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
PRO6 PRO7 PRO8

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 :

Cahucom Gerald Gudito

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

Campagao, BILAR, BOHOL, Region VII 6317

GENDER : CONTACT NUMBERS (Landline & Mobile) : E-MAIL ADDRESS :

MALE FEMALE /09093499587 cahucomgerald44@gmail.com

CIVIL STATUS : DATE OF BIRTH (mm/dd/yyy): AGE : PLACE OF BIRTH (City, Town Province) :
SINGLE WIDOWER Campagao Bilar Bohol
MARRIED SEPARATED 11/17/1997 21 CITIZENSHIP : FILIPINO
WEIGHT (in kgs) : HEIGHT (in meters) : Member of NCIP/With NAPOLCOM Height/Age Waiver Only :

65.000 1.700 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? 0
Reason for DENIAL:
Have you been employed at any government office? NO YES
PART II - EDUCATIONAL INFORMATION
DEGREE COURSE COMPLETED DATE GRADUATED NAME OF SCHOOL LOCATION
PRIMARY Elementary 2010-03-29 Campagao Elementary School Campagao Bilar Bohol
SECONDARY High School 2014-03-29 Saint Anthony Academy Poblacion Sur Batuan Bohol
BACHELOR'S DEGREE Bachelor In Hotel, Restaurant And Services Technol 2018-03-26 Bohol Island State University - Bilar Campus Zamora Bilar Bohol
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
Charles O. Ligtas Campagao, Bilar, Bohol 09489843847
Charlie S. Banol Katipunan, Carmen, Bohol 09122241377
Everjean M. Estorgio Quezon, Batuan, Bohol 09104895023

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://regularcy2019.pnp-dprm.com 2019-05-13 13:19:49