Philippine National Police

Republic of the Philippines

PHILIPPINE NATIONAL POLICE

DIRECTORATE FOR PERSONNEL AND RECORDS MANAGEMENT

RECRUITMENT AND SELECTION DIVISION

Camp Crame, Quezon City

PO1 RECRUITMENT APPLICATION FORM

PLEASE CHECK UNIT WHERE YOU ARE APPLYING:

RECRUITING UNIT / OFFICE

SAF

PRO 5

PRO 11

MG

PRO 6

PRO 12

PRO 1

PRO 7

PRO 13

PRO 2

PRO 8

PRO ARMM

PRO 3

PRO 9

PRO COR

PRO 4A

PRO 10

NCRPO

PRO 4B

WARNING: This application must be filled out personally by the applicant. Any false information or

misrepresentation made in this information sheet is a ground for disqualifiacation and filing of criminal

action against the applicant.

PART I - PERSONAL INFORMATION

FIRST NAME

QLFR

MIDDLE NAME

2"x2" size photo taken

within 3 months

LAST NAME

PERMANENT MAILING ADDRESS (House No., Street, Town Province/City)

ZIP CODE

GENDER

E-MAIL ADDRESS

CONTACT NUMBERS (Landline & Mobile)

Male

Female

CIVIL STATUS

DATE OF BIRTH

PLACE OF BIRTH (City, Town Province)

AGE

(mm/dd/yyyy)

SINGLE

WIDOW/ER

MARRIED

SEPARATED

CITIZENSHIP:

WEIGHT (in kgs)

HEIGHT (in meters)

Member of NCIP/With NAPOLCOM Height/Age Waiver ONLY

Tribe/ Date Granted:____________________________________

ANY GOVERNMENT ELIGIBILITY

RA 1080

RA 6506

PD 907

CSC PROFESSIONAL

CSC PO1

NAPOLCOM Others (Specify):

Have you ever been charged of any Administrative/Criminal Case in any Court or Investigative Body?

NO

YES

If YES, please give the details: Kind of Offense, Date of Filing, Court/Investigative Body with Jurisdiction and Status of the Case.

Please attached here a copy of the decision and details --------------------------------------------------------------->

Haver you ever applied for any position in the PNP?

NO

YES

If YES, what vacancy?

PO1

LATERAL ENTRY

NUP

DENIED? _____ How many times? _____

Reason for DENIAL:

PART II - EDUCATIONAL INFORMATION

DATE GRADUATED

DEGREE

COURSE COMPLETED

NAME OF SCHOOL

LOCATION

(MM/DD/YYYY)

PRIMARY

SECONDARY...