BURBANO, AMADO ORDIZ
PUROK 8 MOLAVE
Date of Birth: 1959-09-07
Sex: Male
Civil Status: Married
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Blood Type:
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Date Issued: 11/07/2024
Valid Until: 11/07/2025
In Case of Emergency Please Contact:
ESTRELLA G. GARCIA
Relation:
B16-P8M-185