I CERTIFY THAT the above information are true and correct to the best of my knowledge and belief

NOTE: This regisration form shall be secure by the Senior Citizens form OSCA submitted with:
(2) 1X1 Id Picture
one for Id card and One to be attached to Application Form "ANNEX 2"
(1) 2X2 Id Picture
One to be attached to this form-Registration Form
(1 Xerox copy) for supporting Document's to be attached to this form
*Birth Certificate/Marriage Contract/Voter's ID/Voter's Certificate/Baptisimal or any valid ID's