VETERANS FEDERATION OF THE

2 x 2 ID Picture Gatpuno Villegas Street, Ermita 1000, Manila

APPLICATION FOR MEMBERSHIP IN THE VETERANS FEDERATION OF THE PHILIPPINES For Surviving Spouse of Filipino Veteran

Date of Application : ______Name of Deceased Veteran/Spouse : ______Date & Place of Death : ______Veterans Organization where the deceased veteran belonged at the time of death : ______

TO: THE PRESIDENT, Veterans Federation of the Philippines

I hereby apply as Member of the Veterans Federation of the Philippines and undertake to comply with the obligations of a member, to include the annual payment of membership dues in the amount of Php 500.00, during my lifetime as a PVAO pensioner. I hereby give my CONSENT for the regular deduction by the Philippine Veterans Affairs Office (PVAO) of my dues as member, from my PVAO pension for direct remittance to the VFP in accordance with Section 23, Republic Act No. 6948, as amended.

I understand that the membership dues collected from me as Member will be allocated to the different accredited veterans’ organizations of the VFP in accordance with the VFP Constitution and By-Laws approved by the Secretary of National Defense on 25 June 2013.

I belong to the ______. (Selected Veterans Organization as indicated at the back page)

Attached are photocopies of the following: 1. My approved application for Old Age Pension 2. My pensioner ATM card/pension savings account bankbook

Also attached is my 2x2 ID picture with my signature and printed name on the back.

SIGNATURE : ______PRINTED NAME : ______CLAIM NO. ______ADDRESS : ______

ATTESTATION:

I hereby testify that the applicant signed this registration in my presence.

______Date SIGNATURE (over printed name) Head of Veterans Organization (Charter /Affiliate- Regional or Fraternal)

VFP Charter Organizations under RA 2640 for widows and orphans of veterans (Regular Membership) (Please mark (x) the veteran organization of your choice)

1. Philippine Association of War Widows, Parents and Orphans (PAWWPO) Address- #104-D 9th Avenue, Cubao, Quezon City 2. Gold Star Mothers and United Widows and Orphans Association of the Philippines Incorporated (GSMUWWOAPI) Address – 231 Ermin Garcia St., Cubao, Quezon City ______

List of Veterans Organizations (Please mark (X) the veteran organization where you belong) CHARTER ORGANIZATIONS (Associate FRATERNAL ORGANIZATIONS (Associate Membership) Membership) 1. Associacion de los Veteranos de la Revolucion 1. Cavaliers Association of Veterans

2. AFP Retired Veterans Association (AFPREVA) 2. The Last Watering Hole Association, Inc.

3. Confederation of the Filipino Veterans 3. FORVETS Reservist Veterans (CONVETS) 4. Defenders of Bataan and Corregidor (DBC) 4. CAVALIERS 57 and Associates

5. ECLGA Veterans Association 5. Sixty -Six Veterans Association

6. FAIT Veterans Legions 6. Queens Row Veterans Association

7. Filipino Disabled Veterans Association 7. Area Command Veterans Organizations

8. Hunters ROTC Association (HROTC) 8. 6th Military District WWII Veterans Association

9. PEFTOK Veterans Association 9. Peacekeepers Association, Inc.

10. Magsaysay Veterans Legion 10. World War II Legionnaires of the Phils. Inc.

11. USAFIP -NL 11. Alliance for the Amelioration of Veterans and Former Policeman and Reservist, Inc. (AAVFP)

12. Philippine Veterans Legion 12. WA CHI 48th Squadron Veterans Legions, Inc.

13. Philippine National Guard Veterans Legion 13. AFP Retirees and Legal Beneficiaries Association, Inc.

14. Philippine Naval Veterans Legion 14. Association of Retired Military Officers/Personnel For Unity and Reform Philippines, Inc. (ARMOUR) 15. United Disabled Veterans Association of the Philippines

Listed below are the Regional Veterans Organization in relation with no.2 para.b, Section 1 of Article 5, VFP CBL (Please mark (x) the Regional Veterans Organization where you belong)

1. National Capital Region (NCR) – City of Manila, Quezon City, Caloocan City, Pasay City, Makati City, Las Piñas City, Pasig City, Mandaluyong City, Parañaque City, Muntinlupa City, San Juan City. Marikina City, Valenzuela City, Taguig City, Malabon City, Navotas City and Pateros 2. Cordillera Administrative Region (CAR) – Benguet, Abra, Ifugao, Kalinga, Apayao and Mt. Province 3. Region I – Ilocos Norte, Ilocos Sur, La Union and Pangasinan 4. Region II – Cagayan, Isabela, Nueva Vizcaya, Quirino and Batanes 5. Region III – Aurora, Bataan, Bulacan, Nueva Ecija, Pampanga, Tarlac, Zambales 6. Region IVA- Cavite, Laguna, , Rizal, and Quezon (CALABARZON) 7. Region IVB- Mindoro Occidental, Mindoro Oriental, Marinduque, Romblon and Palawan (MIMAROPA) 8. Region V – Camarines Norte, Camarines Sur, Albay, Sorsogon, Masbate, and Catanduanes 9. Region VI – Iloilo, Aklan, Antique, Capiz, Guimaras, and Negros Occidental 10. Region VII – Cebu, Bohol, Negros Oriental, and Siquijor 11. Region VIII – Northern Samar, Samar, Eastern Samar, Leyte, Southern Leyte 12. Region IX – Zamboanga del Norte, Zamboanga del Sur, Zamboanga Sibugay and Isabela City 13. Region X- Misamis Oriental, Misamis Occidental, Bukidnon, Camiguin, Lanao del Norte 14. Region XI – Davao del Norte, Davao del Sur, Davao Oriental, and Compostela Valley 15. Region XII – South , Cotabato, Sultan Kudarat, Saranggani and General Santos City (SOCCSKSARGEN) 16. Region XIII - Agusan del Norte, Agusan del Sur, Surigao del Norte, Surigao del Sur and Dinagat Islands (CARAGA ADMINISTRATIVE REGION) 17. Autonomous Region of Muslim (ARMM) - , Maguindanao, Sulu, Tawi-tawi, and Basilan