CY 2023 PRO8 Promotion Evaluation Form Application for Promotion

(Folder “A)
Note: Please use Blue Ballpen when filling-up information.
Name: Contact Nr: Designation:

Badge Unit:
Rank: Date Designated:
Number Station:

Table of Contents
A. Updated and Qualification Standards
Signed PNP PAIS Education Training Experience Highest Eligibility
PDS DOLP Type
Evaluated by:
TIG Date Taken
PFT/APE IPER
2023 2022 2021 2020 2019 2018 AGE DOB
1ST 2023 2ND 2022

_______________________
Technical Working Committee
Pls mark (√) (Signature over Printed Name)
All pages of the PNP PAIS PDS is duly signed and acknowledge by the concern personnel.

B. Notarized Affidavit Administrative & Criminal Case Date:

of Undertaking Marked (√)
(If yes, please specify)
NO With
DATE FILED/
Pending Pending NATURE OF
COMPLAI
CASE CASE STATUS
PENALTY/ PERIOD
Case Case COMPLAINT/ TITLE/NUMBER (Pending or
NANT DECISION PENALTY
OFFENSE AND VENUE Resolved)
IMPOSED
Verified by:

_______________________
Senior Technical Working
C. National Police Committee
Valid Until: ID Number: (Signature over Printed Name)
Clearance
Date Issued: Record File: Date:
D. Original Certification Pls mark: (Attached
Certification:
from the Court and Original/
Mark (√)
Quasi-Judicial Body Authenticated:

CERTIFICATION
This is to certify that documents contain in the Promotion Folder “A” have been evaluated and completely complied the required
documents for promotion and recommended his/her application for promotion.

_________ _____________________________
Chief, Administrative Officer
(Signature Over Printed Name)

CERTIFICATION
This is to certify that documents presented during the evaluation and screening of the Promotion Secretariat recommended his/her
application for promotion, to wit:

Qualified Disqualified
_____ PSMS Chiristian E Capesiño_ ________
Senior Promotion PNCO/Supervising Secretariat
(Signature Over Printed Name)

CERTIFICATION
This is to certify that the recommendation of the Administrative Officer on the Promotion Folder “A” with complete information
required during evaluation and screening, to wit:

Approved Disapproved
_____ PMAJ SHENNA S LAYOG________ __
Chief, PPS Section/Chief, Promotion Secretariat
(Signature Over Printed Name)