You are on page 1of 1

2/28/23, 5:11 AM NBI CLEARANCE

REPUBLIC OF THE PHILIPPINES


DEPARTMENT OF JUSTICE
NATIONAL BUREAU OF INVESTIGATION

NBI CLEARANCE APPLICATION


 REFERENCE NUMBER

FORM MP6SEKAHJD
Tuesday Feb 28, 2023 AM ()
Valid Until Mar 15, 2023
APPLICANT TYPE 1. ID PRESENTED 2. PURPOSE TYPE 3. PURPOSE APPLICATION
NEW VOTERSID|5810-0106B-AO883MBT20000 LOCAL MULTI-PURPOSE CLEARANCE

BASIC INFORMATION

5. FAMILY NAME 6. HUSBAND FAMILY NAME (FOR MARRIED WOMAN ONLY)


TENDENCIA -

7. GIVEN NAME 8. MIDDLE NAME


MARYCHRIS BADILLA

9. NICKNAME 10. OTHER NAME/ALSO KNOW AS


- -

11. DATE OF BIRTH 12. BIRTH PLACE


08/01/1983 QUEZON CITY

13. CITIZENSHIP 14. GENDER 15. CIVIL STATUS


FILIPINO FEMALE SINGLE

16. SPOUSE 17. BIRTH PLACE


- -

18. PRESENT ADDRESS


136 SEA ROAD ST NIOGAN PILILLA RIZAL

19. CONTACT NUMBER 20. EMAIL ADDRESS 21. IDENTIFYING MARKS


09278855234 a.v.ne.t.c.afe@yahoo.com -
ADDITIONAL INFORMATION

22. HEIGHT 23. WEIGHT 24. COMPLEXION 25. RELIGION


145 43 FAIR ROMAN CATHOLIC

26. EDUCATIONAL ATTAINMENT 27. OCCUPATION


HIGH SCHOOL GRADUATE HOUSEWIFE

PARENTS INFORMATION
28. NAME OF FATHER 29. FATHER BIRTH PLACE
ROGELIO TENDENCIA LAGUNA

30. NAME OF MOTHER 31. MOTHER BIRTH PLACE


JOVITA BADILLA LEYTE

I certify that I have read and understood all the questions set forth in this application and answer I have furnished on this form are true and correct to the best acknowledge and belief. I understand that any false or
misleading statement is FALSIFICATION PUNISHABLE UNDER ARTICLE 171 & 172 OR REVISED PENAL CODE

________________________________ ________________________________

36. DATE 37. SIGNATURE

© 2015 All Rights Reserved

https://clearance.nbi.gov.ph/print 1/1

You might also like