PERSONNEL SECURITY INVESTIGATION (PSI)

COMPLETE BACKGROUND INVESTIGATION (CBI)

I. PERSONAL DATA:

Name:

DOB:

POB:

Sex:

Civil Status:

Religion:

Blood Type:

Build:

Height:

Weight:

Complexion:

Ethnic Group:

II. EDUCATIONAL BACKGROUND:

Elementary Location Date of Attendance Year Graduated

High School

College
 MILDCR

III. PLACES OF RESIDENCE FROM DATE OF BIRTH:

Inclusive Date Address

IV. EMPLOYMENT RECORDS:

Agency/Company AddressType/Nature of Employment Nr. Of Yrs of Service Reason for

leaving

V. Name of Spouse (if married):

DOB:

POB:

Nationality:

Religion:

Date of Marriage:

Place of Marriage:

Occupation:

Name of Children Relationship Date of Birth Place of Birth

VI. FAMILY HISTORY:

Father’s Name DOB POB Occupation Address

Mother’s Name

Brothers/Sisters

VII. NEIGHBORHOOD CHECK

VIII. CREDIT REPUTATION

IX. Local and International Organization

X. Principal Amusement

XI. National Agency Check:

a. Directorate for Intelligence – No derogatory information

b. DCS for Intelligence/J2, AFP – No derogatory information

c. National Bureau of Investigation – No Criminal Record

d. Department of Foreign Affairs – No record of travel abroad

e. Department of Immigration – No record of travel abroad

f. Department of Justice – No Criminal Record

XII. Use of intoxicant/drugs:

XIII. Analysis:

XIV. Recommendation: