A-pass

Registration

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Firstname *

Middlename

Lastname *

Gender *

Civil Status *

Date of Birth *

Mobile Number *

Email address

Address *

Town *

Barangay *

Upload Selfie Photo

Please upload your latest photo * Required

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Upload Valid ID Photo

Please upload a valid ID Photo * Required

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Link Province QR

Please upload a Province QR Photo - Optional

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Link City QR

Please upload a City QR Photo - Optional

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Link Other QR

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I hereby authorized ALTURAS GROUP OF COMPANIES, to collect and process the data indicated herein for the purpose of effecting control of COVID-19 infection, I understand that my personal information is protected by RA 10173, Data Privacy Act of 2012, and I am required by RA 11469, Bayanihan to Heal as One Act, to provide truthful information.