Republic of the Philippines

NATIONAL POLICE COMMISSION

NAPOLCOM Region 9
Gumilao Bldg., PADAP Road, Prk. Santan B, San Jose Dist., Pagadian City

PNP PROMOTIONAL EXAMINATION

APPLICATION FOR : POLICE OFFICER 4TH CLASS
DATE OF EXAMINATION : 04/26/2020
1. NAME
Guro Saif H. Taher
____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ________________________________________

Family Name Given Name/s Middle Name Qualifier

(Ex: Jr., I, II, III, etc.)

2. PERMANENT ADDRESS 3. ZIP CODE

Dimapaok,Lumbaca Unayan,Lanao Del Sur
4. CONTACT NUMBERS (LANDLINE/CELLPHONE) 5. SEX (M/F) 6. DATE OF BIRTH (mm/dd/yyyy) 7. PLACE OF BIRTH
M 05/2/1978 Dimapaok,Lumbaca Unayan,LDS
8. HIGHEST EDUCATIONAL ATTAINMENT 9. COLLEGE/UNIVERSITY 10. YEAR GRADUATED
(Write the complete title of course/degree/program)
AB ECONOMICS QUEZON COLLEGES OF SOUTHERN PHILIPPINES 2001
11. LATEST ELIGIBILITY
Title of Examination Conferred by: Date of Examination Place of Examination Rating
(Ex. NAPOLCOM, (mm/dd/yyyy
PNP ENTRANCE PRC, CSC, BAR)
NAPOLCOM may/28/2006 cotabato City 70.59
12. SERVICE RECORDS
Present Rank Status of Appointment Present Assignment No. of Years in No. of Years in
Pat PERMANENT POLICE PROVINCIAL OFFICE Present Rank the Police Service
11 11
Have you passed a PNP Promotional Examination with the same Eligibility Rank Coverage (ERC) before? YES
I hereby declare that this application has been accomplished in good faith, verified by me and to the best of my knowledge and belief, is a
true, correct, and complete statement pursuant to the provisions of pertinent laws, rules, and regulations of the Republic of the Philippines and I
am also fully aware that when I violate any of the rules and regulations of the examination, I will be automatically disqualified and/or my
examination results be automatically nullified.
NOTE: The NAPOLCOM shall ensure at all times the confidentiality of any personal information that comes to its knowledge and
possession in relation to Republic Act No. 10173 (Data Privacy Act of 2012).

____________________________
Signature of Applicant
( ) APPROVED ( ) DISAPPROVED
NAPOLCOM Processor : ____________________________