PHILIPPINE CITIZEN REGISTRY FORM FOR FILIPINO WORKERS BOUND FOR THE COMMONWEALTH OF NORTHERN MARIANA ISLANDS

Licensed agencies deploying workers to the CNMI and all other concerned are hereby enjoined to emphasize the importance of complying with this directive during the Pre-Departure Orientation Seminar (PDOS) of workers bound for the island to facilitate the delivery of assistance to them.

For strict compliance.

(Sgd.) FELICISIMO O. JOSON, JR.
Administrator

PHILIPPINE CITIZEN REGISTRY CARD
_______________________________________________________
First Name                 Middle                       Surname
Passport No. ____________ Place Issued ___________ Date Issued __________
Place of Birth __________________________ Date of Birth __________________
Civil Status:_____ Single____ Married____ Separated____ Widower__________

SEX: __ Male __ Female
Immigration Status___ Tourist___ Business___ Study___ Contract Worker___ Immigrant
Address in Phil. _____________________________________________________
_____________________________________ Tel. No. in Phil. ________________
Name of nearest kin to contact in case of accident ____________________________
Address: _______________________________ Tel. No. _____________________

IN SAIPAN, TINIAN or ROTA

Entry Permit No. ___ Valid Until ____ Work/Business Permit No. ___ Valid Until ___
Residence _____________________________ Tel No. ______________________
Name of Company or Employer: _____________________ Tel./Fax No. _________
Address of Co. or Employer: ____________________________________________
Your Employment Position: ________________ Date Arrived in CNMI __________
Date this registration is filed ________________ Date of departure in Manila ______

Signature ___________________________ Attach latest photo at the back if available

PLEASE SUBMIT THIS CARD TO THE PHILIPPINE CONSULATE, 2ND FLOOR, CTC Bldg., Beach Road, San Jose, Saipan, CNMI OR MAIL TO P.O. BOX 731 OR SAIPAN MP 96950.  Walang dapat ikatakot.  Ito ay para sa impormasyon ng Philippine Consulate para sa proteksyon ninyo.