DOCUMENTARY CHECKLIST OF PNP APPLICANTS

NAME : _________________________________ DATE: _____________________

DATE OF BIRTH : _________________________________
Tax Identification No. : _________________________________
PHIL HEALTH No. : _________________________________

Folder 1 (Civil Service) Paper Size / Remarks Checked By &

No. of Copies Date
• CSC Form 212 (Revised 2017) Long Size
(Administering only)
• Birth Certificate PSA
• College Diploma & Transcript of
Records (Authenticated by the
School Registrar)
• Eligibility (PRC- with ID and Board
Rating)(Authenticated by Issuing
Office, CY 2020 with Dry Seal)
• NBI Clearance (Original)
• Physical/Medical Clearances A4 / 1 copy
(Original)
• Position Description Form (PDF) A4 / 1 copy
DBM-CSC Form No. 1
• Certificate of Assumption to Duty A4 /4 copies
• Oath of Office A4 /4 copies
• Checklist of Common Requirements A4 / 1 copy

Folder 2 (NAPOLCOM) Paper Size / Remarks Checked By &

No. of Copies Date
• Height Waiver w/ Resolution
• Mayor’s Recommendation
• CSC Form 212 (Revised 2017) Long Size
(Administering only)
• Eligibility (PRC- with ID and Board
Rating)(Authenticated by Issuing
Office with Dry Seal)
• Birth Certificate PSA
• College Diploma & Transcript of
Records (Authenticated by the
School Registrar)
• Local Clearances: Barangay, Police,
NBI, Mayor’s, MTC/RTC, Prosecutor
(Authenticated)
• 2 pcs 2x2 colored ID picture-With
white background with name tag
• 1 pc 4R Whole Body Picture
• 1 pc Bust-size Picture
• Certificate of Good Moral Character
(Issued by the College/University)
Authenticated
• Two (2) Valid Identification Cards
(Authenticated by Issuing Office)
 Folder 3 & 4 Paper Size / Remarks Checked By &
No. of Copies Date
• PNP Personnel Data Sheet
(Administering only) and CSC PDS
Form 33
(To be accomplished in handwritten)
• PSA-issued Birth Certificate of PNP
Personnel
Family Documents for issuance of Certificate
of Declared Beneficiary
1. Computerized Affidavit of
Confirmation (NOTARY PUBLIC)
2. PSA-issued Advisory on Marriage of
PNP Personnel
3. PSA-issued Advisory on Marriage of
Spouse
4. PSA-issued Marriage Contract
5. PSA-issued Birth Certificate of
Dependents
6. PSA-issued Certificate of Non-
Marriage (CENOMAR with 6 mos.
Validity)
7. Photocopy of valid ID with 3
signatures
FOR MARRIED: 1, 2, 3, 4, 5 and 7
FOR SINGLE: 1, 5, 6 and 7)
• Educational Background
(Authenticated Diploma with
Transcript of Records)
• Eligibilities (PRC- with ID and Board
Rating)(Authenticated by Issuing
Office with Dry Seal)
• Appointment Order and Oath of
Office
• Medical Records
(PPE, PMDE, and Drug Test Results)
• Fingerprint and Handwriting
Specimen (PNP Crime Laboratory)
• 2 pieces latest 2x2 colored picture
and 1 colored whole body picture
• Affidavit of undertaking regarding
incontestability of declared birth
date (Notarized)
• Service record from previous
employment in the Government
Service if any (Original)

Additional Documents Paper Size / Remarks Checked By &

No. of Copies Date
• Sworn Statement of Asset, Long / 5 Copies
Liabilities, and Net Worth (SALN) Back to back
• Panunumpa A4 / 4 copies

Note:

 All PSA-issued documents should be accompanied with an Official Receipt

 Use PLAIN BLUE Long Folder with Cellophane (for Folder 3 & 4)
 With RMD FOLDER (LABEL) in front (for Folder 3 & 4)
 SCANNED/PHOTOCOPIED PSA-issued documents are NOT acceptable