Unified Data Management Support
System for Person with Disabilities

--Select Region-- National Capital Region (NCR) Luzon REGION I (Ilocos Region) Luzon REGION II (Cagayan Valley) Luzon REGION III (Central Luzon) Luzon REGION IV-A (CALABARZON) REGION IV-B (MIMAROPA) REGION V (Bicol Region) REGION VI (Western Visayas) REGION VII (Central Visayas) REGION VIII (Eastern Visayas) REGION IX (Zamboanga Peninsula) REGION X (Northern Mindanao) REGION XI (Davao Region) REGION XII (Soccsksargen) REGION XIII (CARAGA) Luzon REGION XIV Cordillera Administrative Region (CAR) REGION XV - Autonomous Region in Muslim Mindanao (ARMM) Region XVIII - NIR - Negros Island Region

--Select Province--

--Select City/Town--

Choose option Male Female Inter-Identity

Choose option Annulled Cohabitation (Live-In) Divorced Married Separated Single Widowed

Choose option O+ A+ A- B+ B- AB+ AB-

Choose option Aglipayan Association of Fundamentals Baptist Bible Baptist Church Buddhist Church of Christ Churches in the Philippines Conservative Baptist Association of the Philippines Convention of the Philippines Baptist Church Crusaders of the Divine Church of Christ Inc. Evangelical Christian Outreach Foundation Evangelicals (PCEC) Faith Tabernacle Church Iglesia ni Cristo Iglesia sa Dios Espiritu Santo Inc. Islam Jehovas Witnesses Jesus is Lord Church Lutheran Church of the Phillipines Others Philippine Benevolent Missionaries Association Philippine Independent Catholic Church Roman Catholic Seventh-day Adventist The Church of Jesus Christ of Latter-Day Saints Union Esperitista Cristiana de Filipinas, Inc. United Church of Christ in the Philippines United Pentecostal Church Inc.

Choose option Kindergarten None Elementary Junior High School Senior High School College Vocational Post Graduate Masteral Doctoral

Choose option Employed Self-Employed Unemployed

Choose option Government Private

Choose option None Accountant Actor/Actress Agricultural Technician Architect Armed Forces Occupations Assembler Association Professional Bank Teller Biologist Business Consultant Carpenter Cashier Chef Chemical Engineer Chemist Civil Engineer Clerical Support Workers College Professor Construction Worker Court Reporter Customer Service Representative Dancer Dentist

Choose option Permanent / Regular Seasonal Casual Emergency

Deaf of Heaing
Intellectual Disability
Learning Disability
Mental Disability
Physical Disability (Orthopedic)
Psychosocial Disability
Speech and Language Impairment
Visual Disbility
Cancer (RA11215)

Congenital/Inborn
Autism
ADHD
Celebral Palsy
Down Syndrome
Chronic Illness
Injury

Choose option Indigent Pensioner Supported

Choose Option