PNPCL FORM NR 452:038 Republic of the Philippines Reg/Prov.

& Station taken

HEADQUARTERS PHILIPPINE NATIONAL POLICE
Revised: 27 May 2010
CRIME LABORATORY Date Taken MM DD YYYY

IMPORTANT: (Type or print all information) Camp Crame, Quezon City

Region Civil Status Voter’s ID No. Name of Spouse (if married)

Race Spouse Address

Height Weight Hair Eyes Complexion Languages & Dialects Spoken

Provincial Address Purpose of Fingerprinting

Name & Signature of Person Fingerprinted

Educational Attainment Passport size
Colored Picture
Name and Signature of
Official Taking Fingerprint
Name of Parents
Name & Address of Relative to be notified in case
of Emergency
Parent’s Address

↑↑
 Bar Code Nr
PERSONAL PNP Control Number
Last Name First Name Middle Name Nick Name

Address Date of Birth Sex

MM DD YYYY CLASSIFICATION

Place of Birth Citizenship Occupation

FPC
Birthmark, Scars & Amputation, etc. Build Blood Type
REF
 RIGHT HAND
THUMB N16 INDEX MIDDLE N8 RING LITTLE

D16 D8 D4
LEFT HAND
N4 THUMB INDEX N2 MIDDLE RING N1 LITTLE

D2 D1
Left Four Fingers Taken Simultaneously Left Thumb Right Thumb Right Four Fingers Taken Simultaneously