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Philippine Police Clearance Certificate

This document is a clearance certificate from the Philippine National Police Northern Samar Provincial Office certifying that an individual named [Name] has undergone a record check and does not have any criminal or derogatory records on file. The certificate provides [Name]'s personal details like age, date and place of birth, address, and thumbprint. It was prepared and verified by the Chief of the Provincial Investigation & Detective Management Section, and is valid for 90 days from the date of issue.

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64 views2 pages

Philippine Police Clearance Certificate

This document is a clearance certificate from the Philippine National Police Northern Samar Provincial Office certifying that an individual named [Name] has undergone a record check and does not have any criminal or derogatory records on file. The certificate provides [Name]'s personal details like age, date and place of birth, address, and thumbprint. It was prepared and verified by the Chief of the Provincial Investigation & Detective Management Section, and is valid for 90 days from the date of issue.

Uploaded by

carlitodelarosa
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

(Provincial Investigation & Detective Management Section)

File Nr: 2012-A-__ ______________ (Date)

Republic of the Philippines NATIONAL POLICE COMMISSION PHILIPPINE NATIONAL POLICE NORTHERN SAMAR POLICE PROVINCIAL OFFICE Camp Carlos Delgado, Catarman, Northern Samar

CLEARANCE
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that _______________________________________, _______


(First Name) (Middle Name) (Last Name) (Civil Status)(Age) (Birth date) (Birthplace)

_______, ___ years of age, who was born on _____________, at ________________________


(Address)

(Citizenship)

presently residing at____________________________________, whose signature, picture and thumb mark appears here on, has undergone RECORD CHECK conducted by this office on its files. Findings: Purpose: Criminal or Derogatory Records on file as of this date. ________________ Prepared/Record Checked by: ____________________________ Police Officer ___ Investigator Verified by:

____________________ (Signature)

CTC Nr Issued on Issued at

: ______________ : ______________ : ______________

EUSEBIO DIOLATA ALCERA JR Police Chief Inspector Chief, PIDMS THUMBMARK

Ceritified thru Xerox Copy From the Original PCINSP EUSEBIO DIOLATA ALCERA, JR. C, PIDMS

Left Right (Note: This PNP Clearance shall automatically be cancelled if applicant be found with derogatory records during the conduct of Complete Background Investigation. Valid within 90 days from date of issue.)

Certified thru Xerox Copy from the Original PCINSP EUSEBIO DIOLATA ALCERA, JR. C, PIDMS

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