This document is an application form for Davao City's Veteran's Welfare and Benefits Program. It requires applicants to provide information about themselves and the deceased veteran they are claiming benefits for. This includes the veteran's personal details, military service history, and proof of residency in Davao City. Applicants must also submit documents like a death certificate, certification of veteran status from the PVAO, and ID photos. By signing, applicants certify that the information provided is true and acknowledge legal penalties for fraud.
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OSCA Form No. 2 Veterans
This document is an application form for Davao City's Veteran's Welfare and Benefits Program. It requires applicants to provide information about themselves and the deceased veteran they are claiming benefits for. This includes the veteran's personal details, military service history, and proof of residency in Davao City. Applicants must also submit documents like a death certificate, certification of veteran status from the PVAO, and ID photos. By signing, applicants certify that the information provided is true and acknowledge legal penalties for fraud.
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OSCA FORM NO. 2 CMO.OSCA.F.002 REV.
00 16 MAY 2022 Series of 2022
REPUBLIC OF THE PHILIPPINES
CITY MAYOR’S OFFICE Requirements: OFFICE FOR SENIOR CITIZENS AFFAIRS 1. Death Certificate☹Certified True Copy COMMITTEE ON VETERANS BURIAL ASSISTANCE 2. Certification from Veterans Affairs CITY OF DAVAO Office (PVAO) of Davao City, that such Main Office Agton Street, Toril, Davao City, Davao Del Sur person is a veteran. (OSCA bldg.) Tel. No.: 272 4029 3. CVAO Certification or Barangay (SP bldg.) Tel. No.: 241-1000 Loc. 394-395 Certificate, to prove that the deceased was a resident of Davao City for atleast 5 years, counted from the time of his DAVAO CITY VETERAN’S WELFARE AND death. 4. Recent 2 PCS 2”x2” ID Picture (w/Collar) BENEFITS PROGRAM APPLICATION FORM Claimant 5. Valid ID of Claimant Fill out all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A". LAST, FIRST & MIDDLE NAME OF APPLICANT (To be filled up by the Burial Assistance Staff)
COMPLETE ADDRESS Control No.
Received by :
Contact No. Date :
RELATIONSHIP OF APPLICANT VERY IMPORTANT TO THE DECEASED VETERAN Veteran of Military Campaign/Post War
LAST, FIRST NAME OF DECEASED VETERAN Veteran is a resident of Davao City
Veteran is a WWII/KOREAN Veteran RANK SERIAL NO. MAJOR SERVICE NATIONALITY
DATE OF DISCHARGE LAST UNIT OF ASSIGNMENT
DATE OF DEATH PLACE OF DEATH
CATEGORY OF VETERAN (CHECK PERTINENT ITEMS ONLY)
USAFFE WWII-Recognized Guerilla Veteran of Military Campaign/ Korean Campaign (PEFTOK)
Post War CERTIFICATION AND SIGNATURE (READ CAREFULLY BEFORE SIGNING)
I HEREBY CERTIFY THAT:
1. The foregoing entries and attached supporting documents are true and correct. 2. I am fully aware of the consequences of committing fraud in connection with this application. 3. I could be charged for perjury for any false statements herein.
IN WITNESS WHEREOF, I have hereunto affixed my signature and thumb marks this day ____ of _________ 202___.
THUMBMARKS OF CLAIMANTS
Signature ______________________ Approved by:
Res. Cert No. ___________________ LUIS R. MORAN Place of Issue __________________ OSCA HEAD Date of Issue ___________________
SUBSCRIBED AND SWORN to before me this _____day of ______________ 202____ at ________________affiant
exhibiting to me the Community Tax Certificate No./Passport/ Identification Card indicated above