Republic of the Philippines

NATIONAL POLICE COMMISSION

NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
OFFICE OF THE CHIEF, PNP
PHILIPPINE NATIONAL POLICE ACADEMY
TACTICS GROUP
Camp General Mariano N Castañeda, Silang, Cavite
ISO 9001:2015 Certified

MEMORANDUM

FOR : Commandant of Cadets

SUBJECT : Application for Leaves/OB/Pass/Privilege

DATE : ___________________________

1. Request that the undersigned cadet be granted:

( ) Informal Leave ( ) Emergency Leave/Pass

( ) Official Business Pass ( ) Week-end Pass

a. From : __________________________________________
b. To : __________________________________________
c. Reason : __________________________________________
__________________________________________________________
__________________________________________________________

2. That my address while on leave is:

__________________________________________________________
__________________________________________________________

3. That my contact details while on leave are:

Telephone No.: _____________ Mobile Phone No.:_____________

Email Address: _____________

4. Person to be contacted in case of emergency:

Name: _______________________ Relationship: _____________

Address:_______________________________________________
Tel/Cel No.:_____________________________________________

5. That the undersigned binds himself/herself to the regulations of the

academy while on privilege, specially he/she WILL NOT:

a. Enter bars/clubs/gambling areas;

b. Enter houses of ill-repute; and
c. Indulge with women/men of questionable character.

6. It is understood that the duration of the applicants OFFICIAL BUSINESS

PASS (OB) and/or WEEK-END PRIVILEGE (WEP) IS NOT DEDUCTIBLE from
his/her academic and non-academic training attendance.

7. Further request favorable action.

_________________C-__________
Cdt _____________Cl ”_____" Coy,
CCPNPA

________________________________________________________________
Document Control No. ALOPP-2015-01 FO5 Revision No: 0 Page 1 of 2
Document Distribution:
INSTRUCTIONS:

1. All application for privilege MUST BE filed at least five (5) days before the
effective date of privilege.
2. Accomplish in triplicate copies.
3. The Company Commander shall consult the Company Ex-O for Admin before filling
up the CERTIFICATION status of the cadet applicant.
4. Submit all applications with the endorsement of Regimental Commander to the to
the Message Center at CAD at 8:00 AM daily.
5. No personal follow-up by the applicant cadet shall be made at the CAO on the
status of the application. CAO shall forward all acted applications to the respective
MGR’s for proper application.

CERTIFICATION: CADET STATUS:

All entries must be filled-up

FULL DUTY Remarks: ________________________

No. of standing punishment/unserved touring hours as of this filing ______________________

No. of privilege (OB/WEP/EL) employed for this month ______________________
No. of days absent from academics instruction for this month ______________________
No. of study periods missed for the preceding week ______________________
No. of confinement days left ______________________

____________________ ____________________
Signature Signature

_____________________ ____________________
Company Ex-O for Admin Company Commander

======================DO NOT FILL-UP THIS PORTION==================

ACADEMIC AFFAIRS COMMENTS: If privilege applied falls within Academic Period

____________________ _____________________________
Instructor Dean of Academics/Admin Officer

CADET AFFAIRS OFFICE COMMENTS

____________________________ __________________________________
Signature Signature

____________________________ __________________________________
Rank/Printed Name Tactical Officer Rank/Printed Name Senior Tactical Officer

RECOMMEND APPROVAL/DISAPPROVAL:

PBGEN ARCADIO A JAMORA JR

Commandant of Cadets

________________________________________________________________
Document Control No. ALOPP-2015-01 FO5 Revision No: 0 Page 1 of 2
Document Distribution: