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INMENT: OCCUPATION: ANNUAL INCOME: OTHER SKILLS: FAMILY COMPOSITION NAME AGE RELATION CIVIL STATUS OCCUPATION INCOME USE the other side of this form if necessary NAME OF ASSOCIATION: ADDRESS OF ASSOCIATION: DATE OF MEMBERSHIP: IF AN OFFICER, DATE ELECTED: POSITION: I certify that the above information are true and correct to the nest of my knowledge and belief. Note: THIS REGISTRATION FORM SHALL BE SECURED BY THE SENIOR CITIZENS FROM OSCA AND SUBMITTED WITH (2) 1X1 I.D. PICTURE 1 to a.

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