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Student Information Sheet

This document contains a student information sheet for a police training course. It requests personal details such as name, rank, contact information, education history, emergency contacts, and a signature certifying the accuracy of the information. The sheet collects 27 distinct pieces of information to register participants and document their background and qualifications for the training.

Uploaded by

PEMS Ivan Theodore P Lopez
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© © All Rights Reserved
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466 views1 page

Student Information Sheet

This document contains a student information sheet for a police training course. It requests personal details such as name, rank, contact information, education history, emergency contacts, and a signature certifying the accuracy of the information. The sheet collects 27 distinct pieces of information to register participants and document their background and qualifications for the training.

Uploaded by

PEMS Ivan Theodore P Lopez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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P

Republic of the Philippines


NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
PHILIPPINE NATIONAL POLICE TRAINING INSTITUTE
NATIONAL HEADQUARTERS/
NATIONAL SUPPORT UNIT TRAINING CENTER
Camp BGen Vicente P Lim, Brgy. Mayapa, Calamba City, Laguna

STUDENT INFORMATION SHEET

01 02 .
(Course / Class Number) (Badge Number)

03
(Rank) (First Name) (Middle Name) (Last Name)

04 05 06 07 08 ________09 B
(Gender) (Age) (Civil Status) (Religion) (Contact Number) (Blood Type)

10 11 12 13 . 14 15 _____________________
(Weight in kg) (Height in cm) Birth Date: MM/DD/YY) (Birth Place) (Ethnic) (Email Address)

16 _____17_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 18
(Eligibility and Rating) (Mailing Address) (Skill/s)

19 20 ___________________21 ___________
(Present Unit of Assignment/Region) (Date of Latest Promotion) (Time-In-Grade)

22 Educational Background
Secondary Education (School) : .

Vocational Education : .

School and Year Graduated : .

Baccalaureate Degree : .

School and Year Graduated : .

Masteral Degree : Units Earned .

School and Year Graduated :

Doctoral Degree : Units Earned .

School and Year Graduated : .

23 24
(Name of Mother) (Address/Contact Number)

25 26 .
(Name of Father) (Address/Contact Number)

27 ______________________________28 _________________________________________________
(Name of Spouse) (Address/Contact Number)

29 Person to Notify in case of Emergency .


(Nearest Kin) (Name)

.
(Relationship / Contact Number)

.
(Address)

I HEREBY CERTIFY that the above entries are true and correct to the best of my knowledge and belief.

Date Signature

PNPTI/NHQ/NSUs TC -REG-2022-F01, Rev. 01

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