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Po1 Recruitment Application Form

This document is a recruitment application form for the Philippine National Police (PNP) Directorate for Personnel and Records Management (DPRM) Recruitment and Selection Division for the position of Police Officer 1 (PO1). It requests personal information such as name, address, contact details, civil status, education history, and previous employment. It warns that any false information provided will be grounds for disqualification or criminal charges. The applicant certifies that all information provided is true and correct.

Uploaded by

Angelo Paulino
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
201 views1 page

Po1 Recruitment Application Form

This document is a recruitment application form for the Philippine National Police (PNP) Directorate for Personnel and Records Management (DPRM) Recruitment and Selection Division for the position of Police Officer 1 (PO1). It requests personal information such as name, address, contact details, civil status, education history, and previous employment. It warns that any false information provided will be grounds for disqualification or criminal charges. The applicant certifies that all information provided is true and correct.

Uploaded by

Angelo Paulino
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

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
NCRPO PRO 6 PRO 13 HSS CL
PRO 1 PRO 7 PRO 18 ITMS HPG
PRO 2 PRO 8 PRO ARMM PCRG PNPDEG
PRO 3 PRO 9 PRO COR EOD K9 PSPG
PRO 4A PRO 10 AVSEGROUP WCPC
PRO 4B PRO 11 SAF IG
PRO 5 PRO 12 MG CIDG
WARNING: This application must be filled out personally by the applicant. Any false information or misinterpretation made in this information form is a
ground for disqualification and filing of criminal action against the applicant.

PART I - PERSONAL INFORMATION


LAST NAME : FIRST NAME : QUALIFIER : MIDDLE NAME :

Paulino Angelo Dominguez


PERMANENT MAILING ADDRESS (House No., Street, Town Province/City): ZIP CODE :

20 - A Press Drive Fourth Estate San Antonio, PARAÑAQUE CITY, Southern, NCR 1710
GENDER : CONTACT NUMBERS (Landline & Mobile) : E-MAIL ADDRESS :
MALE FEMALE none/09266167640 [email protected]
CIVIL STATUS : DATE OF BIRTH (mm/dd/yyy): AGE : PLACE OF BIRTH (City, Town Province) :
SINGLE WIDOWER Paranaque City
MARRIED SEPARATED 10/15/1994 23 CITIZENSHIP : FILIPINO
WEIGHT (in kgs) : HEIGHT (in meters) : Member of NCIP/With NAPOLCOM Height/Age Waiver Only :

83.000 1.830 Tribe/Date Granted : /


ANY GOVERNMENT ELIGIBILITY

RA 1080 RA 6505 PD 907 CSC PRO CSC PO1 NAPOLCOM Other (Specify):
Have you ever been separated from the service in any of the following modes: resignation, retirement, dropped from the rolls, dismissal, termination,
end of term, finished contract, AWOL or phased out, in the public or private sector? NO YES
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 attach here a copy of the decision and details ------------------------------------>
Have you ever applied for any position in the PNP? NO YES
If Yes, what vacancy? PO1 LATERAL ENTRY NUP DENIED? How many times? 2
Reason for DENIAL: Failed to Agility test
PART II - EDUCATIONAL INFORMATION
DEGREE COURSE COMPLETED DATE GRADUATED NAME OF SCHOOL LOCATION
PRIMARY Elementary 2007-03-30 Fourth Estate Elementary School Fourth Estate Paranaque
SECONDARY High School 2011-04-06 Paranaque National High School Paranaque
BACHELOR'S DEGREE Bs. Criminology 2015-04-25 University Of Perpetual Help System Dalta Las Pinas
GRADUATE DEGREE
PART III - PREVIOUS EMPLOYMENTS
NAME OF COMPANY/EMPLOYER ADDRESS YEAR EMPLOYED CONTACT NUMBER REASON FOR SEPARATION
0
PART IV - CHARACTER REFERENCE
NAME ADDRESS CONTACT NUMBER
Pamela Joy L. Sace 37 Ems St. Fourth Estate Brgy San Antonio Paranaqu 09057815500
Edgar C. Deguit 69 Banner Ave. Fourth Estate Brgy San Antonio Para 9078731

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

https://regular.pnp-dprm.com 2018-06-03 22:51:21

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