RCD's CRM

NATIONAL ARCHIVES OF THE PHILIPPINES Pambansang Sinupan ng Pilipinas REFERENCE SERVICE REQUEST Request for Assessor's Record		CONTROL NUMBER: DATE:
NAME OF REQUESTING PARTY:
ADDRESS:		CONTACT NUMBER/S:
RECORDS TITLE, DESCRIPTION AND OTHER INFORMATION (such as Name, Year, Office, Course Taken, Address, Case Number, Date of Admission):
NAME OF OWNER:
PROPERTY ADDRESS:
LOT NUMBER:		BLOCK NUMBER:
YEAR:
PURPOSE:
NATURE OF SERVICE:* Certified Photocopy Photocopy Loan Permanent Withdrawal Certification of Non-Availability Information Only Conduct Research Others (Specify):	Number of copies requested* One Two Three Others	Check if previous request was already made* Yes Date of previous request No If not available, do you want to secure a certification of non-availability?* Yes No How many copies?
Upload Attachment:		Upload Any Valid Government ID:

E-mail: nap_rcd@nationalarchives.gov.ph