PNP Personal Data Sheet: I. General Information

Republic of the Philippines
Department of Interior and Local Government

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City
PNP Badge No. : 286856
2 X 2 Picture PNP PERSONAL DATA SHEET

TIN : 295-104-363
Phil. Health No. : 080253334162
WARNING:
The correctness of all statement or entries made herein is subject to verification and any
deliberate correction and distortion may give sufficient cause for Investigation.
Date Accomplished:
I. GENERAL INFORMATION
1. NAME GUIRITAN DARWIN REY AVILA
2. RANK 3. UNIT/STATION-NSU/PRO/NHQ
PATROLMAN ENGINEERING UNIT
4. HOME ADDRESS
PUROK 6B, BRGY. 4, SAN FRANCISCO, AGUSAN DEL SUR
5. PLACE OF BIRTH 6. DATE OF BIRTH
POBLACION, CAGWAIT, SURIGAO SUR JANUARY 28, 1986
7. SEX 8. CIVIL STATUS 9. RELIGION
MALE MARRIED CHRISTIAN
10. COLOR OF HAIR 11. COLOR OF EYES 12. HEIGHT (cm) 13.WEIGHT(kg
BLACK BROWN 167 )
71
14. BLOOD TYPE 15. BUILD 16. COMPLEXION
O+ MEDIUM FAIR
17. LANGUAGES 18. IDENTIFYING MARKS 19. ETHNIC GROUP
ENGLISH/TAGALOG NONE SURIGAONON
20. NAME OF SPOUSE OR NEAREST KIN/ ADDRESS 21. OCCUPATION

RAYCHEL F GUIRITAN/SAN FRANCISCO, AGUSAN SUR DENR EMPLOYEE
22. DEPENDENTS
NAMES DATE OF RELATIONSHI ADDRESS
BIRTH P
RAYCHEL FRIAS GUIRITAN 12/24/1985 WIFE AGUSAN SUR
SATRIA LEIGH FRIAS GUIRITAN 08/12/2015 DAUGHTER AGUSAN SUR
SHANTI LEIGH FRIAS GUIRITAN 11/02/2019 DAUGHTER AGUSAN SUR
23. HOUSING DATA

[ ] OWN HOUSE & LOT [ ] RENT HOUSE [ ] OCCUPYING GOV’T
[ ] OWN HOUSE ONLY [ ] RENT ROOM QTRS
[√ ] OTHERS (Specify)
FAMILY HOUSE
_____________________________
Signature
II. APPOINTMENT AND EXPERIENCE/TIG DATA
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION
PREVIOUS RANK BY CSC PREVIOUS RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY ___________ TEMPORAR
PERMANENT Y
PERMANEN
T
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION
PRESENT RANK BY CSC PREVIOUS RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY 11/16/2016 TEMPORAR _________
PERMANENT 10/10/2018 Y
PERMANEN
T
IF PRESENT RANK PASSED DATE SATISFIED THE DEFICIENCY:
TEMPORARY, STATE REASON
[ [ Eligibility [ ] TIG DEFICIENCY:
[ ] Training [ ] Others (Specify)
_________ MONTH/YEAR:
FOR POLICE COMMISSIONED OFFICERS ONLY
[ ] AFP Regular [ ] AFP Reserve [ ] SPO4-PINSP Prom [ ] PMA
[ ] CIS [ ] NAPOLCOM [ ] Lateral Entry [ ] PNPA
III. EDUCATIONAL BACKGROUND

LEVEL NAME OF LOCATION YEAR DEGREE HONORS
SCHOOL COMPLETED/ RECEIVED
UNITS
COLLEGE MINDANAO MARAWI CITY, 2002- BS CIVIL
STATE LANAODEL SUR 2009 ENGINEERING GRADUATED
UNIVERSITY
POST
GRADUATE NONE
IV. POLICE/MILITARY TRAINING CAREER COURSES

COURSE SCHOOL/ LOCATION INCLUSIVE TRAINING CLASS
TAKEN NCRTC DATES HOURS STANDING
PSBRC 11/18/2016- HONORS
05/23/2018 RECEIVED
TOP 6 OVERALL
V. NAPOLCOM/CIVIL SERVICE/PRC ELIGIBILITIES

TITLE OF EXAMINATION DATE TAKEN WHERE TAKEN RATING
OBTAINED
CIVIL ENGINEERING BOARD 05/13/2010 MANILA 70%
EXAM
CIVIL SERVICE 03/17/2019 MAKATI CITY 80.61%
PROFESSIONAL EXAM
_____________________________
Signature
VI. PERFORMANCE EVALUATION RATING

(Immediately preceding two (2) semesters)
RATING PERIOD RATING RATER
JULY 1 TO DEC. 30, 2019 90 PMAJ JUANITO E SAYAS
JAN. 1 TO JUNE 30, 2020 90 PMAJ JUANITO E SAYAS
VII. PHYSICAL FITNESS TEST RATING

(Immediately preceding two (2) semesters)
FITNESS YEAR RATING CONDUCTED BY
2020 83.75 PLTCOL SAMUEL ROY M SUBSUBAN
2019 90.25 PLTCOL ERICSON N DEL ROSARIO
VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH

(Immediately preceding three (3) Fiscal Years
THIS WILL BE COMPARED TO THE SUBMITTED SALNs AND VERIFIED BY RMD, DPRM
FISCAL YEAR TOTAL ASSETS TOTAL LIABILITIES NET WORTH
2018
2019 232,000.00 133,633.32 98,366.68
IX. INDIVIDUAL INCOME TAX RECORDS

(Immediately preceding three (3) Fiscal Years
THIS WILL BE COMPARED TO THE SUBMITTED SALNs AND VERIFIED BY RMD, DPRM
FISCAL YEAR GROSS INCOME TAXABLE INCOME INCOME TAX PAID
2017 326,666.00 183,108.00 21,121.60
2018 525,942.00 349,920.80 19,984.17
2019 542,765.64 349,920.84 19,984.17
X. OFFENSE DATA
OFFENSE COMMITTED AS CHARGED TYPE OF STATUS/ DISPOSITION
(State whether Administrative or CHARGE (Exonerated, etc.,- Penalty)
Criminal) (Principal or what)
NONE
XI. DATA ON PREVIOUS, RETIREMENT/DISMISSAL/SUSPENSION

Have you ever been retired, dismissed, forced to resign or suspended from any employment for
reasons other than lack of funds? NO.
Have you ever been a candidate in a national or local election (including barangay election)?
NO.
POSITION PLACE DATE
XII. PHYSICAL AND MEDICAL RECORD

DATE WHERE TAKEN
LAST PHYSICAL/MEDICAL EXAMINATION OCTOBER 2016 PRO13
LAST DENTAL EXAMINATION OCTOBER 2016 PRO13
LAST NP EXAMINATION OCTOBER 2016 PRO13
LAST DRUG TEST 03/16/2020 PRO13
LAST PHYSICAL FITNESS TEST 02/18/2020 PRO13
XIII. POLICE/MILITARY MAJOR DESIGNATIONS
(FOR PCOs: AS PLTN LDR, COP, BN/CPS/PPO/PRO/NSU STAFF, MG COMR, CD/PD)
POSITION/DESIGNATION UNIT INCLUSIVE DATES
XIV. PROMOTION RECORDS

OLD RANK NEW RANK EFF DATE PROM STATUS AUTHORITY
XV. OTHER COURSES/TRAININGS/SEMINARS (IN PRESENT RANK)

TITLE DATE VENUE CONDUCTED BY NO. OF
UNDERTAKEN TRAINING
HOURS
XVI. FIREARMS RECORD

LICENSE NO. KIND MAKE CALIBER AMMO ISSUING UNIT
T6472-18 BG 10264 PISTOL CANIK 9mm 28 ES
XVII. AWARDS AND RECOGNITION RECEIVED (IN PRESENT RANK)
INDIVIDUAL MEDALS/RIBBONS
NATURE OF AWARD DATE AWARDED AUTHORITY
MEDALYA NG PAPURI 11/08/2018 PBGEN CABREROS
MEDALYA NG PAPURI 10/25/2019 PBGEN FIDEL
MEDALYA NG PAPURI 12/05/2019 PBGEN FIDEL
MEDALYA NG PAPURI 03/17/2020 PBGEN ESQUIVEL, JR
MEDALYA NG PAPURI 07/22/2020 PCOL MATILLANO
MEDALYA NG KASANAYAN 09/11/2019 PBGEN CABREROS
MEDALYA NG KASANAYAN 03/26/2019 PBGEN CABREROS
_____________________________
Signature
Continuation… INDIVIDUAL MEDALS/RIBBONS
INDIVIDUAL AND UNIT CITATION BADGE

INDIVIDUAL AND UNIT AWARDS/STREAMERS

LETTERS OF COMMENDATIONS/PLAGUES/CERTIFICATES OF APPRECIATION

COMMENDATION/MERITS (NOT YET CONVERTED TO PNP MEDALS)
CERTIFICATE OF 05/22/2017 PCOL MARIANO
RECOGNITION
LETTER OF COMMENDATION 03/27/2017 PCOL MARIANO
ACADEMIC AWARDS
_____________________________
Signature
XVIII. CERTIFICATION
THIS IS TO CERTIFY that the answers given above are true and correct to the best of my
knowledge and belief.
I COMMIT MYSELF TO BE LIABLE for perjury and/or dishonesty as result of any false
misrepresentation or omission in this Personal data Sheet.
____________________________
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Republic of the Philippines

Department of Interior and Local Government

PNP Badge No. : 286856

2 X 2 Picture PNP PERSONAL DATA SHEET

Phil. Health No. : 080253334162

20. NAME OF SPOUSE OR NEAREST KIN/ ADDRESS 21. OCCUPATION

23. HOUSING DATA

III. EDUCATIONAL BACKGROUND

IV. POLICE/MILITARY TRAINING CAREER COURSES

V. NAPOLCOM/CIVIL SERVICE/PRC ELIGIBILITIES

VI. PERFORMANCE EVALUATION RATING

VII. PHYSICAL FITNESS TEST RATING

VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH

IX. INDIVIDUAL INCOME TAX RECORDS

XI. DATA ON PREVIOUS, RETIREMENT/DISMISSAL/SUSPENSION

XII. PHYSICAL AND MEDICAL RECORD

XIV. PROMOTION RECORDS

XV. OTHER COURSES/TRAININGS/SEMINARS (IN PRESENT RANK)

XVI. FIREARMS RECORD

XVII. AWARDS AND RECOGNITION RECEIVED (IN PRESENT RANK)

INDIVIDUAL AND UNIT CITATION BADGE

INDIVIDUAL AND UNIT AWARDS/STREAMERS

LETTERS OF COMMENDATIONS/PLAGUES/CERTIFICATES OF APPRECIATION

Community Tax Certificate # :

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