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Republic of the Philippines
Office of the President of the Republic of the Philippines

NATIONAL COMMISSION OF SENIOR CITIZENS

9200-000000000

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ONLINE SENIOR CITIZEN DATA FORM

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Please fill up completely and correctly the required information before each item below.  For items that are not associated to you, leave it blank.  Required items are also marked with an asterisk (*) so please fill it up correctly.  Your honest response will help the National Commission of Senior Citizens (NCSC) come up with a good information system of the senior citizens in the country as the basis of designing its programs and activities that will help improve the lives of Filipino older persons.

* Items with an asterisk (*) are required.

I.  IDENTIFYING INFORMATION

1.  Name  - Enter your name correctly

2. Address - Select region first, and then province, then city, and finally your barangay

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3. Birth Date - Indicate your birth date correctly

Click here to check for your age.

II.  FAMILY COMPOSITION

21.  Name of your spouse

22. Name of your father