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Identification Information

Valid ID Type *

Please select a valid ID type

Choose the type of valid government-issued ID you will provide

Upload Clear Valid ID Photo *

Please upload a clear photo of your valid ID

Upload the front of your chosen ID. Max 5MB. JPG/PNG only. You can choose a file or take a photo directly.

Personal Information

First Name *

First name should only contain letters (2-50 characters)

Middle Name

Middle name should only contain letters (max 50 characters)

Last Name *

Last name should only contain letters (2-50 characters)

Suffix

Please select a valid suffix

Birth & Personal Details

Date of Birth *

Please enter a valid birth date (not in the future)

Place of Birth *

Please enter your birthplace

Civil Status *

Please select your civil status

Gender *

Please select your gender

Guardian Information

Guardian/Parent Email Address * (Required for residents under 18 years old)

Guardian email is required for residents under 18 years old

Enter the email address of your guardian/parent who is 18 years or older and already registered in the system. The guardian must have an active account.

Address Information

Purok/Village *

Please select your purok

Complete Address *

Please enter your complete address

Additional Information

Voter Status

Please select your voter status

Phone Number *

Please enter a valid 11-digit phone number

Occupation

If you choose Others, please specify.

Additional Remarks

Special Categories

Parent Category

LGBTQ Status

Person with Disability (PWD)

Education & Household Information

Education Level

Used for profiling and scholarship programs

Household Relationship

Your relationship to the household head

Head of Family

Indicates if you are the primary decision maker in your family

Housing Type

Used for disaster relief and housing aid programs

Account Credentials

Username *

Username must be 5-20 characters (letters, numbers, underscore only)

Email Address *

Please enter a valid email address

We will send a verification email to this address.

Password Security

Password *

❌ At least 8 characters

❌ One uppercase letter

❌ One lowercase letter

❌ One number

❌ One special character

Confirm Password *

Passwords do not match

Profile Picture

Profile Picture *

Please upload a profile picture

Max 5MB, JPG/PNG only.

Picture qualifications: Size 1x1 or 2x2 with a plain white background; background must remain shadow-free; pose facing forward with eyes open and a neutral expression; keep the photo clear and sharp with no filters or facial shadows; remove reflective glasses and avoid face masks.

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