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    PNP Personal Data Sheet

    Uploaded by

    Peter Paga Jr.
    This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects extensive personal and professional information in 18 sections, including: general information like name, rank, birthdate; appointment data; education; training; eligibility; performance evaluations; assets and taxes; offenses; medical records; assignments; promotions; courses; firearms; awards; and a signed certification of the truth and accuracy of the information provided. The data sheet gathers a comprehensive profile to aid in personnel evaluation, management, and record keeping for the PNP member.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    PNP Personal Data Sheet

    Uploaded by

    Peter Paga Jr.
    12K views7 pages
    This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects extensive personal and professional information in 18 sections, including: general information like name, rank, birthdate; appointment data; education; training; eligibility; performance evaluations; assets and taxes; offenses; medical records; assignments; promotions; courses; firearms; awards; and a signed certification of the truth and accuracy of the information provided. The data sheet gathers a comprehensive profile to aid in personnel evaluation, management, and record keeping for the PNP member.

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    Pnp Personal Data Sheet

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    This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects extensive personal and professional information in 18 sections, including: general information like name, rank, birthdate; appointment data; education; training; eligibility; performance evaluations; assets and taxes; offenses; medical records; assignments; promotions; courses; firearms; awards; and a signed certification of the truth and accuracy of the information provided. The data sheet gathers a comprehensive profile to aid in personnel evaluation, management, and record keeping for the PNP member.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    12K views7 pages

    PNP Personal Data Sheet

    Uploaded by

    Peter Paga Jr.
    This document is a personal data sheet for a member of the Philippine National Police (PNP). It collects extensive personal and professional information in 18 sections, including: general information like name, rank, birthdate; appointment data; education; training; eligibility; performance evaluations; assets and taxes; offenses; medical records; assignments; promotions; courses; firearms; awards; and a signed certification of the truth and accuracy of the information provided. The data sheet gathers a comprehensive profile to aid in personnel evaluation, management, and record keeping for the PNP member.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    You are on page 1of 7

    Republic of the Philippines Department of the Interior and Local Government NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE Camp

    Crame, Quezon City TIN No: Badge No: PSMBFI:

    WARNING: The correctness of the statement of entries made herein is subject to verification and any deliberate omission or 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 5. UNIT STATION/ADDRESS 7. HOME ADDRESS (House No/Street/Municipalities/City/Province 8. DATE OF BIRTH 10. SEX 13. COLOR OF HAIR 17. Blood type 20. IDENTIFYING MARKS 9. PLACE OF BIRTH 11. CIVIL STATUS 14. COLOR OF EYES 18. BUILD 21. LANGUAGE (Read, Write, Speak) 15. HEIGHT (cm) 12. RELIGION 16. WEIGHT (kg) 19. COMPLEXION 22. ETHNIC GROUP 24. OCCUPATION 3. DESIGNATION 4. DATE DESIGNATED 6. TELEPHONE NUMBER

    23. NAME AND ADDRESS OF SPOUSE/NEAREST KIN 25. DEPENDENTS NAME

    AGE

    REALTIONSHIP

    ADDRESS

    26. HOUSING DATA OWN HOUSE & LOT RENT HOUSE OCCUPYING GOVT QTRS

    OWN HOUSE ONLY

    RENT ROOM

    OTHERS (Specify)

    ____________________________________

    Signature

    II. APPOINTMENT DATA


    27.EFFECTIVE DATE OF PREVIOUS RANK BY CSC: STATUS TEMPORARY PERMANENT 29.EFFECTIVE DATE OF PRESENT RANK BY CSC: STATUS TEMPORARY PERMANENT APPOINTMENT OF APPOINTMENT OF 28. EFFECTIVE DATE OF PROMOTION OF PREVIOUS RANK PER PNP SO/GO STATUS TEMPORARY PERMANENT 30.EFFECTIVE DATE OF PROMOTION OF PRESENT RANK PER PNP SO/GO STATUS TEMPORARY PERMANENT DATE _____________ _____________ DATE

    DATE

    DATE ______________ ______________

    31. IF PRESENT RANK PASSED TEMPORARY, STATE REASON [ ] Eligibility [ ] TIG [ ] Training [ [ Others ________

    33. DATE SATISFIED THE DEFICIENCY: DEFICIENCY _______________ (Specify) MONTH/YEAR _______________

    FOR POLICE COMMISSIONED OFFICERS ONLY 36. SOURCE OF COMMISSION/ENTRY TO THE PNP [ [ ] AFP Regular ] CIS [ [ ] AFP Reserve ] Lateral Entry [ [ ] INP ] Original PNP [ ] NAPOLCOM

    III. EDUCATIONAL BACKGROUND


    LEVEL

    NAME OF SCHOOL

    LOCATION

    INCLUSIVE DATES

    DEGREE COMPLETED

    HONOR RECEIVED

    IV. POLICE MILITARY TRAINING/SCHOLARSHIP COURSE


    COURSE TAKEN DATE LOCATION CONDUCTED BY

    _________________________________
    Signature

    V. NAPOLCOM/ CIVIL SERVICE/PRC ELIGIBILITIES


    TITLE OF EXAM DATE TAKEN WHERE TAKEN RATING OBTAINED

    VI. PERFORMANCE EVALUATION RATING


    RATING PERIOD (Immediately preceding two (2) semesters) RATING RATER

    VII. PHYSICAL FITNESS TEST RATING


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

    VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH


    FISCAL PERIOD (Immediately preceding three (3) fiscal year) TOTAL ASSET TOTAL LIABILITIES NET WORTH

    IX INDIVIDUAL INCOME TAX RECORDS


    FISCAL PERIOD (Immediately preceding three (3) fiscal year) GROSS INCOME TAXABLE INCOME INCOME TAX PAID

    X. OFFENSE DATA
    OFFENSE COMMITTED AS CHARGED (State whether administrative or criminal) TYPE OF CHARGE (Principal or what) STATUS/DISPOSITION (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 reason other than luck 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

    _______________________
    Signature

    XII. PHYSICAL AND MEDICAL RECORDS


    DATE OF LAST MEDICAL EXAMINATION: DATE OF LAST DENTAL EXAMINATION: WHERE TAKEN WHERE TAKEN

    DATE OF LAST NP EXAMINATION: DATE OF LASTDRUG TEST: DATE OF LAST PFT:

    WHERE TAKEN WHERE TAKEN WHERE TAKEN

    XIII. POLICE/MLITARY MAJOR DESIGNATION


    POLICE/DESIGNATION UNIT/OFFICE INCLUSIVE DATES

    XIV. PROMOTION RECORDS


    OLD RANK NEW RANK EFFECTIVITY DATE PROMOTION STATUS AUTHORITY

    XV. OTHER COURSE TRAINING/SEMINARS ( In Present Rank)


    COURSE TAKEN DATE TRAINING HOURS SCHOOL LOCATION HONORS RECEIVED

    _______________________________________
    Signature

    XVI. FIREARMS RECORDS


    MR/LIC. NO KIND MAKE CALIBER AMMO ISSUING

    XVII. AWARDS AND RECOGNITIONS RECEIVED (In Present Rank)


    NATURE OF AWARD DATE AWARDED AUTHORITY

    INDIVIDUAL AND UNIT CITATION BADGE

    INDIVIDUAL AND UNIT AWARDS/STREAMERS

    LETTER OF COMMENDATIONS/PLAQUES/CERTIFICATES OF APPRECIATION/COMMENDATIONS/MERITS (Not yet converted to PNP Medals)

    ACADEMIC AWARDS

    _______________________________________
    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 a result of any false. Misrepresentation or

    omission in this Personal Data Sheet

    SIGNATURE OVER PRINTED NAME

    THUMBMARK `

    SUBSCRIBED AND SWORN to before me this ___________ ________________, 2012 at _________________________________, Philippines.

    day

    of

    _____________________________________ (Administering Officer)

    NHQ/NSU/PRO Official Seal

    Not valid without Notarial Seal

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