PROMOTIONAL form

							NAPOLCOM Form 1-A (Examination Form)
Revised 01-09
                                                                        Republic of the Philippines
NOT FOR SALE                                                   Department of the Interior and Local Government
                                                                    NATIONAL POLICE COMMISSION
                                                                           ____________________________
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PNP PROMOTIONAL EXAMINATION
DATE OF EXAMINATION : ____________________                                                                                                                        APPLICATION NUMBER
Direction: Fill up this form in PRINT / BOLD letters.
Application for: (             ) Superintendent                   (     ) Inspector               (     ) Senior Police Officer                     (     ) Police Officer
1. NAME

     Last Name                                                              First Name                                                          Middle Name
2. PERMANENT ADDRESS                                                                                                                                                        3. ZIP CODE

4. CONTACT NUMBER (LANDLINE)                                   5. CONTACT NUMBER (CELLPHONE)                                   6. DATE OF BIRTH (mm/dd/yyyy)                7. AGE

8. GENDER                           9. CIVIL STATUS                         10. RELIGION                                       11. HEIGHT (in meters)                       12. WEIGHT         (in kilos)

( ) Male        ( ) Female
13. HIGHEST EDUCATIONAL ATTAINMENT                                                                    14. SCHOOL                                                            15. YEAR
(Write the complete title of course / degree / program)                                                                                                                         GRADUATED

16.LATEST ELIGIBILITY
                  Title of Examination                                                    Date of Examination
                                                                                                                                          Place of Examination                         Rating (%)
                                                                                             (mm/dd/yyyy)
NAPOLCOM                                                                                       /     /
CSC                                                                                            /     /
PRC                                                                                            /     /
BAR                                                                                            /     /
17. EMPLOYMENT RECORD
       Present Rank                             Status of                                  Current Assignment                                   No. of Years in             No. of Years in the
                                               Appointment                                                                                      Present Rank                 Police Service



18. Have you taken this same examination before? _____ “YES”, how many times? _________                                                             _____ “NO”
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            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

             ( ) APPROVED               ( ) DISAPPROVED
                                                                                                                                                                                   EXAMINATION




                                                                                                                                       Right Thumbmark
                                                                                                                                                                                    NAPOLCOM




             Application Processor: ________________________
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                                                                        NOTICE OF ADMISSION
INQUIRY ON TEST RESULTS

   You can log on to the NAPOLCOM web address at
www.napolcom.gov.ph. To avail of the TEXT NAPOLCOM service,
please text in :
NAPOLCOM space EXAMRSLT space APPLICATION NUMBER
or
NAPOLCOM space EXAMRSLT space LAST NAME/FIRST
NAME/MIDDLENAME
and send to:
a) 2333 for Globe and Touch Mobile
b) 356 for Smart and Talk ‘n Text
c) 2269 for Sun Cellular