National Headquarters Philippine National Police
National Headquarters Philippine National Police
National Headquarters Philippine National Police
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.
I. GENERAL INFORMATION
1. NAME ( Last Name First Name Middle Name Qualifier)
12. COLOR OF HAIR 12. COLOR OF EYES 12. HEIGHT (cm) 13. WEIGHT (kg)
22. DEPENDENTS
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Signature
II. APPOINTMENT AND EXPERIENCE/TIG DATA
PERMANENT
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EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF PRESENT RANK
PRESENT RANK BY CSC PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY TEMPORARY _________ ________________
______________________ PERMANENT _________ _______________________
PERMANENT _____________________
IF PRESENT RANK PASSED TEMPORARY, STATE DATE SATISFIED THE DEFICIENCY:
REASON
( ) Eligibility ( ) TIG DEFICIENCY: __________________ (specify)
( ) Training ( ) Others MONTH/YEAR: __________________
FOR POLICE COMMISSIONED OFFICERS ONLY
COLLEGE
POST
GRADUATE
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X. OFFENSE DATA
OFFENSE COMMITTED AS CHARGED TYPE OF CHARGE STATUS/DISPOSITTION
(State whether Administrative or Criminal) (Principal or What) ((Exonerated, etc.,-
Penalty)
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
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XIII. POLICE/MILITARY MAJOR DESIGNATIONS
(FOR PCOs, AS PLTN LDR, COP,BN/CPS/CPO/PPO/PRO/SNU STAFF/MG COMDR,CD/PD)
POSITION DESIGNATION UNIT INCLUSIVE DATES
INCLUSIVE TRAINING
TITLE CONDUCTED BY PLACE
DATES HOURS
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XVII. AWARDS AND RECOGNITIONS RECEIVED (IN PRESENT RANK)
INDIVIDUAL MEDALS/RIBBONS
NATURE OF AWARD DATE AWARDED AUTHORITY
LETTERS OF COMMEMDATIONS/PALQUES/CERTIFICATES OF
APPRECIATION/COMMENDATIONS/MERITS (NOT YET CONVERTED TO PNP MEDALS)
ACADEMIC AWARDS
NATURE OF AWARD DATE INSTITUTION
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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.
LEFT RIGHT
THUMBMARK
_____________________________________
(Administering Officer)
NHQ/NSU/PRO
Official seal