register).

Granular consent — optional, per RA 10173 §3(b) Verify & share my data with national systems (PhilSys, DSWD i-Registro / IGRMS, PSA CBMS) to speed up my assistance. Send me SMS / contact notifications about my application status. Use my anonymized data for program planning & statistics.

Giya: ang ibabaw nga checkbox kinahanglan (required). Kining tulo opsyonal ra — tim-i lang kung mu-uyon ka. Pwede ni i-withdraw bisan kanus-a pinaagi sa DPO.

Signature

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