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Registration Form

Please fill up completely and correctly the required information before each item below. Required items are also marked with an asterisk (*) so please fill it up correctly. Wait for the approval of the website owner to approve your account.

I. IDENTIFYING INFORMATION

First Name*

Middle Name

Last Name*

Suffix

Sex*

Civil Status*

Religion*

Birthdate*

Age*

Birth Place

Length of Stay*

Nationality*

Permanent Address*

City/Municipality

Barangay

Zone/Street

Occupation

Educational Attainment

A Registered Voter?*

Voter's ID

Voter's ID Preview

II. CONTACT & ACCOUNT INFORMATION

Email Address (Enter a valid email address.) *

Mobile Number

Username *

Password * Password must be at least 8 characters long and include a mix of letters and numbers.

Confirm Password * Passwords must match.

The information entered above is true and correct. I have full knowledge in providing the above information. I understand that this form contains with my personal information to be stored in the Online Barangay Information System (OBMIS) database.