APPLICATION FOR COMMISSION IN THE RESERVE FORCEARMED FORCES OF THE PHILIPPINES

(Circular Nr 04 GHQ, AFP dated 05 July 2010)

1. Name:

SALDON

JOEL

OMANTIG (Last Name) (First Name) (Middle Name)

2. Date of Birth: 21 OCT 1993

Tel Nr: 09066006492

Age: 213. Place of Birth:DIPOLOG CITY4. Citizenship: NATURAL-BORN FILIPINO 5. Permanent Address:UPPER CADAWINONAN DUMAGUETE CITY 62006. Marital Status: SINGLE Religion: ROMAN CATHOLICDependents:NONE7. Nearest next of kin to be notified in case of death, accident or emergency:PHILIPEDES S. SILLERO-09179810738

8. Previous Military Experience:

a. Trainee Instruction:

NONEb. Place and Inclusive Dates:NONEc. ROTC or POTC: ROTCd. Military School Attended, Including SRC: NONEe. Army, Navy, Air Force Services (Chronological records of service, indicate period of enlistment, if any)- NONE

9. Civil Service Examination, Board or Bar passed (State effective date and rating)PRC CRIMINOLOGIST PASSER OCT -2014 82.20% RATING10. Present Status in the Reserve Force, AFP (if applicant is a reservist, just write (NA)a. Rank, Branch of Service and AFPSN: NAb. Unit Assignment:

Headquarters and Headquarters Service Companyc. Mobilization Center: Camp Leon Kilat, Tanjay Cityd. Have you received a notification of your mobilization unit assignment in the Reserve Force, AFP? NO, if yes, have you acknowledged it? N/A if no, state the reason of your failure to do so:

N/Ae. Source of being a reservists: ROTC Basic Graduate 11. Education Attainment:

Name of School

No of Years Yr GraduatedDegree

NORSU-MAIN

4

2014

BS CRIM12. Civilian Employment: (Govt/Private in chronological orders) 719 SECURITY AGENCY13. Duty Perform Employment OPERATION OFFICER14. Local Dialect and Foreign Language Spoken:

Tagalog Ilocano CebuanoEnglish Speak

x

x

xWrite

x

x

x

Translate

x

x

x

15. Information about parents:

Father

Mother

Name:

N/A

IMELDA SALDONAge:

N/A

UNKNOWNPlace of Birth:

N/A

UNKNOWNAddress:

N/A

UNKNOWNOccupation:

N/A

UNKNOWN16. Have you been accused or convicted by any court/crime except for minor traffic violation:NO

17. Have taken the Armed Forces of the Philippines Admission and Testing Board (AFTATB) in the office of the Adjutant General, AFP, Camp General Emilio Aguinaldo, Quezon City or at the Office of the Major Service concern:

NO18. Supporting papers required in the filling of application are marked X below in five (5) copies.

________ a. Full sized pictures of application (whole body)

________ b. Birth Certificate, if not available legal documents in lieu thereof

________ c. If professional, submit photocopy of the following:

(1) Certificate from Board Examiners of the Supreme Court, PR and certificate/license or civil service eligible as the case may be

(2) Either ROTC Basic Course or ROTC Advance Course Certificate

________ d. Affidavit of good moral character

________ e. Physical or medical examination report (PER)

19. Date accomplished:

I HEREBY CERTIFY to the correctness of the entries made in this application and in witness thereof, I hereunto set my signature, this 4th day of June, 2015 at the City of Dumaguete City, Philippines.

(Affiant)

SUBSCRIBED AND SWORN to before me this 4th day of June, 2015 at the City of Dumaguete City, Philippines, affiant exhibited to me his LTO No issued in Dumaguete City on .

RAFAEL CRESCENCIO C TAN JR

RTC Branch 30

Republic of the Philippines)

City of Dumaguete ) S.S.

AFFIDAVIT

I, , of legal age, Filipino, married, residing at , Negros Oriental, Philippines, after having duly sworn in accordance with law, hereby depose and say:

That I am not accused of any criminal offence involving moral turpitude before any civil court in the Philippines, neither have I been previously convicted of any such offense; nor am I facing charges involving misconduct before any military court or administrative body including any provincial or city fiscal;

That I do not advocate nor I am a member of any unlawful or subversive organization that advocate the overthrow of the government of the Philippines or any other government;

That I clearly understand that any misrepresentation or falsehood used by me in the furtherance of any application for Commissionship in the Reserve Force Armed Forces of the Philippines under Cir 06 GHQ, AFP dated 19 May 03 shall be grounds for court martial charges or any administrative proceedings deemed appropriate by the proper authority.

FURTHER AFFIANT SAYETH NONE:

(Affiant)

SUBSCRIBED AND SWORN to before me 27th day of July, 2013 at the City of Dumaguete City, Philippines, affiant exhibited to me his LTO No issued in Dumaguete City on .

`

_________________________________

(Army Judge Advocate General)

PERSONAL HISTORY STATEMENT

I. PERSONAL DETAILS:

A. NAME: SALDON

JOEL

OMANTIG (Last Name) (First Name) (Middle Name)

B. RANK:

AFPSN:

Br/Svc: PA

C. Present Job/Assignment:OPERATION OFFICER

D. Business or Duty Address: 719 GM BLDG., REAL ST., DGTE CITYE. Home Address: (Include Street & Nr): PRK. STO. NINO, UPPER CADAWINONAN, DUMAGUETE CITYTel No:

09066006492F. Birth Date:

21-OCT-1993G. Change in Name (If court action, give details):

N/AH. Aliases/Nickname:N/A

Nationality: NATURAL-BORN FILIPINOI. T.I.N.

National Reg Card Nr:

II. PERSONAL CHARACTERISTICS:

a. Description: Sex: MALE

Age:

Height: 1.7 (mtrs)

Weight: 69 (kgs)

Build: MEDUIM

Complexion: LightColor of Eyes: BLACKColor of Hair: BLACKScars or marks and other distinguishing features:

b. Physical Condition:

Present State of Health: (Excellent, Good, Poor) Excellent

Physical and mental defects:

None

Recent Serious Illness:

None

III. MARITAL HISTORY:

A. Marital Status: SINGLE

B. Name of Spouse:N/AC. Date and Place of Marriage:

Date:

N/A

Place:

N/AOccupation and Place of Employment:

D. Children:N/AName

Date of Birth

Citizenship/Address

IV. FAMILY HISTORY AND INFORMATION:EDUCATIONAL BACKGROUND:

A. Father (Full Name): UNKNOWNDate and Place of Birth:

Occupation and Place of Employment:

Citizenship:

Filipino

B. Mother (Full Name): IMELDA O. SALDONDate and Place of Birth:UNKNOWNOccupation and Place of Employment:UNKNOWNCitizenship: FILIPINO

C. Brothers and Sisters:

Name

Age

Address/Occupation

UNKNOWND. Step-Parents or Guardian (Full Name): PHILIPEDES S. SILLEROAddress:UPPER CADAWINONAN, DGTE. CITYOccupation and Place of Employment: PNPCitizenship: FILIPINOIf naturalized give date and place where

naturalized:

E. Father in-Law (Full Name): N/AAddress:

Occupation and Place of Employment:

Citizenship: Filipino

F. Mother-in-Law (Full Name): N/AAddress:

Occupation and Place of Employment:

Citizenship: Filipina

V. EDUCATIONAL BACKGROUND:

A. Elementary:JUNOB ELEM. SCHOOL Date of Attendance

Yr Graduated: 2006B. College:NORSU- 2014C. Post Graduate:

D. Other School Attended and Date of Attendance:

E. Civil Service Eligibility. If any and other similar qualifications acquired

PRC BOARD PASSER-CRIMINOLOGIST- OCT 2014VI. MILITARY HISTORY:

A. Date Enlisted in AFP:

B. Date of Commissionship:

Source of Commissionship:

C. Important Unit Assignment since Enlisted / CAD:

D. Military School Attended:ROTC Courses 11, 12, 21, 22

NORSU, Dumaguete City

E. Decorations: Awards or Commendations Received:

VII. PLACES OF RESIDENCE SINCE BIRTH:

Inclusive Dates

Address

11 YRS

DIPOLOG CITY10 YRS

DUMAGUETE CITY

VIII. EMPLOYMENT:

Inclusive Date:Type of

Address of

Reason for

Employment

Employer

Leaving

SECURITY AGENCY

719 GM BLDG.Have you ever been dismissed or forces to resign from a position?

( ) Yes ( X ) No

If YES, explain:IX. FOREIGN COUNTRY VISITED: N/ADate

Country

Purpose of VisitX. CREDIT REPUTATION:

A. Are you entirely dependent on your salary? ( ) Yes ( X ) NoIf NOT, state other source of income: WORKB. Name and address of Banks or other institutions wherein you have an accounts/loans: N/AC. Have you filed statement of Assets and Liabilities with any government agency? If NOT, what agency? NO. PRIVATE AGENCYD. Have you filed your latest Income Tax Return? ( ) Yes ( X ) No

Amount paid for the calendar year?

E. Three (3) credit references in the PhilippinesName

AddressXI. ARREST RECORD AND CONDUCT:

A. Have you ever been investigated, arrested, convicted of any violation of law? If so, state name of court, nature of offense and disposition of case. NO

B. Has any of your family been investigated/arrested or convicted for any violation of law. If so, state name of court, nature of offense and disposition of case. NO

C. Have you ever been charged of any administrative case? NO. If so, explain:

D. Have you ever been arrested or detained pursuant to the provision of PD 1081 and its implementing orders (GO, PD, LOI). If so, state the nature of the case and place of your detention. NO

E. Do you use intoxicating liquor or narcotics? NO. If so, to what extent?

XII. GENERAL REPUTATION:

A. Give five (5) character references known three (3) years or longer, who are not your relatives)

Name

Business Address

PHILIPEDES SILLERO

CADAWINONAN DGTE. CITYMANUEL LOBO

TALAY DGTE. CITY

CARMELO DELIMA

TALAY DGTE. CITY

SOTERA CAGANG

BAJUMPANDAN DGTE. CITY

DAN GEROME BARRERA

BAJUMPANDAN DGTE. CITY

B. List down three (3) neighbors at your present residence:

Name

Business Address

PHILIPEDES SILLERO

DUMAGUETE CITY

CATHERINE SILLERO

DARO, DGTE. CITY

MANUEL LOBO

TALAY DGTE. CITY

XIII. ORGANIZATION:

A. Hobbies, sports and past time:

MOTOCYCLING, BIKING, BOXING, MOVIES AND JOGGING.B. Language and Dialects (Indicate ability as Fluent, Fair or Poor)

Tagalog Cebuano English Fluent

x

x

x

Fair

PoorC. Are you willing to undergo lie detector test?

YesXIV. MISCELLANEOUS:

Copy exactly the following paragraph in your own handwriting:

As Luiz Repazo III of 105th Xavier Ave guzzled his way through three bottles of brandy, Josephine E Quizing a partner in the law firm of San Diego and Ballesteros located at 2870 Valley Forge St., Quezon City turned to Richard Ting Sr., a Chinese expert from O. W. kwantang Ltd., 346 Hadji Hussein Blvd. and said: I cant speak for my government but Im quite sure your country and mine better get together for closer understanding.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ I CERTIFY that the following answers are true and correct to the best of knowledge and belief and I agree that any misstatement or omissions to a material fact will constitute ground for immediate denial/cancellation of my application for clearance.

Signed ___________________________________ Date ________________

_____________________________________(Signature of Applicant)

____________________________________________________________

(Witness)

(Witness)

THUMB MARK

(Left) (Right)

SUBSCRIBED AND SWORN to before me this th day of , 2015 at the City of Dumaguete City, Philippines, affiant exhibited to me his LTO No issued in Dumaguete City on .

MAJOR CRESCENCIO C TAN JR (RES) PA

RR (NOR) Bn Commander

SKETCH OF THE IMMEDIATE VICINITY OF RESIDENCE

(Indicate Prominent Points/Reference)