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Attach two colored 2x2 ID photo w/ white background

Attach two colored 2x2 ID photo w/ white background. Presidential Communications Operations Office. International Press Center. 2014 Press Accreditation Form. RENEWAL 2013 IPC #______________. FOCAP. VISITING JOURNALIST. NEW APPLICANT. Date of application_______________. Name.

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Attach two colored 2x2 ID photo w/ white background

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  1. Attach two colored 2x2 ID photo w/ white background Presidential Communications Operations Office International Press Center 2014 Press Accreditation Form RENEWAL 2013 IPC #______________ FOCAP VISITING JOURNALIST NEW APPLICANT Date of application_______________ Name Family Name First Name Middle Name Nickname Media Agency Designation/Position in agency (indicate if freelance) NAME OF HEAD OF OFFICE: PERSONAL DATA: OFFICE ADDRESS: Citizenship: Tel. No.: Fax No.: Birth Date: Home/Hotel Address in the Philippines/Tel. No.: Birth Place: E-mail Address: Mobile Phone No. Gender: Male Female Status: Please check type of media organization you represent Passport No. Married, spouse name Single Issued at Newspaper Separated/Divorced Magazine Issued on News Agency Television Expiry date Height (ft/m)___________ Weight (lb/k)___________ Radio Photo Agency ACCREDITATION REQUIREMENTS Visa No./Status Documentary Others (Specify) 1. Accreditation forms properly filled up. Length of stay 2. Letter of endorsement from respective agencies 3. 2 pcs. 2’x2” colored pictures with white background Expected places to visit in the Philippines 4. Copy of contract of employment (for local hire) 5. Photo copy of passport (pages 1& 2) 6. Letter / Endorsement from their respective embassy (for visiting journalists and new applicants). Contact person in case you are out of town Name: ADDITIONAL REQUIREMENTS FOR NEW APPLICANTS Tel. No. 1. 5 bylined photos (published not later than 3 mos.) 2. Five (5) bylined articles (published not later than 3 mos.) 3. Five (5) consecutive issues of newspaper or magazine (for new publications not later than 3 mos. I hereby certify all above information are true and correct Note: ID’s not claimed within two months after approval will no longer be released. Signature of applicant ------------------------------------------------------------------------- Media Media Services This part to be accomplished by accreditation officer Date received_______________________ 2014C.N._______________________________ Received By:_________________________ Date Issued______________________________ Expiry date_______________________________

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