Barangay Paguiruan, Floridablanca

Resident Registration

1 Personal Information

First name *

Middle name

Last name *

Suffix

House number *

Purok *

Sitio / Subdivision (optional)

Contact number *

+63

Gender *

Birthdate *

Age: —

Civil status *

Head of family *

Head of family name

First name *

Middle name

Last name *

Household connection type *

Resident type *

Please indicate if you belong to any of the following categories. If set to Yes, uploading the matching proof is required.

Person With Disability (PWD)

Yes No

Senior Citizen

Yes No

Government ID Type * Government ID Upload *

Capture from camera (mobile) or upload JPG/PNG image. Max file size: 2MB.

Email *

Password *

Minimum 8 characters

Confirm password *

I agree to the and consent to the collection and processing of my personal data for barangay services. *