Republic of the Philippines

NATIONAL POLICE COMMISSION

NAPOLCOM Region 12
2F Marbel Top Commercial Bldg. Alunan Ave., cor Abad Santos St, Koronadal City

PNP ENTRANCE EXAMINATION

DATE OF EXAMINATION : 04/26/2020

1. NAME
LARAÑO CARL FRANCIS PANERIO
____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ________________________________________

Family Name Given Name/s Middle Name Qualifier

(Ex: Jr., I, II, III, etc.)

2. PERMANENT ADDRESS 3. ZIP CODE

Purok masagana, brgy morales, koronadal city, south cotabato 9506
4. CONTACT NUMBERS (LANDLINE/CELLPHONE) 5. SEX (M/F) 6. DATE OF BIRTH (mm/dd/yyyy) 7. PLACE OF BIRTH
0912-5475277 M 08/27/1993 Koronadal City
8. HIGHEST EDUCATIONAL ATTAINMENT 9. COLLEGE/UNIVERSITY 10. YEAR GRADUATED
(Write the complete title of course/degree/program)
BS INFORMATION TECHNOLOGY SYSTEM TECHNOLOGY INSTITUTE (STI) 2016

11. SERVICE RECORD (For Patrolman/Patrolwoman on temporary status without PNP Entrance Eligibility ONLY)
Present Assignment No. of Years in Present Rank

Have you passed the Examination before? NO

I hereby declare 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 and 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.
NOTE: The NAPOLCOM shall ensure at all times the confidentiality of any personal information that comes to its knowledge and
possession in relation to Republic Act No. 10173 (Data Privacy Act of 2012).

____________________________
Signature of Applicant
( ) APPROVED ( ) DISAPPROVED
NAPOLCOM Processor : ____________________________
PAS-QFM-QOP15-01
Rev. 00 Effective Date: 3-Sept-18