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Republic of the Philippines Department of the Interior and Local Government NATIONAL POLICE COMMISSION
____________________________ ___________________________
) Inspector
) Senior Police
9. CIVIL STATUS
13. HIGHEST EDUCATIONAL ATTAINMENT (Write the complete title of course / degree / program) 16.LATEST ELIGIBILITY Title of Examination NAPOLCO M CSC PRC BAR 17. EMPLOYMENT RECORD Present Rank Status of Appointme nt
Place of Examination
Rating (%)
Current Assignment
18. Have you taken this same examination before? _____ YES, how many times? _________
_____ NO -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------I declare under oath that this application has been accomplished in good faith, verified by me and to the best of my knowledge and belief, is a true, correct, and complete statement pursuant to the provisions of pertinent laws, rules, and regulations of the Republic of the Philippines. I am also fully aware that when I violate any of the rules and regulations of the examination, I will be automatically disqualified and/or my examination results be automatically nullified. Signature of Applicant
Right Thumbmark
NOTICE OF ADMISSION
) APPROVED
) DISAPPROVED