MAYOR’S OFFICE DEPARTMENT

PERSONS WITH DISABILITIES AFFAIRS DIVISION

NATIONAL PERSONS WITH DISABILITIES IDENTIFICATION CARD AND PRIME COMMODITIES BOOKLET ISSUANCE

1. NAME
2. DATE OF BIRTH
3. AGE
4. BLOOD TYPE
5. PLACE OF BIRTH
6. GENDER
7. CIVIL STATUS
8. RELIGION
9. NATIONALITY
10. EMAIL
11. CONTACT NUMBER
12. ADDRESS
13. TYPE OF DISABILITY
14. DIAGNOSIS/MEDICAL CONDITION OF CLIENT
15. MOBILITY STATUS (Ambulatory or Non-Ambulatory)
16. EDUCATIONAL ATTAINMENT
17. EMPLOYMENT STATUS
18. ORGANIZATIONAL/AFFILITATION
19. PRECINT NO.
20. SSS/GSIS NO.
21. PHILHEALTH NO.
22. ASSITIVE DEVICE USED
23. HOUSEHOLD FAMILY MEMBER
24. PRIMARY CARE GIVER
25. PERSON IN CASE OF EMERGENCY
26. FAMILY INCOME
27. HOUSE OWNERSHIP AND TYPE OF STRUCTURE