Republic of the Philippines

Department of the Interior and Local Government

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

PNP Badge No.

2 X 2 PICTURE POLICE PERSONAL FILE T I N:

Phil Health No.

WARNING:

The correctness of all statements or entries made herein is subject to verification and any
deliberate correction and distortion of information may give sufficient cause for Investigation.

Date Accomplished: _______________

I. GENERAL INFORMATION
1. NAME ( Last Name First Name Middle Name Qualifier )

2. RANK 3. UNIT / STATION – NSU / PRO / NHQ

4. HOME ADDRESS ( House No. / Street / City / Province )

5. PLACE OF BIRTH 6. DATE OF BIRTH

7. SEX 8. CIVIL STATUS 9. RELIGION

10. COLOR OF HAIR 11. COLOR OF EYES 12. HEIGHT (cm) 13. WEIGHT (kg)

14. BLOOD TYPE 15. BUILD 16. COMPLEXION

17. LANGUAGES 18. IDENTIFYING MARKS 19. ETHNIC GROUP

,
20. NAME OF SPOUSE OR NEAREST KIN / ADDRESS 21. OCCUPATION

22. DEPENDENTS
NAME DATE OF BIRTH RELATIONSHIP ADDRESS

23. HOUSING DATA

[ ] OWN HOUSE & LOT [ ] RENT HOUSE [ ] OCCUPYING GOV'T QTRS

[ ] OWN HOUSE ONLY [ ] RENT ROOM [ ] OTHERS (Specify)Rent to own

__________________________
Signature
 II. APPOINTMENT AND EXPERIENCE/TIG DATA
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF
PREVIOUS RANK BY CSC PREVIOUS RANK PER PNP SO/GO

STATUS DATE STATUS DATE AUTHORITY

TEMPORARY ___________________ TEMPORARY ___________ ______________

PERMAMENT ___________________ PERMAMENT ___________ ______________

EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF

PRESENT RANK BY CSC PRESENT RANK PER PNP SO/GO

STATUS DATE STATUS DATE AUTHORITY

TEMPORARY ___________________ TEMPORARY _________ ________________

PERMAMENT ___________________ PERMAMENT _________ ________________

IF PRESENT RANK PASSED DATE SATISFIED THE DEFICIENCY:

TEMPORARY, STATE REASON

[ ] Eligibility [ ] TIG
DEFICIENCY: __(specify)
[ ] Training [ ] Others ___
MONTH/YEAR: _____________
FOR POLICE COMMISSIONED OFFICERS ONLY
SOURCE OF COMMISSION/ENTRY TO THE PNP
YEAR
YEAR

[ ] AFP Regular [ ] AFP Reserve [ ] SPO4-PINSP PROM ____ [ ] PMA ____

[ ] CIS [ ] INP [ ] NAPOLCOM [ ] Lateral Entry _____ [ ] PNPA ____

III. EDUCATIONAL BACKGROUND

DEGREE
NAME OF HONORS
LEVEL LOCATION YEAR COMPLETED
SCHOOL RECEIVED
/ UNITS

COLLEGE

POST
GRADUATE

IV. POLICE/MILITARY TRAINING CAREER COURSES

CLASS STANDING
SCHOOL / INCLUSIVE TRAINING
COURSE TAKEN HONORS
LOCATION DATE HOURS
RECEIVED

V. NAPOLCOM/CIVIL SERVICE/PRC ELIGIBILITIES

TITLE OF
DATE TAKEN WHERE TAKEN RATING OBTAINED
EXAMINATION

__________________________
Signature
 VI. PERFORMANCE EVALUATION RATING
(Immediately preceding two (2) semesters)
RATING PERIOD RATING RATER

VII. PHYSICAL FITNESS TEST RATING

(Immediately preceding two (2) semesters)
FITNESS PERIOD RATING CONDUCTED BY

VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH

(Immediately preceding three (3) Fiscal Years)
THIS WILL BE COMPARED TO THE SUBMITTED SALNs AND VERIFIED BY RMD, DPRM.
FISCAL YEAR TOTAL ASSETS TOTAL LIABILITIES NET WORTH

IX. INDIVIDUAL INCOME TAX RECORDS

(Immediately preceding three (3) Fiscal Years)
FISCAL YEAR GROSS INCOME TAXABLE INCOME INCOME TAX PAID

X. OFFENSE DATA
OFFENSE COMMITTED AS CHARGED TYPE OF CHARGE STATUS / DISPOSITION
(State whether Administrative or Criminal) (Principal or what) (Exonerated, etc., - Penalty)

XI. DATA ON PREVIOUS RETIREMENT/DISMISSAL/SUSPENSION

Have you ever been retired, dismissed, forced to resign or suspended from any employment
for reasons other than lack of funds?
Have you ever been a candidate in a national or local election (including barangay election)?
POSITION PLACE DATE

XII. PHYSICAL AND MEDICAL RECORD

DATE OF LAST PHY/MEDICAL EXAMTN – WHERE TAKEN -
DATE OF LAST DENTAL EXAMINATION - WHERE TAKEN -
DATE OF LAST NP EXAMINATION - WHERE TAKEN -
DATE OF LAST DRUG TEST - WHERE TAKEN -
DATE OF LAST PHY FITNESS TEST - WHERE TAKEN –

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Signature
 XIII. POLICE/MILITARY MAJOR DESIGNATIONS
(FOR PCOs: AS PLTN LDR, COP, BN/CPS/CPO/PPO/PRO/NSU STAFF, MG COMDR, CD/PD)
POSITION/DESIGNATION UNIT INCLUSIVE DATES

XIV. PROMOTION RECORDS

OLD RANK NEW RANK EFF DATE PROM STATUS AUTHORITY

XV. OTHER COURSES/TRAININGS/SEMINARS (IN PRESENT RANK)

XVI. FIREARMS RECORD

LICENSE NO. KIND MAKE CALIBER AMMO ISSUING UNIT

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Signature
XVII. AWARDS AND RECOGNITIONS RECEIVED (IN PRESENT RANK)
INDIVIDUAL MEDALS/RIBBONS/
NATURE OF AWARD DATE AWARDED AUTHORITY

INDIVIDUAL AND UNIT CITATION BADGE

INDIVIDUAL AND UNIT AWARDS/STREAMERS

LETTERS OF COMMENDATIONS/ PLAQUES/CERTIFICATES OF

APPRECIATIONCOMMENDATION/MERITS (NOT YET CONVERTED TO PNP MEDALS)

ACADEMIC AWARDS
NATURE OF AWARD DATE INSTITUTION

__________________________
Signature
 XVIII. CERTIFICATION

THIS IS TO CERTIFY that the answers given above are true and correct to the best of my
knowledge and belief.

I COMMIT MYSELF TO BE LIABLE for perjury and/or dishonesty as result of any false,
misrepresentation or omission in this Personal Data Sheet.

_____________________________________
_____________________________________

Community Tax Certificate #: _____________

Issued on: _______________
Issued at: _______________

LEFT RIGHT
THUMBMARK

SUBSCRIBED AND SWORN TO before me this ________________________ at

__________________________________, Philippines.

_____________________________

_____________________________
Chief, Regional Legal Service _____
NHQ/NSU/PRO
Official Seal

* Not valid without Notarial Seal