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NATIONAL SKILLS REGISTRATION PROGRAM        REGISTRATION FORM
INSTRUCTIONS: Please fill out the form legibly. Print in block letters. Check appropriate boxes. Please do not leave any items unanswered. Indicate "NA" if not applicable. 
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Email *
I. PERSONAL INFORMATION
LAST NAME: *
FIRST NAME:
MIDDLE NAME:
SUFFIX (Sr., Jr.):
DATE OF BIRTH:
MM
/
DD
/
YYYY
AGE:
SEX:
Clear selection
PRESENT ADDRESS
HOUSE NO./ STREET VILLAGE:
BARANGAY:
MUNICIPALITY/CITY:
PROVINCE:
PLACE OF BIRTH:
CIVIL STATUS:
Clear selection
CITIZENSHIP:
HEIGHT:
WEIGHT:
LANDLINE NUMBER:
MOBILE NUMBER (Primary, Secondary Number)
EMAIL ADDRESS:
DISABILITY:
EMPLOYMENT STATUS:
Are you actively looking for work?
Clear selection
If Yes, How long have you been looking for work?
Willing to work immediately?
Clear selection
If No, when?
Are you a 4Ps Beneficiary?
Clear selection
If Yes, Household ID No.
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