APPLICANTS CHECKLIST FORM Revised 2022 To be filled-out by Evaluator

DATE:
TIME STARTED:
TIME END:

BJMPRO-NCR CHECKLIST FORM

JAIL OFFICER 1 APPLICANT
NAME:

PERTINENT DOCUMENTS REMARKS

PERSONAL DATA SHEET Rev. 2017 (PDS)

ORIGINAL BIRTH CERTIFICATE FROM PSA

AUTHENTICATED DIPLOMA

AUTHENTICATED TRANSCRIPT OF RECORDS

AUTHENTICATED CERTIFICATE OF ELIGIBIILITY OR BOARD RATING

BOARD CERTIFICATE (LUPON) if criminologist

ORIGINAL MARRIAGE CERTIFICATE FROM PSA (IF MARRIED)

NBI CLEARANCE

POLICE CLEARANCE

PNP-DI CLEARANCE

BRGY CLEARANCE

FISCAL CLEARANCE

RTC CLEARANCE

MTC CLEARANCE

ORIGINAL COC FROM NCIP/NCMF (IF NECESSARY)

to be filled-out by personnel in-charge

STEPS REMARKS SIGNATURE

STEP 1: PRELIMINARY ASSESSMENT

HEIGHT: WEIGHT: BMI:

STEP 2: INITIAL MEDICAL EVALUATION

STEP 3: ENTRY-LEVEL EXAMINATION (FOR NON-CRIMINOLOGIST ONLY)

STEP 4: NEURO-PSYCHIATRIC EVALUATION

STEP 5: PANEL INTERVIEW

STEP 6: INITIAL DELIBERATION

STEP 7: MEDICAL AND DENTAL EVALUATION

STEP 8: STRENGTH AND AGILITY TEST

STEP 9: FINAL DELIBERATION

STEP 10: SUBMISSION OF THREE (3) FOLDERS (DPRM, RPRMD, NJMPTI)

STEP 11: OATH-TAKING

NOTE: Always bring this form upon reporting.