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Census Form

The document is an AFP Quarters Occupant's Census form used for collecting personal and household information from military personnel residing in government quarters. It includes sections for occupant details, dependents, housemaids, appliances, pets, vehicles, and emergency contacts. The form requires certification of the accuracy of the provided information, emphasizing the AFP's core values of honor, service, and patriotism.

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Daiz Tankers
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0% found this document useful (0 votes)
11 views1 page

Census Form

The document is an AFP Quarters Occupant's Census form used for collecting personal and household information from military personnel residing in government quarters. It includes sections for occupant details, dependents, housemaids, appliances, pets, vehicles, and emergency contacts. The form requires certification of the accuracy of the provided information, emphasizing the AFP's core values of honor, service, and patriotism.

Uploaded by

Daiz Tankers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

AFP Vision 2028: A World-class Armed Forces, Source of National Pride

HEADQUARTERS
GHQ & HEADQUARTERS SERVICE COMMAND, AFP
HOUSING AFFAIRS OFFICE
Camp General Emilio Aguinaldo, Quezon City
HAO ________________________
(Date)
AFP QUARTERS OCCUPANT’S CENSUS

Rank/Name/AFPSN/BOS: ______________________________________________________________
Quarters Address: _____________________________________________________________________
Date of Birth: _______________________Age: ________________ Religion: ______________________
Date of Last Promotion________________________Date Entered Mil Svc: ________________________
Date of Compulsory Retirement:________________________CP/ Viber No: _______________________
Duty Assignment/Unit Address: __________________________________________________________
DEPENDENTS STAYING:
Name Relationship Age
1. ____________________________________ ______________________ ____________
2. ____________________________________ ______________________ ____________
3. ____________________________________ ______________________ ____________
4. ____________________________________ ______________________ ____________
5. ____________________________________ ______________________ ____________
6. ____________________________________ ______________________ ____________

HOUSEMAIDS/DRIVERS:
Name Age Date Hired

1. ____________________________________ __________ ________________________


2. ____________________________________ __________ ________________________
OTHER RELATIVES UP TO 2ND DEGREE OF CONSANGUINITY:
Name Relationship Age Nature of Occupancy
1. __________________________ ____________ ______ ______________________________
2. __________________________ ____________ ______ ______________________________
APPLIANCES: Nr PETS: Nr: OTHERS: (specify) Nr

Air con ______ Dog ____ _________________ ____


Television/DVD ______ Cat ____ _________________ ____
Electric Fan ______ Birds ____ _________________ ____
Gas stove ______ Fish ____ _________________ ____
Electric stove ______ Fowls ____ _________________ ____
Refrigerator ______
Electric iron ______ VEHICLE:
Water dispenser ______ Type:__________ Plate Number: ___________
Electric air pot ______ Type:__________ Plate Number: ___________
Others: (specify) ______________________, _______________________, ___________________

How many people in your quarters during day time? __________________


How many people in your quarters during night time? __________________

CONTACT PERSON & NUMBER IN ANY CASE OF EMERGENCY: __________________________

I HEREBY CERTIFY that the above information are true and correct to the best of my knowledge.
Any false information can be used as basis to evict me from my government quarters.

___________________________________
(Signature over printed name of occupant)

Certified by:

___________________________________
Chief, HAO

AFP Core Values: Honor, Service, Patriotism

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