BUREAU OF FIRE PROTECTION

REGIONAL OFFICE IX
BFL Building, Fernan Street, Brgy. San Pedro, Pagadian City

Applicant: Course:
Address: School:
Civil Status Sch. Address:
Birthdate: Email:
Age: Eligibility:
FO1 Application
REQUIREMENTS CHECKLIST

No. Requirements Yes No Remarks

1 Screenshot of Online Application

2 Affidavit of FO1 Application

3 Application Letter

4 Computerized PDS

5 CSC Work Experience Sheet

Certified True Copy of College Transcript of
6
Records
7 Certified True Copy of College Diploma

8 Photocopy of CSC Report of Rating

9 Photocopy of PRC Certificate of Rating

Photocopy of PRC ID
10
(valid until January 2024)

11 Certified True Copy of Certificate of Waiver

12 Original/ Certified True Copy of Service Record

(for previous gov’t employees)
Original/ Certified True Copy of Latest
13 Performance Evaluation
(for previous gov’t employees)

14 Authenticated Appointment
(for previously/presently employed gov’t employees)
Original/Certified True Copy PSA Birth
15
Certificate
Original/Certified True Copy PSA Marriage
16
Certificate
17 Photocopy Tax Identification Number:

18 Photocopy Pag-IBIG Member Data Form (MDF)

Photocopy PhilHealth Member Data Record
19
(MDR)
20 Original ECG Result with Readings

21 Original Serum Pregnancy Test for Females

Original Clearances (valid until Dec. 15, 2023)
22  Barangay  Mayor  Police
 NBI  MTC RTC
Previous Employment Clearance
 Company/Agency  NMPA
23  Command  IAS
 Certificate of Non-Pending Case
 Certificate of Honorable Dismissal

Checked by:
(Signature Over Printed Name)
Time/ Date: