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PNP Personal Data Sheet: Republic of The Philippines Department of The Interior and Local Government

This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects identifying information such as name, rank, birthdate, contact details, languages spoken, dependents, education history, training history, assignments, promotions, awards, firearms records, physical/medical records, performance evaluations, and references. The form warns that all information provided is subject to verification and any omissions or distortions may result in investigation. It requires the applicant's signature and thumbprints to certify the accuracy of the provided information.

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Heart Nuque
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681 views

PNP Personal Data Sheet: Republic of The Philippines Department of The Interior and Local Government

This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects identifying information such as name, rank, birthdate, contact details, languages spoken, dependents, education history, training history, assignments, promotions, awards, firearms records, physical/medical records, performance evaluations, and references. The form warns that all information provided is subject to verification and any omissions or distortions may result in investigation. It requires the applicant's signature and thumbprints to certify the accuracy of the provided information.

Uploaded by

Heart Nuque
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of the Interior and Local Government


NATIONAL POLICE COMMISSION
POLICE REGIONAL OFFICE 10 (PRO 10)
Camp 1LT Vicente G. Alagar, Lapasan, Cagayan de Oro City

BADGE NO:
TIN NO:
PNP ID:

PNP PERSONAL DATA SHEET


Warning !

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

I.
1. NAME

(Last Name,

First Name,

2. RANK

GENERAL INFORMATION

Middle Name,

Qualifier)

3. DESIGNATION

UNIT
SUBUNIT :
STATION :
ADDRESS :
7. DATE OF BIRTH

4. DATE DESIGNATED

5.

9.

6.

TEL #

8. PLACE OF BIRTH

10. PHONE #

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

11. SEX

12. CIVIL STATUS

13. RELIGION

14. COLOR OF EYES

15. HEIGHT (ft.)

16. WEIGHT (kgs)

17. BLOOD TYPE

18. BUILD

19. COMPLEXION

20. COLOR OF HAIR

21. IDENTIFYING MARKS

22. LANGUAGES/DIALECT (Read/Write/Speak)

23. ETHNIC GROUP

24. HOUSING DATA


25. DEPENDENTS
NAME

RELATIONSHIP

BIRTH DATE

ADDRESS

II. APPOINTMENT DATA


26. EFF. DATE OF PRESENT APPNTMT

27. STATUS OF PRESET APPNTMT

28. IF TEMPORARY STATE REASON

29. CHARACTER OF PRESENT APPNTMT 30. ORIGINAL RANK

31. FIRST UNIT ASSIGNMT

32. DATE OF ENLISTMENT

34. SOURCE OF COMMISSION

33. ORIGINAL APPNTMNT STATUS

III. EDUCATIONAL BACKGROUND


LEVEL

COURSE

SCHOOL

COLLEGE
HIGH SCHOOL
ELEMENTARY

__________________________
Signature

INCLUSIVE DATE

IV. TRAINING
CLASS FINAL
NO. GRADE

COURSE TITLE

LOCATION

AUTHORITY

INCLUSIVE DATE

TESTING CENTER

RATING

V. ELIGIBILITIES
DATE

TITLE

VI. PNP OCCUPATIONAL SPECIALTY (POS) / QUALIFICATION/SKILLS


POS/SKILL

YRS. EXPERIENCE

PLACE OF PRACTICE

RELEVANT COURSE TRAINING

VII. ASSIGNMENT RECORD


ASSIGNMENT, DESIGNATION

AUTHORITY

SOURCE

EFFECTIVITY DATE

VIII. PROMOTION RECORD


RANK

AUTHORITY

EFFECTIVITY DATE

REMARKS

IX. MEDALS / AWARDS / COMMENDATION


NATURE OF AWARD

SSC # BAL #

AUTHORITY

__________________________
Signature

AWARDED BY

REMARKS

X. FIREARMS RECORD
MR/LIC NO

KIND

MAKE

CALIBER

SERIAL NO

AMMO

ISSUING UNIT

XI. PHYSICAL AND MEDICAL RECORD


DATE OF LAST PHYSICAL/MENTAL EXAMINATION:
DATE OF LAST DENTAL EXAMINATION:
DATE OF LAST NP EXAMINATION:

WHERE TAKEN:
WHERE TAKEN:
WHERE TAKEN:

XII. OFFENSE DATA


OFFENSE AS CHARGED

OFFENSE

OFFENSE STATUS

DATE
COMMITTED

XIII. PERFORMANCE EVALUATION RATING


RATING PERIOD

NUMERICAL RATING

ADJECTIVAL RATING

XIV. DATA ON PREVIOUS RETIREMENT/DISMISSAL/RESIGNATION/SUSPENSION/OTHER


Have your ever been retired, dismissed, forced to resigned or suspended from any employment for reason other than lack of funds?
( ) YES ( ) NO If Yes, give particulars. ______________________________________________________________________

_____________________________________________________________________________________________________
Have you ever been a candidate in a national or local election (Including Barangay Election) ? ( ) YES
POSITION

( ) NO If Yes, give particulars

PLACE

DATE

XV. REFERENCES (Persons not related by consanguinity or affinity)


NAME

ADDRESS

PLEASE COPY IN OWN HAND WRITING


Our London Business is good but Vienna and Berlin are quiet, Mr. D Lord has gone to Switzerland and I hope for
goodness. He will be there for a week at 1946 Zenatt St., and then goes to Turnie and Rome and will join Co. Perry.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

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

__________________________
SIGNATURE OVER PRINTED NAME
LEFT THUMBMARK

RIGHT THUMBMARK

SUBSCRIBED AND SWORN TO before me this ___ day of _______________ 20___ at _______________________

________________________________

(Printed Name and Signature)


Administering Officer

__________________________
Signature

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