Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE
TRAINING SERVICE
REGIONAL SPECIAL TRAINING UNIT 3
Building 7372, Gil Puyat Ave, Clark Freeport Zone, Pampanga

DELINQUENCY REPORT FORM

RANK/NAME.: PT ____________________________ CLASS NO.: PSFTP Class 202_-__ “_______________”

PLACE OF OFFENSE: _________________________________________
DATE/TIME OF OFFENSE: _____________________________________

OFFENSE/S COMMITTED: (Encircle all applicable)

LESS GRAVE OR LESS SERIOUS (CLASS II) LIGHT OR MINOR (CLASS III)
1 GRAVE OR SERIOUS (CLASS I) OFFENSE. 2 3
OFFENSE. OFFENSE.
Carelessness resulting to damage or destruction
a Violation of Honor Code a a No name plate.
of government property
Violation of the duly Constituted Standard
b b Neglect of Assigned duty b No shoulder boards.
Operating Procedures of the Training Service
Possession of Firearm/s or any form of deadly No cap.
c c Cutting classes c
weapon inside the School premises.
Conduct unbecoming of officers and non-
d officers whether gentlemen or ladies that are d Malingering d Missing buttons.
prejudicial to good order and discipline.
e Engaging in any form of gambling. e Complying with orders in a begrudging or hostile e Unshined belt buckle
Any act or omission considered as wanton Ignorance of the policies, rules and regulations
f f f Dirty shoes.
disregard of authority. set forth in this Training Guide.
Use, possession or trafficking of prohibited
g g Commission of any act of discourtesy g Reporting late for formation.
drugs and alcoholic drinks and beverages
Attempt to charge or alter one’s academic and
h h Making uncouth remarks or cat calls at women h Moving in ranks.
non-academic records.
i Gross neglect of assigned duties i Failure to submit required reports on time. i Talking in ranks.
Spiting in ranks or in premises not
j Maliciously causing physical injury to others. j Inattentiveness during classroom instructions. j
designated for such purpose.
Intentionally causing damage or destruction to
k k Sleeping or dozing during class k Littering.
any government facility or property.
Going to areas other than the authorized
l Absence Without Official Leave (AWOL) l l Disorganized and untidy belongings.
destination
Commission of any acts considered as abuse
m m Presence in restricted areas. m Untidy beddings.
of authority.
Failure to report any serious offense
n n Failure to comply with duty promptly and properly. n Unprescribed haircut.
witnessed.
o Indiscriminate firing or misuse of firearm. o Smoking in the classroom, quarters or mess hall. o Unshaved.
Deliberately Failure to comply with any official Failure to report on time from his/ her Expected Long and dirty fingernails.
p p p
order or instructions of a superior officer. Date of Return to Duty (EDRD) from pass.
lacking the prescribed paraphernalia
Unexcused absence at dormitory after tattoo
Commission of any similar grave or serious during inspection such as white
q q and/or after “Time for All Personnel to Sleep q
offenses. handkerchief, notebook, ballpen and
(TAPS)
other requirements.
Engaging in entrepreneur or money-making
activities with fellow students/recruits during Unexcused absence during reveille and physical Commission of any similar light or
r r r
the training period (money lending, retailing, conditioning minor offenses.
etc.).
Unexcused absence from formation.
s Obtaining loans during training period. s
Commission of any similar less grave or less
t
serious offenses.
IMPOSABLE PENALTIES (Encircle)
Minimum Medium Maximum Minimum Medium Maximum Minimum Medium Maximum
63 94.5 126 + 1 (TFT) 9 12 15 3 5 8

Recommended by: Noted by:

___________________________________________ ____________________________________________
(Rank/Name and Signature of Issuer) (Rank/Name and Signature Duty PCO)

___________________________________________ ____________________________________________
(Rank/Name and Signature of Offender) (Date/Time Received)
 Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
TRAINING SERVICE
REGIONAL SPECIAL TRAINING UNIT 3
Building 7372, Gil Puyat Ave, Clark Freeport Zone, Pampanga

MEMORANDUM

TO : PT

FROM : Duty PNCO

SUBJECT : Notice of Explanation

DATE : December 26 , 2022

1. References:
a. PNPTS Training Administration Manual; and

b. NAPOLCOM MC No. 2021-002; and

2. In connection with the above references, you are hereby directed to explain in
writing within twenty four (24) hours upon receipt hereof why no disciplinary action shall
be instituted against you in violation of the folowing provisions of PNPTS Training
Administration Manual in relation to NAPOLCOM MC No. 2021-002 for the following
provisions:
a. Absent during virtual accounting.

3. For strict compliance.

WINSTON ERWIN T LITILIT

Police Executive Master Sergeant
Chief, Clerk
 Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
TRAINING SERVICE
REGIONAL SPECIAL TRAINING UNIT 3
Building 7372, Gil Puyat Ave, Clark Freeport Zone, Pampanga

MEMORANDUM

TO : PT

FROM : Duty PNCO

SUBJECT : Notice of Explanation

DATE : ________________, 2023

1. References:
a. PNPTS Training Administration Manual; and

b. NAPOLCOM MC No. 2021-002;

c. Unexcused absense from formation

2. In connection with the above references, you are hereby directed to explain in
writing within twenty four (24) hours upon receipt hereof why no disciplinary action shall
be instituted against you in violation of the folowing provisions of PNPTS Training
Administration Manual in relation to NAPOLCOM MC No. 2021-002 for the following
provisions:
a. Unexcused absense from formation

3. For strict compliance.

PMSG Orlie P Tejada

Police Staff Sergeant
Duty FTO Of The Day

ACKNOWLEDGEMENT RECEIPT

Offense/s: Less grave or Less Serious (Class II) Offense. ______________

____________________________________________________________________

Place of Offence: _________________________________________

Date/Time:_________________________________

Explanation: (TO BE SUBMITTED WITHIN 24 HOURS UPON RECIEPT)

o I DID NOT COMMIT THE SAID OFFENSE/S

o I DID NOT INTEND TO VIOLATE ANY OF THE SOPs GUIDELINES AND/OR RULES
AND REGULATION.

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________

________________________
(Rank/Name and Signature of Offender)