CompanyApplication FormPersonal Information First Name * Middle Name Last Name * Suffix Date of Birth * Sex * Male Female Contact Number * SKYPE ID *How to find Skype ID:Step 1: Tap or click on profile picture; Step 2: Tap or click Skype profile; Step 3: Find Skype Name listed Skype ID Email Address * Region * Region I – Ilocos Region Region II – Cagayan Valley Region III – Central Luzon Region IV A – CALABARZON Region IV B - MIMAROPA Region V – Bicol Region Region VI – Western Visayas Region VII – Central Visayas Region VIII – Eastern Visayas Region IX – Zamboanga Peninsula Region X – Northern Mindanao Region XI – Davao Region Region XII – SOCCSKSARGEN Region XIII – Caraga NCR – National Capital Region CAR – Cordillera Administrative Region ARMM – Autonomous Region in Muslim Mindanao Province * ---------------Region I – Ilocos Region--------------- Ilocos Norte Ilocos Sur La Union Pangasinan ---------------Region II – Cagayan Valley--------------- Batanes Cagayan Isabela Nueva Vizcaya Quirino ---------------Region III – Central Luzon--------------- Bataan Bulacan Nueva Ecija Pampanga Tarlac Zambales Aurora ---------------Region IV A – CALABARZON--------------- Batangas Cavite Laguna Quezon Rizal ---------------Region IV B - MIMAROPA--------------- Marinduque Occidental Mindoro Oriental Mindoro Palawan Romblon ---------------Region V – Bicol Region--------------- Albay Camarines Norte Camarines Sur Catanduanes Masbate Sorsogon ---------------Region VI – Western Visayas--------------- Aklan Antique Capiz Iloilo Negros Occidental Guimaras ---------------Region VII – Central Visayas--------------- Bohol Cebu Negros Oriental Siquijor ---------------Region VIII – Eastern Visayas--------------- Eastern Samar Leyte Northern Samar Western Samar Southern Leyte Biliran ------------Region IX – Zamboanga Peninsula------------ Zamboanga Del Norte Zamboanga Del Sur Zamboanga Sibugay City of Isabela --------------Region X – Northern Mindanao------------- Bukidnon Camiguin Lanao Del Norte Misamis Occidental Misamis Oriental ----------------Region XI – Davao Region---------------- Davao Del Norte Davao Del Sur Davao Oriental Davao De Oro Davao Occidental ---------------Region XII – SOCCSKSARGEN-------------- Cotabato South Cotabato Sultan Kudarat Sarangani Cotabato City ---------------------Region XIII – Caraga------------------ Agusan Del Norte Agusan Del Sur Surigao Del Norte Surigao Del Sur Dinagat Islands ---------------NCR – National Capital Region------------- NCR, First District NCR, Second District NCR, Third District NCR, Fourth District ---------CAR – Cordillera Administrative Region---------- Abra Benguet Ifugao Kalinga Mountain Province Apayao --ARMM – Autonomous Region in Muslim Mindanao-- Basilan Lanao Del Sur Maguindanao Sulu Tawi-Tawi Please see reference City/Municipality * ---------------Ilocos Norte--------------- Adams Bacarra Badoc Bangui Banna (Espiritu) Burgos Carasi Batac City Currimao Dingras Dumalneg Laoag City Marcos Nueva Era Pagudpud Paoay Pasuquin Piddig Pinili San Nicolas Sarrat Solsona Vintar ---------------Ilocos Sur------------------ Alilem Banayoyo Bantay Burgos Cabugao Caoayan Cervantes Candon City Vigan City Galimuyod Gregorio Del Pilar Lidlidda Magsingal Nagbukel Narvacan Quirino (Angkaki) Salcedo (Baugen) San Emilio San Esteban San Ildefonso San Juan (Lapog) San Vicente Santa Santa Catalina Santa Cruz Santa Lucia Santa Maria Santiago Santo Domingo Sigay Sinait Sugpon Suyo Tagudin ---------------La Union------------------- Agoo Aringay Bacnotan Bagulin Balaoan Bangar Bauang Burgos Caba San Fernando City Luna Naguilian Pugo Rosario San Gabriel San Juan Santo Tomas Santol Sudipen Tubao ---------------Pangasinan---------------- Agno Aguilar Alcala Anda Asingan Balungao Bani Basista Bautista Bayambang Binalonan Binmaley Bolinao Bugallon Burgos Calasiao Alaminos City Urdaneta City Dagupan City Dasol Infanta Labrador Laoac Lingayen (Capital) Mabini Malasiqui Manaoag Mangaldan Mangatarem Mapandan Natividad Pozorrubio Rosales San Carlos City San Fabian San Jacinto San Manuel San Nicolas San Quintin Santa Barbara Santa Maria Santo Tomas Sison Sual Tayug Umingan Urbiztondo Villasis ---------------Batanes-------------------- Basco Itbayat Ivana Mahatao Sabtang Uyugan ---------------Cagayan------------------- Abulug Alcala Allacapan Amulung Aparri Baggao Ballesteros Buguey Calayan Camalaniugan Claveria Enrile Gattaran Gonzaga Iguig Lal-Lo Lasam Pamplona Peñablanca Piat Rizal Sanchez-Mira Santa Ana Santa Praxedes Santa Teresita Santo Niño Solana Tuao Tuguegarao City ---------------Isabela--------------------- Alicia Angadanan Aurora Benito Soliven Burgos Cabagan Cabatuan City of Cauayan City of Santiago Cordon Delfin Albano (Magsaysay) Dinapigue Divilacan Echague Gamu City of Ilagan Jones Luna Maconacon Mallig Naguilian Palanan Quezon Quirino Ramon Reina Mercedes Roxas San Agustin San Guillermo San Isidro San Manuel San Mariano San Mateo San Pablo Santa Maria Santo Tomas Tumauini ---------------Nueva Vizcaya ------------ Alfonso Castaneda Ambaguio Aritao Bagabag Bambang Bayombong Diadi Dupax Del Norte Dupax Del Sur Kasibu Kayapa Quezon Santa Fe Solano Villaverde ---------------Quirino-------------------- Aglipay Cabarroguis Diffun Maddela Nagtipunan Saguday ---------------Bataan--------------------- Abucay Bagac City of Balanga Dinalupihan Hermosa Limay Mariveles Morong Orani Orion Pilar Samal ---------------Bulacan-------------------- Angat Balagtas (Bigaa) Baliuag Bocaue Bulacan Bustos Calumpit City of Malolos City of Meycuayan City of San Jose Del Monte Doña Remedios Trinidad Guiguinto Hagonoy Marilao Norzagaray Obando Pandi Paombong Plaridel Pulilan San Ildefonso San Miguel San Rafael Santa Maria ---------------Nueva Ecija---------------- Aliaga Bongabon City of Cabanatuan Cabiao Carranglan City of Gapan Cuyapo Gabaldon (Bitulok & Sabani) General Mamerto Natividad General Tinio (Papaya) Guimba Jaen Laur Licab Llanera Lupao Nampicuan City of Palayan Pantabangan Peñaranda Quezon Rizal San Antonio San Isidro San Jose City San Leonardo Santa Rosa Santa Domingo Science City of Muñoz Talavera Talugtug Zaragoza ---------------Pampanga----------------- City of Angeles Apalit Arayat Bacolor Candaba City of San Fernando Floridablanca Guagua Lubao Mabalacat City Macabebe Magalang Masantol Mexico Minalin Porac San Luis San Simon Santa Ana Santa Rita Santo Tomas Sasmuan ---------------Tarlac---------------------- Anao Bamban Camiling Capas City of Tarlac Concepcion Gerona La Paz Mayantoc Moncada Paniqui Pura Ramos San Clemente San Jose San Manuel Santa Ignacia Victoria ---------------Zambales------------------ Botolan Cabangan Candelaria Castillejos Iba Masinloc City of Olongapo Palauig San Antonio San Felipe San Marcelino San Narciso Santa Cruz Subic ---------------Aurora--------------------- Baler Casiguran Dilasag Dinalungan Dingalan Dipaculao Maria Aurora San Luis ---------------Batangas------------------ Agoncillo Alitagtag Balayan Balete Batangas City Bauan Calaca Calatagan City of Tanauan Cuenca Ibaan Laurel Lemery Lian City of Lipa Lobo Mabini Malvar Mataasnakahoy Nasugbu Padre Garcia Rosario San Jose San Juan San Luis San Nicolas San Pascual San Teresita Santo Tomas Taal Talisay Taysan Tingloy Tuy ---------------Cavite---------------------- Alfonso Amadeo City of Bacoor Carmona City of Cavite City of Dasmariñas Gen. Mariano Alvarez General Emilio Aguinaldo City of General Trias City of Imus Indang Kawit Magallanes Maragondon Mendez (Mendez-Nuñez) Naic Noveleta Rosario Silang City of Tagaytay Tanza Ternate City of Trece Martires ---------------Laguna--------------------- Alaminos Bay City of Cabuyao Calauan Cavinti City of Biñan City of Calamba City of San Pedro City of Santa Rosa Famy Kalayaan Liliw Los Baños Luisiana Lumban Mabitac Magdalena Majayjay Nagcarlan Paete Pagsanjan Pakil Pangil Pila Rizal City of San Pablo Santa Cruz Siniloan Victoria ---------------Quezon-------------------- Agdangan Alabat Atimonan Buenavista Burdeos Calauag Candelaria Catanauan City of Tayabas Dolores General Luna General Nakar Guinayangan Gumaca Infanta Jomalig Lopez Lucban City of Lucena Macalelon Mauban Mulanay Padre Burgos Pagbilao Panukulan Patnanungan Perez Pitogo Plaridel Polilio Quezon Real Sampaloc San Andres San Antonio San Francisco (Aurora) San Narciso Sariaya Tagkawayan Tiaong Unisan ---------------Rizal ----------------------- Angono Baras Binangonan Cainta Cardona City of Antipolo Jala-Jala Morong Pililla Rodriguez (Montalban) San Mateo Tanay Taytay Teresa ---------------Marinduque--------------- Boac Buenavista Gasan Mogpog Santa Cruz Torrijos ---------------Occidental Mindoro------- Abra de Ilog Calintaan Looc Lubang Magsaysay Mamburao Palauan Rizal Sablayan San Jose Santa Cruz ---------------Oriental Mindoro---------- Baco Bansud Bongabong Bulalacao (San Pedro) City of Calapan Gloria Mansalay Naujan Pinamalayan Pola Puerto Galera Roxas San Teodoro Socorro Victoria ---------------Palawan-------------------- Aborlan Agutaya Araceli Balabac Bataraza Brooke's Point Busuanga Cagayancillo Coron Culion Cuyo Dumaran El Nido (Bacuit) Kalayaan Linapacan Magsaysay Narra City of Puerto Princesa Quezon Roxas Rizal (Marcos) San Vicente Sofronio Española Taytay ---------------Romblon------------------- Alcantara Banton Cajidiocan Calatrava Concepcion Corcuera Ferrol Looc Magdiwang Odiongan Romblon San Agustin San Andres San Fernando San Jose Santa Fe Santa Maria (Imelda) ---------------Albay----------------------- Bacacay Camalig City of Ligao City of Tabaco Daraga (Locsin) Guinobatan Jovellar City of Legazpi Libon Malilipot Malinao Manito Oas Pio Duran Polangui Rapu-Rapu Santo Domingo (Libog) Tiwi ---------------Camarines Norte----------- Basud Capalonga Daet Jose Panganiban Labo Mercedes Paracale San Lorenzo Ruiz (Imelda) San Vicente Santa Elena Talisay Vinzons ---------------Camarines Sur------------- Baao Balatan Bato Bombon Buhi Bula Cabusao Calabanga Camaligan Canaman Caramoan Del Gallego Gainza Garchitorena Goa City of Iriga Lagonoy Libmanan Lupi Magarao Milaor Minalabac Nabua City of Naga Ocampo Pamplona Pasacao Pili Presentacion Ragay Sagñay San Fernando San Jose Sipocot Siruma Tigaon Tinambac ---------------Catanduanes--------------- Bagamanoc Baras Bato Caramoran Gigmoto Pandan Panganiban (Payo) San Andres (Calolbon) San Miguel Viga Virac ---------------Masbate-------------------- Aroroy Baleno Balud Batuan Cataingan Cawayan City of Masbate Claveria Dimasalang Esperanza Mandaon Milagros Mobo Monreal Palanas Pio V. Corpuz (Limbuhan) Placer San Fernando San Jacinto San Pascual Uson ---------------Sorsogon------------------- Barcelona Bulan Bulusan Casiguran Castilla City of Sorsogon Donsol Gubat Irosin Juban Magallanes Matnog Pilar Prieto Diaz Santa Magdalena ---------------Aklan----------------------- Altavas Balete Banga Batan Buruanga Ibajay Kalibo Lezo Libacao Madalag Makato Malay Malinao Nabas New Washington Numancia Tangalan ---------------Antique-------------------- Anini-y Barbaza Belison Bugasong Caluya Culasi Hamtic Laua-an Libertad Pandan Patnongon San Jose San Remigio Sebaste Sibalom Tibiao Tobias Fornier (Dao) Valderrama ---------------Capiz----------------------- Cuartero Dao Dumalag Dumarao Ivisan Jamindan Ma-Ayon Mambusao Panay Panitan Pilar Pontevedra President Roxas City of Roxas Sapi-An Sigma Tapaz ---------------Iloilo------------------------ Ajuy Alimodian Anilao Badiangan Balasan Banate Barotac Nuevo Barotac Viejo Batad Bingawan Cabatuan Calinog Carles City of Passi Concepcion Dingle Dueñas Dumangas Estancia Guimbal Igbaras City of Iloilo Janiuay Lambunao Leganes Lemery Leon Maasin Miagao Mina New Lucena Oton Pavia Pototan San Dionisio San Enrique San Joaquin San Miguel San Rafael Santa Barbara Sara Tigbauan Tubungan Zarraga ---------------Negros Occidental--------- City of Bacolod City of Bago Binalbagan City of Cadiz Calatrava Candoni Cauayan City of Escalante City of Himalayan City of Kabankalan City of Sipalay City of Talisay City of Victorias Enrique B. Magalona (Saravia) Hinigaran Hinoba-An (Asia) Ilog Isabela City of La Carlota La Castellana Manapla Moises Padilla (Magallon) Murcia Pontevedra Pulupandan City of Sagay Salavador Benedicto City of San Carlos San Enrique City of Silay Toboso Valladolid ---------------Guimaras------------------- Buenavista Jordan Nueva Valencia San Lorenzo Sibunag ---------------Bohol----------------------- Alburquerque Alicia Anda Antequera Baclayon Balilihan Batuan Bien Unido Bilar Buenavista Calape Candijay Carmen Catigbian Clarin Corella Cortes Dagohoy Danao Dauis Dimiao Duero Garcia Hernandez Getafe Guindulman Inabanga Jagna Lila Loay, Loboc Loon Mabini Maribojoc Panglao Pilar President Carlos P. Garcia Sagbayan San Isidro San Miguel Sevilla Sierra Bullones Sikatuna Sagbayan San Isidro San Miguel Sevilla Sierra Bullones Sikatuna City of Tagbilaran Talibon Trinidad Tubigon Ubay Valencia ---------------Cebu------------------------ Alcantara Alcoy Alegria Aloguinsan Argao Asturias Badian Balamban Bantayan Barili Boljoon Borbon Carmen Catmon City of Cebu Compostela Consolacion Cordova Ginatilan Liloan City of Lapu Lapu Madridejos Malabuyoc Medellin Minglanilla Moalboal Oslob Pilar Pinamungajan Poro Ronda Samboan San Fernando San Francisco San Remigio Santa Fe Santander Sibonga Sogod Tabogon Tabuelan Tuburan Tudela City of Toledo City of Bogo City of Carcar City of Naga City of Talisay ---------------Negros Oriental------------ Amlan Ayungon Bacong Basay Bindoy City of Bais City of Canlaon City of Bayawan (Tulong) City of Guihulngan City of Tanjay Dauin City of Dumaguete Jimalalud La Libertad Mabinay Manjuyod Pamplona San Jose Santa Catalina Siaton Sibulan Tayasan Valencia (Luzurriaga) Vallehermoso Zamboanguita ---------------Siquijor--------------------- Enrique Villanueva Larena Lazi Maria San Juan Siquijor ---------------Eastern Samar-------------- Arteche Balangiga Balangkayan Can-avid City of Borongan Dolores General Macarthur Giporlos Guiuan Hernani Jipadpad Lawaan Llorente Maslog Maydolong Mercedes Oras Quinapondan Salcedo San Julian San Policarpo Sulat Taft ---------------Leyte----------------------- Abuyog Alangalang Albuera Babatngon Barugo Bato Burauen Calubian Capoocan Carigara City of Baybay Dagami Dulag Hilongos Hindang Inopacan Isabel Jaro Javier (Bugho) Julita Kananga La Paz Leyte Macarthur Mahaplag Matag-ob Matalom Mayorga Merida Ormoc City Palo Palompon Pastrana San Isidro San Miguel Santa Fe Tabango Tabontabon City of Tacloban Tanauan Tolosa Tunga Villaba ---------------Northern Samar------------ Allen Biri Bobon Capul Catarman Catubig Gamay Laoang Lapinig Las Navas Lavezares Lope De Vega Mapanas Mondragon Palapag Pambujan Rosario San Antonio San Isidro San Jose San Roque San Vicente Silvino Lobos Victoria ---------------Western Samar------------- Almagro Basey City of Calbayog Calbiga City of Catbalogan Daram Gandara Hinabangan Jiabong Marabut Matuguinao Motiong Pagsanghan Paranas (Wright) Pinabacdao San Jorge San Jose De Buan San Sebastian Santa Margarita Santa Rita Santo Niño Tagapul-an Talalora Tarangnan Villareal Zumarraga ---------------Southern Leyte------------- Anahawan Bontoc City of Maasin Hinunangan Hinundayan Libagon Liloan Limasawa Macrohon Malitbog Padre Burgos Pintuyan Saint Bernard San Francisco San Juan (Cabalian) San Ricardo Silago Sogod Tomas Oppus ---------------Biliran----------------------- Almeria Biliran Cabucgayan Caibiran Culaba Kawayan Maripipi Naval ---------------Zamboanga Del Norte----- Bacungan Baliguian City of Dapitan City of Dipolog Godod Gutalac Jose Dalman Kalawit Katipunan La Libertad Labason Liloy Manukan Mutia Piñan (New Piñan) Polangco Pres. Manuel A. Roxas RIzal Salug Sergio Osmeña Sr. Siayan Sibuco Sibutad Sindangan Siocon Sirawai Tampilisan ---------------Zamboanga Del Sur-------- Aurora Bayog Dimataling Dinas Dumalinao Dumingag Guipos Josefina Kumalarang Labangan Lakewood Lapuyan Mahayag Margosatubig Midsalip Molave City of Pagadian Pitogo Ramon Magsaysay (Liargo) San Miguel San Pablo Sominot (Don Mariano Marcos) Tabina Tambulig Tigbao Tukuran Vincenzo A. Sagun City of Zamboanga ---------------Zamboanga Sibugay------- Alicia Buug Diplahan Imelda Ipil Kabasalan Mabuhay Malangas Naga Olutanga Payao Roseller Lim Siay Talusan Titay Tungawan ---------------City of Isabela--------------- City of Isabela ---------------Bukidnon-------------------- Baungon Cabanglasan City of Valencia Damulog Dangcagan Don Carlos Impasug-ong Kadingilan Kalinglangan Kibawe Kitaotao Lantapan Libona City of Malaybalay Malitbog Manolo Fortich Maramag Pangantucan Quezon San Fernando Sumilao Talakag ---------------Camiguin-------------------- Catarman Guinsiliban Mahinog Mambajao Sagay ---------------Lanao Del Norte------------ Bacolod Balaoi Baroy City of Iligan Kapatagan Kauswagan Kolambugan Lala Linamon Magsaysay Maigo Matungao Munai Nunungan Pantao Ragat Pantar Poona Piagapo Salvador Sapad Sultan Naga Dimaporo (Karomatan) Tagoloan Tangcal Tubod ---------------Misamis Occidental--------- Aloran Baliangao Bonifacio Calamba Clarin Concepcion Don Victoriano Chiongbian (Don Mariano Marcos) Jimenez Lopez Jaena City of Oroquieta City of Ozamiz Panaon Plaridel Sapang Dalaga Sinacaban City of Tangub Tudela ---------------Misamis Oriental------------ Alubijid Balingasag Balingoan Binuangan City of Cagayan De Oro City of El Salvador Claveria City of Gingoog Gitagum Initao Jasaan Kinoguitan Lagonglong Laguindingan Libertad Lugait Magsaysay (Linugos) Manticao Medina Naawan Opol Salay Sugbongcogon Tagoloan Talisayan Villanueva ---------------Davao Del Norte------------ Asuncion (Saug) Braulio E. Dujali Carmen City of Panabo City of Tagum Island Garden City of Samal Kapalong New Corella San Isidro Santo Tomas Talaingod ---------------Davao Del Sur--------------- Bansalan City of Digos City of Davao Hagonoy Kiblawan Magsaysay Malalag Matanao Padada Santa Cruz Sulop ---------------Davao Oriental ------------- Baganga Banaybanay Boston Caraga Cateel City of Mati Governor Generoso Lupon Manay San Isidro Tarragona ---------------Davao De Oro--------------- Compostela Laak (San Vicente) Mabini (Doña Alicia) Maco Maragusan (San Mariano) Mawab Monkayo Montevista Nabunturan New Bataan Pantukan ---------------Davao Occidental----------- Don Marcelino Jose Abad Santos (Trinidad) Malita Santa Maria Sarangani ---------------Cotabato-------------------- Alamada Aleosan Antipas Apakan Banisilan Carmen City of Kidapawan Kabacan Libungan Magpet Makilala Matalam Midsayap M'Lang Pigkawayan Pikit President Roxas Tulunan ---------------South Cotabato------------- Banga City of Koronadal City of General Santos (Dadiangas) Lake Sebu Norala Polomolok Santo Niño Surallah Tampakan Tantangan T. Boli Tupi ---------------Sultan Kudarat-------------- Bagumbayan City of Tacurong Columbio Esperanza Isulan Kalamansig Lambayong (Mariano Marcos) Lebak Lutayan Palimbang President Quirino Sen. Ninoy Aquino ---------------Sarangani ------------------- Alabel Glan Kiamba Maasim Maitum Malapatan Malungon ---------------Cotabato City--------------- Cotabato City ---------------Agusan Del Norte----------- Buenavista City of Butuan Carmen City of Cabadbaran Jabonga Kitcharao Las Nieves Magallanes Nasipit Remedios T. Romualdez Santiago Tubay ---------------Agusan Del Sur-------------- Bunawan City of Bayugan Esperanza La Paz Loreto Prosperidad Rosario San Francisco San Luis Santa Josefa Sibagat Talacogon Trento Veruela ---------------Surigao Del Norte----------- Alegria Bacuag Burgos Claver Dapa Del Carmen General Luna Gigaquit Mainit Malimono Pilar Placer San Benito San Francisco (Anao-aon) San Isidro Santa Monica (Sapao) Sison Socorro City of Surigao Tagana-an Tubod ---------------Surigao Del Sur-------------- Barobo Bayabas Cagwait Cantilan Carmen Carrascal City of Bisilig City of Tandag Cortes Hinatuan Lanuza Lianga Lingig Madrid Marihatag San Agustin San Miguel Tagbina Tago ---------------Dinagat Islands-------------- Basilisa (Rizal) Cagdianao Dinagat Libjo (Albor) Loreto San Jose Tubajon ---------------NCR, First District------------ City of Manila ---------------NCR, Second District-------- City of Mandaluyong City of Marikina City of Pasig City of San Juan Quezon City ---------------NCR, Third District----------- City of Caloocan City of Malabon City of Navotas City of Valenzuela ---------------NCR, Fourth District---------- City of Las Piñas City of Makati City of Muntinlupa City of Parañaque Pasay City Pateros
