Senior Citizen Pre-Registration

Step 1 of 5

Age Requirement: Applicant must be 60 years old or above to register as a senior citizen.

Please provide accurate information. Fields marked with * are required.

Type of Resident *

First Name *

Middle Name

Last Name *

Suffix

Date of Birth * You must be at least 60 years old

Place of Birth *

Gender *

Civil Status *

Specify if you are a Filipino citizen by birth or naturalization

Citizenship Type *

Country

Your highest educational attainment and current status

Educational Attainment *

Education Status *

Optional: Religion and profession/occupation information

Religion

Profession/Occupation