div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=nhmfcgovph-s-form-212-revised-2w5-personal-print-legibly-mark-boxesawith-mdhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: nhmfcgovph · S FORM 212 Revised 2W5 PERSONAL Print legibly Mark boxesawith md use if DATA SHEET to be filled up by CSC 3 NAME EXTENSION ea sr 2 SURNAME FIRST NAME MIDDLE loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421095e892bac94fa1d2332359b37html5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=nhmfcgovph-s-form-212-revised-2w5-personal-print-legibly-mark-boxesawith-mdhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: nhmfcgovph · S FORM 212 Revised 2W5 PERSONAL Print legibly Mark boxesawith md use if DATA SHEET to be filled up by CSC 3 NAME EXTENSION ea sr 2 SURNAME FIRST NAME MIDDLE loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421095e892bac94fa1d2332359b37html5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=nhmfcgovph-s-form-212-revised-2w5-personal-print-legibly-mark-boxesawith-mdhtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: nhmfcgovph · S FORM 212 Revised 2W5 PERSONAL Print legibly Mark boxesawith md use if DATA SHEET to be filled up by CSC 3 NAME EXTENSION ea sr 2 SURNAME FIRST NAME MIDDLE loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421095e892bac94fa1d2332359b37html5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=nhmfcgovph-s-form-212-revised-2w5-personal-print-legibly-mark-boxesawith-mdhtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: nhmfcgovph · S FORM 212 Revised 2W5 PERSONAL Print legibly Mark boxesawith md use if DATA SHEET to be filled up by CSC 3 NAME EXTENSION ea sr 2 SURNAME FIRST NAME MIDDLE loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421095e892bac94fa1d2332359b37html5thumbnails4jpg width=140 height=200 divdiv