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PDS PNP Format Personal

The document is a Personal Data Sheet for members of the Philippine National Police, detailing personal, educational, and professional information. It includes sections for general information, appointment details, educational background, training records, civil service eligibility, qualifications, assignments, promotions, awards, firearms, medical records, offense data, references, and a certification statement. The document emphasizes the importance of accuracy in the provided information and includes a warning about potential investigations for any deliberate misinformation.

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keanudelossantos23
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65 views4 pages

PDS PNP Format Personal

The document is a Personal Data Sheet for members of the Philippine National Police, detailing personal, educational, and professional information. It includes sections for general information, appointment details, educational background, training records, civil service eligibility, qualifications, assignments, promotions, awards, firearms, medical records, offense data, references, and a certification statement. The document emphasizes the importance of accuracy in the provided information and includes a warning about potential investigations for any deliberate misinformation.

Uploaded by

keanudelossantos23
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of the Interior and Local Government


National Police Commission
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

Serial No: N/A


PERSONAL DATA SHEET Badge No:

TIN :
Philhealth:

Warning!
The correctness of all statements or entries made herein is subjected to verification and
any deliberate omission or distortion of information may give sufficient cause for investigation.

I. GENERAL INFORMATION

1. NAME (Last Name, First Name, Middle Name, Qualifier)

2. RANK 3. DESIGNATION 4. DATE DESIGNATED

5. UNIT/STATION ADDRESS

6. DATE OF BIRTH 7. PLACE OF BIRTH

8. HOME ADDRESS (House No./Street/Mun./City/Province)

9. SEX 10. CIVIL STATUS 11. RELIGION


[ ]MALE [ ]FEMALE [ ] SINGLE [ ]MARRIED
[ ]WIDOWER
12. COLOR OF EYES 13. HEIGHT (cm) 14. WEIGHT (kg)

15. BLOOD TYPE 16. BUILD 17. COMPLEXION


[ ]A [ ]AB [ ]B [ ]O [ ]Light [ ] Medium [ ]Heavy [ ]Light [ ] Fair [ ] Dark
18. COLOR OF HAIR 19. IDENTIFYING MARKS

20. LANGUAGE/DIALECT (Read/Write/Speak) 21. ETHNIC GROUP

22. NAME AND ADDRESS OF SPOUSE/NEAREST KIN

23. DEPENDENTS
NAME DATE OF BIRTH RELATIONSHIP

1
II. APPOINTMENT

24. DATE OF ORIGINAL APPOINTMENT:

25. EFFECTIVE DATE OF ORIGINAL APPOINTMENT:

26. DATE OF COMMISSIONSHIP: 27. SOURCE OF COMMISSION:

28. DATE CAD/APPOINTMENT AS OFFICER:

29. DATE OF PRESENT PROMOTIONAL APPOINTMENT 30. LATEST APPOINTMENT STATUS:

III. EDUCATIONAL BACKGROUND

LEVEL NAME OF SCHOOL LOCATION INCLUSIVE DEGREE


DATE COMPLETED
Elementary

Secondary

College

Masteral

IV. POLICE/MILITARY TRAINING SCHOLARSHIP GRANTS

COURSE TAKEN SCHOOL LOCATION INCLUSIVE DATE CLASS


STANDING

V. CIVIL SERVICE/ PRC ELIGIBILITIES

TITLE OF EXAM DATE TAKEN WHERE TAKEN RATING OBTAINED

VI. QUALIFICATIONS AND SKILLS RELEVANT TO PNP SERVICE

Qualifications and Skills Membership and Association/Civic Club

2
VII. POLICE/MILITARY ASSIGNMENT RECORDS

Assignment/Position Inclusive Dates Authority

VIII. PROMOTION RECORDS

Old Rank New Rank Eff Date Prom Status Authority

IX. MEDALS/AWARDS/COMMENDATIONS RECEIVED

NATURE OF AWARD DATE AWARDED AUTHORITY

X. FIREARMS RECORD

Mr/Lic. No. KIND MAKE CAL SERIAL NO. AMMO ISSUING UNIT

XI. PHYSICAL AND MEDICAL RECORD

DATE OF LAST PHYSICAL/MENTAL WHERE TAKEN


EXAMINATION

DATE OF LAST DENTAL EXAMINATION WHERE TAKEN

DATE OF LAST NP EXAMINATION WHERE TAKEN

3
XII. OFFENSE DATA

OFFENSE COMMITTED AS TYPE OF CHARGED DISPOSITION


CHARGED (Exonerated, Convicted,
(State whether Pending)
administrative/criminal) (State penalty if convicted)

XIII. REFERENCES

NAME ADDRESS

XIV. PLEASE COPY IN OWN HANDWRITING

“Our London business is good but Vienna and Berlin are quiet. Mr. D Lord has gone
to Switzerland and I hope for goodness. He will be there for week at 1946 Zernath St.,
and then goes to Turnie and Rome to join Col. Perry.”

XV. CERTIFICATION

THIS IS TO CERTIFY that the answers given above are true and correct to the best of my
knowledge and belief.

Left Right
Thumbmark Thumbmark

SIGNATURE OVER PRINTED NAME

SUBSCRIBED AND SWORN TO before me this day of 2022 at

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