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Republic of the Phitippines. A PHILIPPINE NATIONAL POLICE DIRECTORATE FOR PERSONNEL AND RECORDS MANAGEMENT Fi RECRUITMENT AND SELECTION DIVISION ‘Camp Crame, Quezon City Ri ATION F y PLEASE CHECK UNIT WHERE YOU ARE APPLYING: ‘RECRUITING UNIT / OFFICE \WARNGNG: This npoicaton must be ited out oesonally by he anolcant. Any als information ot ‘mecepresentaton made in ts information sheet is a crcund for ésqualiacation and Ning of ermal ! ! : os ) Pros Pron 1 ‘ “ ROS Ro 12 . : Prot PRO? PROT 1 Bre szephowtten | Gi proz @ Pros Gl -PROARWE ‘ eos i: Gl Pros G Pros PRO.COR 1 ! ams i Prove ‘oreo 4 ‘ PRO 48 t 1 GENDER [CONTACT NUMBERS (Landi & Mabie) NATL ADDRESS DREGE ‘AGE PLAGE OF BETH Tip, Ton Prowincay Co singe Co woowen tromdcnyyyy ARE. PARATED. [CiTaENSHIP: ) fm ‘Member of \ge Waiver | [rave you ever been charged of any) raves oe any Court or investigate Body? L_]NO" Co VES it VES, planes gre the date: Kind oF Otteree, Date ot Filng, Courtrmestpatve Body wh surecicton and Salus of the Case, * Please attachea here a copy o the decison and deta. aver you ever app foray poston nthe PNP? C1 NO. YES 1 YES, wat vacany? Cro: CULATERALENTRY EMU DN How many me DATE GRADUATED DEGREE course conmueren | DRSSUATED "TNaMe oF schoo. | _LocaTION PRIMARY | ‘SECONDARY BACHELORS DEGREE i T GRADUATE DEGREE | | NAME OF COMPANY /EMPLOYER, FOR SEPARATION! ‘HEREBY CERTEY that the information and/ce statements in ths application ae all ue and garec, and |am fay aware that any ‘aie ntormation or atatement praia ty rm inthis application shal render rap Hatha fr critnal prosecution, Bipatare Over Printed Name ct hpplcmt ~~ alg Recompligiet

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