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Request Slip for Certification of Pensioner's Status
PVAO request slip for certification of pensioner's status
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: VRMD COPY
Department of National Defense
Philippine Veterans Affairs Office
Camp General Emilio Aguinaldo, Quezon City
VETERANS RECORDS MANAGEMENT DIVISION
Please fill up the information below for faster verification and appropriate action on your request. Thank
you.
Date: __________________________
VETERAN INFORMATION:
Name
: _________________________________________________________________________
Category : ______________________ Rank: ____________________ ASN: ___________________
WWII Unit: _____________________________ Post WW II Unit: ______________________________
Address : ___________________________________________________________________________
Claim Number: _______________________________________________________________________
Name of Pensioner: ____________________________________________________________________
Availed Benefits from PVAO:
( ) Educational Benefit
( ) Old Age Pension
( ) Back Pay under RA 304/897
( ) Veterans Preference
( ) Disability-Death Pension
REQUESTING PARTY:
Name
: ________________________________________________________________________
Relationship: ________________________________________________________________________
Address: ___________________________________________________________________________
Specific Purpose: _____________________________________________________________________
Requirements:
Veteran/Claimant Signature over printed name
PENSIONER: Veteran/Surviving Spouse
a. Secure VRMD Form from the Officer of the Day and accomplish it properly.
b. Submit the duly accomplished VRMD Form together with photocopies of two (2) government-issued IDs such
as Philhealth Card, Senior Citizens Card, SSS/GSIS Card, Tin Card Drivers License Card, PVAO ID card, AFP ID
card or Passport to the Officer of the Day.
c. Wait for the advice of the Officer of the Day.
Legal Beneficiary/ies /Authorized Representative
a. Secure VRMD Form from the Officer of the Day and accomplish it properly.
b. You are required to submit Authorization Letter, two (2) photocopies of government-issued IDs and two (2)
photocopies of government issued IDs of the Pensioner.
c. Wait for the advice of the Officer of the Day.
If your requested document is not available instantly, please come back on _____________________ or we will mail
it to your given address. You may also call us at telephone number (02) 986-1893/ (02) 986-1902.
Noted:
MELINDA I. LUNA
Chief
Veterans Records Management Division
CLAIMANT’S COPY
Department of National Defense
Philippine Veterans Affairs Office
Camp General Emilio Aguinaldo, Quezon City
VETERANS RECORDS MANAGEMENT DIVISION
Please fill up the information below for faster verification and appropriate action on your request. Thank
you.
Date: __________________________
VETERAN INFORMATION:
Name
: _________________________________________________________________________
Category : ______________________ Rank: ____________________ ASN: ___________________
WWII Unit: _____________________________ Post WW II Unit: ______________________________
Address : ___________________________________________________________________________
Claim Number:
______________________________________________________________________
Name of Pensioner: ___________________________________________________________________
Availed Benefits from PVAO:
( ) Educational Benefit
( ) Old Age Pension
( ) Back Pay under RA 304/897
( ) Veterans Preference
( ) Disability-Death Pension
REQUESTING PARTY:
Name
: ________________________________________________________________________
Relationship: ________________________________________________________________________
Address: ___________________________________________________________________________
Specific Purpose: _____________________________________________________________________
Requirements:
Veteran/Claimant Signature over printed name
PENSIONER: Veteran/Surviving Spouse
a. Secure VRMD Form from the Officer of the Day and accomplish it properly.
b. Submit the duly accomplished VRMD Form together with photocopies of two (2) government-issued IDs such
as Philhealth Card, Senior Citizens Card, SSS/GSIS Card, Tin Card Drivers License Card, PVAO ID card, AFP ID
card or Passport to the Officer of the Day.
c. Wait for the advice of the Officer of the Day.
Legal Beneficiary/ies /Authorized Representative
a. Secure VRMD Form from the Officer of the Day and accomplish it properly.
b. You are required to submit Authorization Letter, two (2) photocopies of government-issued IDs and two (2)
photocopies of government issued IDs of the Pensioner.
c. Wait for the advice of the Officer of the Day.
If your requested document is not available instantly, please come back on _____________________ or we will mail
it to your given address. You may also call us at telephone number (02) 986-1893/ (02) 986-1902.
Noted:
MELINDA I. LUNA
Chief
Veterans Records Management Division
