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Note: Please return this copy (along with the attached MEMO, RAD MSG, upon approval/disapproval of RTD. | SUBPOENA, etc.) at Non-Academics Sect NON-ACAD FILE COPY ippine National Police LICE TRAINING INSTITUTE ING CENTER CARAGA rbers, Lipata, Surigao City NATIONAL REGIONAL TRA\ Camp George T. STUDENTS PASS FORM PERSONAL FILE COPY Republic of the Philippines National Police Commission Philippine National Police NATIONAL POLICE TRAINING INSTITUTE aa ‘STUDENT'S PASS FORM Student's Name’ Date: ‘Type of pass applied for urse/Class! ‘Address while on pass: Student's Name: Date: Purpose: ‘Type of pass applied for: Course/Ciass: ‘Address while on pass: Purpose: Departure time: EDRD: Conditions Departure time: EDRD: ‘a. That | shall not ndulge erinking intoxicating iquor while on pass. That I shall return to proper station on or before the pass duration expire. Conditions: ©. That shall submit myset for mvestgation to the school authorities for any 2. That | shall not indulge drink’ liquor while on pass. b. That | shall return to proper reasons trereot ‘Applicant's Signature Company President TACTICAL PNCO COURSE COORDINATOR PCPT JOHN FRED A HOMOL Chief, Non-Academics Section Recommending Approval: PCOL GIOVANNI A MUSICO Chief, Training Center Caraga PASSES FORM NO. DATE ISSUED. ISSUED BY 1 i) 1 ' Il 1 ' 1 ' ' 1 ' 1 ' I 1 ' 1 ' ' ! ! 1 ' ' I ! ' submit myset for inves reasons thereot, ‘Company President ‘Applicant's Signature TACTICAL PNCO COURSE COORDINATOR PCPT JOHN FRED A HOMOL ‘Chief, Non-Academics Section Recommending Approval: PCOL GIOVANNIA MUSICO Chief, Training Center Caraga PASSES FORM NO. DATE ISSUED ISSUED BY

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