Republic of the Philippines

Department of the Interior and Local government

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE Camp
Crame, Quezon City

PNP Badge No:

POLICE PERSONAL FILE TIN:

Phil. Health No:

X 2 PICTURE

WARNING:
The correctness of all statements or entries made herein is subject to verification and any deliberate
correction and distortion of information may give sufficient cause for Investigation.

Date Accomplished:

I. GENERAL INFORMATION
1. NAME ( Last Name First Name Middle Name Qualifier)
SERRANO JOMARI NICOLE IBE
2. RANK 3. UNIT/ STATION – NSU / PRO / NHQ PNP
PATROLMAN
4. HOME ADDRESS (House No / Street / Mun / City / Province)
SITIO GUECO, BAGONG PARAISO POB., ORANI,
BATAAN
5. PLACE OF BIRTH: 6. DATEOF BIRTH:
ORANI, BATAAN 08/14/2000
7. SEX: 8. CIVIL STATUS: 9. RELIGION:
MALE SINGLE ROMAN CATHOLIC
10. COLOR OF HAIR: 11. COLOR OF EYES 12. HEIGHT (CM) 13. WEIGHT (KG)
BLACK BLACK 180 (cms.) 75 (kgs)
14. BLOOD TYPE : 15. BUILD: 16. COMPLEXION:
MEDIUM BROWN
17. LANGUAGES 18. IDENTIFYING MARKS 19. ETHNIC GROUP
ENGLISH / TAGALOG N/A ILOCANO

20. NAME OF SPOUSE OR NEAREST KIN/ADDRESS: 21. OCCUPATION:

NOVA IBE SERRANO PNP PERSONNEL
SITIO GUECO, BAGONG PARAISO POB., ORANI, BATAAN
22. DEPENDENTS:
NAME DATE OF BIRTH RELATIONSHIP ADDRESS

NOVA I. SERRANO 09/15/1970 MOTHER ORANI, BATAAN

JOSEPH M. SERRANO 04/091961 FATHER ORANI, BATAAN

____________________________ Signature
23. HOUSING DATA:
[ ] OWN HOUSE & LOT [ ] RENT HOUSE [ ] OCCUPYING GOV’T QRTS

[ ] OWN HOUSE ONLY [ ] RENT ROOM [ √ ] OTHERS (Specify): Occupying Parents House

II. APPOINTMENT AND EXPERIENCE/TIG DATA

EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF PREVIOUS
PREVIOUS RANK BY CSC RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY: TEMPORARY:
PERMANENT: PERMANENT:
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF
PRESENT RANK BY CSC PRESENT RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY: TEMPORARY:
PERMANENT: PERMANENT:
IF PRESENT RANK PASSED DATE SATISFIED THE DEFICIENCY:
TEMPORARY, STATE REASON
[ ] Eligibility [ ] TIG DEFICIENCY:____________________ (specify)
[ ] Training [ ] Others _____________ MONTH/YEAR:___________________
FOR POLICE COMMISSIONED OFFICERS ONLY
SOURCE OF COMMISSION/ENTRY TO THE PNP
YEAR YEAR
[ ] AFP Regular [ ] AFP Reserve [ ] SPO4-PINSP PROM ______ [ ] PMA ________

[ ] CIS [ ] INP [ ] NAPOLCOM [ ] Lateral Entry: [ ] PNPA _______

III. EDUCATIONAL BACKGROUND
DEGREE HONORS
LEVEL NAME OF SCHOOL LOCATION YEAR COMPLETED / RECEIVED
UNITS

IV. POLICE/MILITARY TRAINING CAREER COURSES

COURSE SCHOOL / LOCATION INCLUSIVE TRAINING CLASS STANDING
TAKEN DATE HOUR HONORS
RECEIVED

____________________________ Signature
 V. NAPOLCOM/CIVIL SERVICE/PRC ELIGIBILITIES
TITLE OF EXAMINATION DATE TAKEN WHERE TAKEN RATING OBTAINED

VI. PERFORMANCE EVALUATION RATING

(Immediately preceding two (2) semesters)
RATING PERIOD RATING RATER

VII. PHYSICAL FITNESS TEST RATING

(Immediately preceding two (2) semesters)
FITNESS PERIOD RATING CONDUCTED BY

VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH

(Immediately preceding Three (3) Fiscal Years)
THIS WILL BE COMPARED TO THE SUBMITTED SALNs AND VERIFIED BY RMD, DPRM.
FISCAL YEAR TOTAL ASSETS TOTAL LIABILITIES NET WORTH

IX. INDIVIDUAL INCOME TAX RECORDS

(Immediately preceding Three (3) Fiscal Years)
FISCAL YEAR GROSS INCOME TAXABLE INCOME INCOME TAX PAID

X. OFFENSE DATA
OFFENSE COMMITTED AS CHARGED TYPE OF CHARGE STATUS / DISPOSITION
(State whether Administrative or Criminal) (Principal or what) (Exonerated, etc., - Penalty)
NONE NONE NONE

XI. DATA ON PREVIOUS RETIREMENT/DISMISSAL/SUSPENSION

Have you ever been retired, dismissed, forced to resign or suspended from any employment
for reasons other than lack of funds? NO

____________________________ Signature
 Have you ever been a candidate in a national or local election (including barangay election?)
POSITION PLACE DATE

XII. PHYSICAL AND MEDICAL RECORD

DATE OF LAST PHY/MEDICAL EXAMTN - WHERE TAKEN -
DATE OF LAST DENTAL EXAMINATION - WHERE TAKEN -

DATE OF LAST NP EXAMINATION - WHERE TAKEN -

DATE OF LAST DRUG TEST - WHERE TAKEN -
DATE OF LAST PHY FITNESS TEST - WHERE TAKEN -

XIII. POLICE/MILITARY MAJOR DESIGNATIONS

(FOR PCOs: AS PLTN LDR, COP, BN/CPS/CPO/PPO/PRO/NSU STAFF, MG COMDR, CD/PD)
POSITION/DESIGNATION UNIT INCLUSIVE DATES

XIV. PROMOTION RECORDS

OLD RANK NEW RANK EFF DATE PROM STATUS AUTHORITY

XV. OTHER COURSES/TRAININGS/SEMINARS (IN PRESENT RANK)

CLASS
SCHOOL / TRAINING STANDING
COURSE TAKEN INCLUSIVE -DATE
LOCATION HOURS HONORS
RECEIVED

____________________________ Signature
 XVI. FIREARMS RECORD
LICENSE NO. KIND MAKE CALIBER AMMO ISSUING UNIT

XVII. AWARDS AND RECOGNITIONS RECEIVED (IN PRESENT RANK)

INDIVIDUAL MEDALS/RIBBONS
NATURE OF AWARD DATE AWARDED AUTHORITY

INDIVIDUAL AND UNIT CITATION BADGE

INDIVIDUAL AND UNIT AWARDS/STREAMERS

LETTERS OF COMMENDATIONS/PLAQUES/CERTIFICATE OF

APPRECIATION/COMMENDATION/MERITS (NOT YET CONVERTED TO PNP MEDALS)

____________________________ Signature
 NATURE OF AWARD DATE AWARDED AWARDED BY

ACADEMIC AWARDS
NATURE OF AWARDS DATE INSTITUTION

XVIII. CERTIFICATION

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

I COMMIT MYSELF TO BE LIABLE for perjury and/or dishonesty as result of any false,
misrepresentation or omission in this Personal Data Sheet.

JUNEL ZARATE RAMIREZ

POLICE SENIOR INSPECTOR

LEFT RIGHT Community Tax Certificate No: 07545838

THUMBMARK Issued on: January 15, 2007

Issued at :

SUBSCRIBED AND SWORN TO before me this ____________________________at

______________________________________,Philippines.

____________________________ Signature
 NHQ/NSU/PRO
Official Seal

* Not valid without Notarial Seal

____________________________ Signature