Cidg 100 Application Form – Fill Out and Use This PDF

CIDG- FORM 100

Republic of the Philippines

Department of the Interior and Local Government

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE

CRIMINAL INVESTIGATION AND DETECTION GROUP

Camp Crame, Quezon City

Position Desired: __________________________

Recommended by: _________________________

Contact No. _______________________________

INFORMATION SHEET/APPLICATION FORM

I. PERSONAL INFORMATION

1. LAST NAME				10.RESIDENTIAL
FIRST NAME				ADDRESS:
MIDDLE NAME				ZIP CODE
2.DATE OF BIRTH
3. PLACE OF
BIRTH
4.SEX				11. TELEPHONE NO:
5.CIVIL STATUS				12. PERMANENT
6.CITIZENSHIP				ADDRESS
7.HEIGHT (M)				ZIP CODE
8.WEIGHT (KG)
9.BLOOD TYPE
II. FAMILY BACKGROUND
13.NAME OF SPOUSE
OCCUPATION
EMPLOYER/BUS.
ADDRESS
TELEPHONE NUMBER
14. NAME OF		Date of Birth		NAME OF CHILD/CHILDREN		Date of Birth
CHILD/CHILDREN		(mm/dd/yyyy)				(mm/dd/yyy)

III.EDUCATIONAL BACKGROUND

17. LEVEL	Name of School	Degree/Course	Units	Inclusive Dates	Honors
	(Write in full)	(write in full)	Earned	of Attendance	Received
ELEMENTARY
SECONDARY
VOC/TRADE
CRS
TERTIARY
GRADUATES
STUDIES
-Diploma
-Master’s
-Doctorate
Non-degree
Crs

WARNING: This document is strictly confidential, personal and exclusive property of CIDG. Unauthorized use renders this as a complete nullity. This cannot be used in evidence and for whatever purpose/s

IV. CIVIL SERVICE ELIGIBILITY

18. CARRER SERVICE/RA 1080

RATING

Date of Examination

Place of

Date of Release

(Board/Bar)

Conferment

Examination

V. WORK EXPERIENCE (Start from most recent work experience)

19.INCLUSIVE DATES

POSITION TITLE

Department/Agency/Office

MONTHLY

STATUS OF

(MM/DD/YYY)

(Write in full)

(Write in full)

SALARY

APPMT

From

To

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC/NON-GOVERNMENT/PEOPLE/VOLUNTARY

ORGANIZATION

20.

NAME AND ADDRESS OF

INCLUSIVE

NUMBER OF

POSITION/NATURE

ORGANIZATION (write in full)

From DATES

HOURS

OF WORK

From

To

VII. TRAINING PROGRAMS/STUDY/SCHOLARSHIP GRANTS (Start from the most recent training)

21.
TITLE		INCLUSIVE OF			No of		CONDUCTED/SPONSORED BY
SEMINARS/CONFE/WORKSHOP		ATTENDANCE			Hrs		(Write in full)
(Write in full)		(mm/dd/yyyy)
	From			To
A. TRAINING
B. SEMINAR
C. WORKSHOP
	(Continue on separate sheet, if necessary)
VIII. OTHER INFORMATION
22. SPECIAL SKILLS/HOBBIES			23. NON-ACADEMIC				24. MEMBERSHIP IN
		DISTINCTION/RECOGNITION					ASSOCIATION/ORGANIZATION

WARNING: This document is strictly confidential, personal and exclusive property of CIDG. Unauthorized use renders this as a complete nullity. This cannot be used in evidence and for whatever purpose/s

25. Have you been declared guilty of any	Yes	No
administrative offense?
	If your answer is “Yes” give details of the offense ________________________
	________________________________________________________________
26. Have you ever been convicted of any	Yes	No
crime or violation any law, decree, ordinance
or regulations by any court or tribunal?	If your answer is “Yes” give details of the offense ________________________
	________________________________________________________________
27. Have you ever been retired, forced or	Yes	No
resign or dropped from employment in the
public and private sector?	If your answer is “Yes” give details of the offense ________________________
	________________________________________________________________
28. Have you ever been a candidate in	Yes	No
national of local election (except Barangay
election)?	If your answer is “Yes” give details of the offense ________________________
	________________________________________________________________

29.REFERENCES (Person not related by

consanguinity or affinity t applicant/appointee)

NAME	ADDRESS	TELEPHONE

31.I declare under the perjury that this information sheet 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 pertinent laws, rules and regulations of the Republic of the Philippines.

I also authorize the agency head/authorized representative to verify/validate the contents stated herein. I trust that this information shall remain confidential.

WARNING: This document is strictly confidential, personal and exclusive property of CIDG. Unauthorized use renders this as a complete nullity. This cannot be used in evidence and for whatever purpose/s

CIDG-FORM 200

Republic of the Philippines

Department of the Interior and Local Government

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE

CRIMINAL INVESTIGATION AND DETECTION GROUP

Camp Crame, Quezon City

_____________________________	____________________
(Place)	(Date)

STATEMENT OF ENDORSEMENT/UNDERTAKING

Undersigned respectfully recommends the designation of Mr/Ms

________________________________ as CIDG Community Investigative Support

(CIS) upon the following:

1.Applicant’s documentary submissions are verified to be genuine and accurate in their contents.

2.The applicant meets all the qualifying requirements and standards for the designation applied for.

3.Undersigned is aware of the doctrine of COMMAND RESPONSIBILITY defined under SOP No. _____ (Guidelines in the Establishment of CIDG Barangay Peacekeeping Action Teams (BPATs), as Force Multipliers of CIDG Through Information Gathering in Support of Criminal Investigation).

OTHERREMARKS

______________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

________________________

(Endorsing Supervisor)

WARNING: This document is strictly confidential, personal and exclusive property of CIDG. Unauthorized use renders this as a complete nullity. This cannot be used in evidence and for whatever purpose/s