KINGSVILLE ROYALE HOMEOWNERS ASSOCIATION

KRHA Clubhouse, Newcastle Ave., Kingsville Royale Subd., Brgy. San Juan, Antipolo City 1870

Cellphone Number: 09934127534 • Email: kingsvilleroyalehoa2025@gmail.com

MEMBERSHIP REGISTRATION FORM

Registration Form Number:

Date Encoded:

Personal Information

Surname

First Name

Middle Name

Suffix

Date of Birth

Gender

Civil Status

Mobile Number

Landline

Email Address

Facebook Account

KR Address

Lot No.

Block No.

Phase No.

Street

Barangay

City/Town

Province

Region

Zip Code

Country

Other Address

Lot No.

Block No.

Phase No.

Street

Barangay

City/Town

Province

Region

Zip Code

Country

Educational Background

Occupation

Employer / Business Name

Business Address

Educational Attainment

Title/Description

Profession/Work

Family Information

Father's Full Name

Date of Birth

Mother's Full Maiden Name

Date of Birth

Spouse Information (If applicable)

Spouse's Full Maiden Name

Date of Birth

Occupation

Employer / Business Name

Business Address

Children

Full Name	Relationship	Gender	Civil Status	Date of Birth	Action

Household Members

Full Name	Relationship	Gender	Civil Status	Date of Birth	Action

Vehicles

Owner	Make	Model	Year	Plate No.	CR No. (for Vehicle 1-3 only)	LTO Sticker No. (Optional)	Action

Pets

Pet Name	Species	Breed	Vaccinated?	Vaccine Date	Action

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OATH OF MEMBERSHIP

I, , of legal age, residing at , do solemnly swear and affirm that:

I am a duly qualified member of the **Kingsville Royale Homeowners Association, Inc.**;
I shall uphold and abide by bylaws, rules, and regulations of the Association, as well as the policies set forth by the Department of Human Settlement and Urban Development;
I commit to promoting the welfare of the community, including fostering a spirit of cooperation and cleanliness among my fellow homeowners;
I will actively participate in the activities and meetings of the Association to contribute to our shared goals and objectives;
I will work towards the maintenance and preservation of the community's environment and amenities for the benefit of all members.

So, help me God.

Signature over Printed Name

DATA PRIVACY CONSENT AND WAIVER

I, a resident of hereby give my consent to the Kingsville Royale Homeowners Association, Inc. to collect, store, and process my Personal Information in accordance with the **Data Privacy Act of 2012 (RA 10173)**.

I understand that my personal data will be used only for legitimate purposes of the Association, including:

Membership records
Billing and collections
Notices and communications
Community programs and services

I acknowledge that the Association shall keep my information confidential and secure, and that I may withdraw this consent at in subject subject to applicable laws.

By signing this waiver, I freely allow the Association to process my personal data and hold it harmless for the lawful use of such information.

Signature over Printed Name

Please complete the form and click 'Submit Registration'.