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Username *

Username is required

Email Address *

Email address is required

First Name *

First name is required

Middle Name (Optional)

Last Name *

Last name is required

Suffix (Optional)

Contact Number *

Contact number is required

Valid formats: 09XXXXXXXXX or +639XXXXXXXXX

Complete Address *

Complete address is required

Please provide your complete address including house number, street, barangay, and city

Age *

Age is required

Enter your age in years

Birth Date *

Birth date is required

For users under 18, parent/guardian consent is required

Barangay *

Gender *

Male

Female

Other

Account Security

Password *

Password is required

Password Strength: Too weak

Password Requirements:

At least 8 characters
At least 1 uppercase letter
At least 1 lowercase letter
At least 1 number
At least 1 special character

Confirm Password *

Confirm password is required

Residency Verification

Please upload your Barangay Clearance or valid ID to verify your residency in Barangay 158, 159, 160,161.

Residency Proof *

Please upload your residency proof document

Accepted file types: PDF, PNG, JPG, JPEG
Maximum file size: 5MB
Documents must clearly show your name and address

Your document will be reviewed by an administrator for verification.

I have read and agree to the Data Privacy Terms (Republic Act 10173)

You must agree to the Data Privacy Terms to continue

I confirm that I am a resident of Barangay 158, 159, 160, 161 and all information provided is correct

You must confirm your residency to continue

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