Philippine Navy
Naval Reserve Command
Naval Reserve Center Eastern Mindanao
777th Naval Reserve Officer Training Corps Unit
Holy Cross of Davao College
NOTE: PRINT CLEARLY AND BOLDLY ALL ENTRIES(USE BLACK BALLPEN ONLY) ____________________
(DATE)
SUBJ:MILITARY/NAVAL SCIENCE: _______ SEMESTER: ___________ SY: ______________ PLATOON:________________
(Family Name) (First Name) (Middle Name) (Course/year)
Complete Address:____________________________________________________________________ Sex: ______________
Birthdate:__________________ Birth Place:_________________________ Age:___________ Ht:__________ Wt:__________
Contact Number:__________________ Civil Status:_______________ Blood Type:_________ Religion:___________________
Person to be notified in case of emergency: ______________________________________ Relationship:__________________
Contact Number: _____________________ Address:___________________________________________________________
No. of DATE MUSTER STUDENT PLTN LEADER
Formation day month 1st 2nd SIGNATURE NAME &
year SIGNATURE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
REMARKS:
____________________________ ____________________________
(Student’s Signature) (Registering Officer)
[OFFICE FILE]
777th Naval Reserve Officer Training Corps Unit
Holy Cross of Davao College
NOTE: PRINT CLEARLY AND BOLDLY ALL ENTRIES(USE BLACK BALLPEN ONLY) ____________________
(DATE)
SUBJ:MILITARY/NAVAL SCIENCE: _______ SEMESTER: ___________ SY: ______________ PLATOON:________________
(Family Name) (First Name) (Middle Name) (Course/year)
Complete Address:____________________________________________________________________ Sex: ______________
Birthdate:__________________ Birth Place:_________________________ Age:___________ Ht:__________ Wt:__________
Contact Number:__________________ Civil Status:_______________ Blood Type:_________ Religion:___________________
Person to be notified in case of emergency: ______________________________________ Relationship:__________________
Contact Number: _____________________ Address:___________________________________________________________
[STUDENT’S FILE]
______ NROTC UNIT
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY THAT MIDN/WM ______________________________PLATOON: ______________ AND HAS BEEN
REGISTERED FOR BASIC/ADVANCE NROTC, MS/NS ________ FOR ______ SEMESTER, SCHOOL YEAR ______-______.
_______________________________
(Registering Officer)