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Personnel Profile Form
BJMP form for personnel profile
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF JAIL MANAGEMENT AND PENOLOGY
National Headquarters
144 Juco Bldg., Mindanao Avenue, Project 8, Quezon City
——————————————————————————————-PERSONAL PROFILE OF
_________________________________________________________
NAME
(Last Name, First Name, Middle Name, Qualifier)
2 X 2 PICTURE
GENERAL INFORMATION
PRESENT POSITION TITLE/SG
UNIT / REGION
CONTACT NO.
HOME ADDRESS (House No. / Street / City / Province )
PLACE OF BIRTH
DATE OF BIRTH (dd/mm/yy)
GENDER
CIVIL STATUS
COLOR OF EYES
BLOOD TYPE
LANGUAGES
RELIGION
HEIGHT (cm)
COMPLEXION
NAME OF SPOUSE
WEIGHT (kg)
ETHNIC GROUP
OCCUPATION
DEPENDENT CHILDREN
NAME
DATE OF BIRTH
ADDRESS
EDUCATIONAL BACKGROUND
LEVEL
COLLEGE
POST-GRADUATE
SCHOOL
DEGREE COMPLETED/
UNITS EARNED
INCLUSIVE
DATES/CLASS
HONORS
RECEIVED
______________________________
Signature over Printed Name
COLOR OF HAIR
DATE OF COMPULSORY RETIREMENT
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.
ELIGIBILITY (NAPOLCOM/CSC/PRC/CESB)
TITLE
DATE OF EXAMINATION
/CONFERMENT
PLACE OF EXAMINATION
/CONFERMENT
RATING
WORK HISTORY
POSITION TITLE
INCLUSIVE DATES
JOB DESCRIPTION
______________________________
Signature over Printed Name
AGENCY
TRAININGS and SEMINARS
COURSE TAKEN/TITLE OF
TRAINING/SEMINAR
INCLUSIVE DATES
LOCATION
TRAINING HOURS
CLASS STANDING/HONORS
RECEIVED
PERFORMANCE EVALUATION RATING (if applicable)
RATING PERIOD
DATA ON PENDING CASES
INCLUSIVE DATES
NUMERICAL RATING
(If applicable)
OFFENSE COMMITTED AS CHARGED
(State whether Administrative or
Criminal)
STATUS / DISPOSITION
(Pending, Dismissed, Penalty)
PENALTY
IMPOSED
DATE WHEN THE PENALTY
WAS SERVED
2
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.
AWARDS AND RECOGNITIONS RECEIVED (For present position)
NATURE OF AWARD
DATE AWARDED
AWARDING AUTHORITY
CERTIFICATION
I hereby certify under penalty of perjury and/or dishonesty that all the above
information are true and correct and based on authentic/verifiable documents.
________________________
Signature over Printed Name
SUBSCRIBED AND SWORN to me before this __ day of ______ 2010 at __________
___________, Philippines.
________________________
Administering Officer
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