Republic of the Philippines

PHILIPPINE NATIONAL POLICE

DIRECTORATE FOR PERSONNEL AND RECORDS MANAGEMENT
RECRUITMENT AND SELECTION DIVISION
Camp Crame, Quezon City

PO1 RECRUITMENT APPLICATION FORM

PLEASE CHECK UNIT WHERE YOU ARE APPLYING:
RECRUITING UNIT / OFFICE
SAF PRO 5 PRO 11
MG PRO 6 PRO 12
PRO 1 PRO 7 PRO 13
2"x2" size photo taken PRO 2 PRO 8 PRO ARMM
within 3 months PRO 3 PRO 9 PRO COR
PRO 4A PRO 10 NCRPO
PRO 4B
WARNING: This application must be filled out personally by the applicant. Any false information or
misrepresentation made in this information sheet is a ground for disqualifiacation and filing of criminal action
against the applicant.
PART I - PERSONAL INFORMATION
LAST NAME FIRST NAME QLFR MIDDLE NAME
Masaway Charlie Felix
PERMANENT MAILING ADDRESS (House No., Street, Town Province/City) ZIP CODE
056, GALIMUYOD, ILOCOS SUR 2709
GENDER CONTACT NUMBERS (Landline & Mobile) E-MAIL ADDRESS
Male Female 0916566225 cmasaway@gmail.com
CIVIL STATUS DATE OF BIRTH AGE PLACE OF BIRTH (City, Town Province)
SINGLE WIDOW/ER (mm/dd/yyyy) 19 GALIMUOD, ILOCOS SUR
MARRIED SEPARATED 09/17/2004 CITIZENSHIP: Filipino
WEIGHT (in kgs) HEIGHT (in meters) Member of NCIP/With NAPOLCOM Height/Age Waiver ONLY
55.000 1.670 Tribe/ Date Granted:
ANY GOVERNMENT ELIGIBILITY
RA 1080 RA 6506 PD 907 CSC PROFESSIONAL CSC PO1 NAPOLCOM Others (Specify):
Have you ever been charged of any Administrative/Criminal Case in any Court or Investigative Body? NO YES
If YES, please give the details: Kind of Offense, Date of Filing, Court/Investigative Body with Jurisdiction and Status of the Case.
Please attached here a copy of the decision and details------------------------------------------------------------->
Haver you ever applied for any position in the PNP? NO YES
If YES, what vacancy? PO1 LATERAL ENTRY NUP DENIED? How many times?
Reason for DENIAL:
PART II - EDUCATIONAL INFORMATION
DATE GRADUATED
DEGREE COURSE COMPLETED NAME OF SCHOOL LOCATION
(MM/DD/YYYY)
PRIMARY Elementary Graduate Galimuyod Central School Calongbuyan, Galimuyod,
Ilocos Sur
SECONDARY High School Graduate Candon National High Bagani Campo, Candon
School City, Ilocos Sur
BACHELOR'S DEGREE Bachelor of Science Ilocos Sur Polytechnic State San Nicolas, Candon City,
Criminology College- Main Campus Ilocos Sur
GRADUATE DEGREE
PART III - PREVIOUS EMPLOYMENTS
NAME OF COMPANY / EMPLOYER ADDRESS YEAR CONTACT REASON FOR
EMPLOYED NUMBER SEPARATION

PART IV - CHARACTER REFERENCE

NAME ADDRESS CONTACT NUMBER

I HEREBY CERTIFY that the information and/or statements in this application are all true and correct, and I am fully aware that any false
information or statement provided by me in this application shall render me liable for criminal prosecution.

Signature Over Printed Name of Applicant Date Accomplished