CITIZENS CRIME WATCH (CCW)

SPECIAL TASK FORCE

FEDERATION
Tower C Unit 905 Isabelle de Valenzuela, 43 Mcarthur Highway, Marulas, Valenzuela City, MM
Tel No. (02) 419-1350 Mobile Number: 09472865504
Email Address: mark_ccw@yahoo.com
Website: http://ccw-stf.webs.com

CCW-STF Federation Vision : In community development and self reliance for progress, we cooperatively labor; in
honesty to government service and truism to democracy, we fearlessly monitor.

Mission : CCW co-exist with other concerned agencies to help maintain peace, justice and integrity, preserve and
protect the environment.

 Objectives 1.To extend assistance to all law enforcement agencies in their all forms of anti crime activities.
 2. To help improve the community watch system.
 3. To help develop, organize, and operate a nationwide community relations
 4. To promote , encourage the implementations of environmental and social economic development
programs

CCW FORM No. 1 Application for Membership Batch No._______

NAME:______________________________________________________________________________
(Last) (First) (Middle)
Present Address:______________________________________________________________________
No: Street Barangay City/Municipality Province
Date of Birth______________________ Place of Birth______________________________________________
Height___________ Weight__________ Blood Type_________ Hair Color___________ Eyes Color________
Citizenship____________ Religion___________________Occupation_________________________________
Age______ Sex_____ Status ______________Email Address______________________________________
Contact Numbers Tel:________________ Mobile Phone ___________________Office SPECIAL TASK
Phone_________
FORCE
Educational attainment ______________________Name of School______________________________
Employer_________________________________Address___________________________________________
Skills_________________________________Hobbies_______________________________________
Name of Spouse _________________________Address of Spouse______________________________
Person to be contacted in case of Emergency ________________________________________________
Relationship______________________ Address____________________________________________
Insurance Beneficiary _____________________________________Contact No.___________________
________Attached 2 Valid ID Clearances:______Barangay______Police______NBI

I voluntarily apply with CITIZENS CRIME WATCH-SPECIAL TASK FORCE FEDERATION and promised to render service at least
once a week..
I swear to uphold the provisions stipulated in the Memorandum of Agreement between PNP and Citizens Crime Watch-Special Task Force
and the rest of the coordinating agencies. Hereby, CCW-STF reserves the right to revoke or cancel the membership at any given time for a
cause or violation of membership agreement.

________________________________________
Signature of Applicant
Picture Right Thumb Mark

Recruited by:___________________________ Approved by :_________________________________

CONTROL No._________________________Date of Membership____________________________