Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE TRAINING INSTITUTE
NATIONAL HEADQUARTERS/
NATIONAL SUPPORT UNITS TRAINING CENTER
Camp BGen Vicente P Lim, Brgy. Mayapa, Calamba City, Laguna
Email Address: ntc.npti@pnp.gov.ph
Contact Number: 834-6437
Memorandum CN: ______________
FOR : Chief, NHQ/NSUs TC Company: _________
SUBJECT : Request for Ordinary/Emergency Pass
DATE : _______________________________

1. Request that the undersigned be granted _____ day(s) ordinary/emergency pass

From: __________________ To: ____________________
Time: ___________ AM/PM Time: ___________ AM/PM
2. That this request is being made for the following reason(s):
a. _________________________________________________________________
b. _________________________________________________________________
3. That may contact number and address while on pass is at: ____________________________________
_____________________________________
4. That while on pass, I will not enter bars, clubs, gambling dens and houses of ill refute.
5. Further request approval.
__________________________________
Full name and Signature

________________________________ __________________________________
Course Coordinator Tactical PNCO
Noted by:

PMAJ ROWENA M TALANIA________ PLT GILBERT C PLANA______________

Chief, Academics Section Chief, Non-Academics Section

Approved/Disapproved:

PCOL RODRIGO L BAUTO JR

Chief, NHQ/NSUs TC
NTC Copy
PNPTI-ATB 2018 FO6, Rev

Republic of the Philippines

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE TRAINING INSTITUTE
NATIONAL HEADQUARTERS/
NATIONAL SUPPORT UNITS TRAINING CENTER
Camp BGen Vicente P Lim, Brgy. Mayapa, Calamba City, Laguna
Email Address: ntc.npti@pnp.gov.ph
Contact Number: 834-6437

Memorandum CN: ______________

FOR : Chief, NHQ/NSUs TC Company: _________
SUBJECT : Request for Ordinary/Emergency Pass
DATE : _______________________________

1. Request that the undersigned be granted _____ day(s) ordinary/emergency pass

From: __________________ To: ____________________
Time: ___________ AM/PM Time: ___________ AM/PM
2. That this request is being made for the following reason(s):
a. _________________________________________________________________
b. _________________________________________________________________
3. That may contact number and address while on pass is at: _____________________________________
_____________________________________
4. That while on pass, I will not enter bars, clubs, gambling dens and houses of ill refute.
5. Further request approval.
__________________________________
Full name and Signature

________________________________ __________________________________
Course Coordinator Tactical PNCO
Noted by:

PMAJ ROWENA M TALANIA________ PLT GILBERT C PLANA______________

Chief, Academics Section Chief, Non-Academics Section

Approved/Disapproved:

PCOL RODRIGO L BAUTO JR

Chief, NHQ/NSUs TC
NTC Copy
PNPTI-ATB 2018 FO6, Rev