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    NBI Clearance Application Form

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    Doll Rose Ramos
    This document is a clearance application form from the National Bureau of Investigation of the Philippines. It requests information such as the applicant's name, address, date of birth, parents' names, passport/ID details, biometric information like height and weight, and contact details. The form warns that providing false information is punishable under Articles 171 and 172 of the Philippine Revised Penal Code. It collects this information for clearance processing purposes.

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    Attribution Non-Commercial (BY-NC)
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    NBI Clearance Application Form

    Uploaded by

    Doll Rose Ramos
    265K views1 page
    This document is a clearance application form from the National Bureau of Investigation of the Philippines. It requests information such as the applicant's name, address, date of birth, parents' names, passport/ID details, biometric information like height and weight, and contact details. The form warns that providing false information is punishable under Articles 171 and 172 of the Philippine Revised Penal Code. It collects this information for clearance processing purposes.

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    This document is a clearance application form from the National Bureau of Investigation of the Philippines. It requests information such as the applicant's name, address, date of birth, parents' names, passport/ID details, biometric information like height and weight, and contact details. The form warns that providing false information is punishable under Articles 171 and 172 of the Philippine Revised Penal Code. It collects this information for clearance processing purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    265K views1 page

    NBI Clearance Application Form

    Uploaded by

    Doll Rose Ramos
    This document is a clearance application form from the National Bureau of Investigation of the Philippines. It requests information such as the applicant's name, address, date of birth, parents' names, passport/ID details, biometric information like height and weight, and contact details. The form warns that providing false information is punishable under Articles 171 and 172 of the Philippine Revised Penal Code. It collects this information for clearance processing purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    WRITE LEGIBLY IN BLOCK CAPITAL LETTERS (ISULAT NG MALINAW ANG MGA SAGOT)

    FALSIFICATION PUNISHABLE UNDER ART. 171 & 172 OF THE REVISED PENAL CODE

    Republic of the Philippines Department of Justice

    CLEARANCE PROCESSING CENTER:

    NATIONAL BUREAU OF INVESTIGATION

    BRANCH:__________________
    DATE: _________________________________ APPLICANT IS ALIEN
    (PLEASE CHECK IF APPLICABLE)

    OR NUMBER: ________________________________ *
    (FOR CASHIERS USE ONLY)

    CLEARANCE APPLICATION FORM


    CIVIL SATUS: CITIZENSHIP PASSPORT or ACR NAME: ADDRESS ABROAD: PASSPORT NUMBER: ACR NUMBER:

    (Indicate ID Number)

    ID PRESENTED:

    SEX:

    PURPOSE: LAST NAME: HUSBANDS SURNAME FOR MARRIED WOMAN: GIVEN NAME: MIDDLE NAME: NICKNAME: OTHER NAME / AKA: PRESENT ADDRESS:

    DATE ISSUED DATE ISSUED

    PLACE ISSUED PLACE ISSUED

    SCARS / MARKS / PECULRIATIES: HEIGHT COMPLEXION NAME OF SPOUSE WEIGHT RELIGION PLACE OF BIRTH(INDICATE TOWN/CITY, PROVINCE) PLACE OF BIRTH(INDICATE TOWN/CITY, PROVINCE) PLACE OF BIRTH(INDICATE TOWN/CITY, PROVINCE)

    _______ ft

    _______ cm

    _______ lbs

    ______ Kg

    DATE OF BIRTH:

    MONTH

    DATE

    YEAR

    PLACE OF BIRTH

    NAME OF FATHER
    ____________________________________________________________________________________________________________________________________________________________________

    (INDICATE TOWN/CITY, PROVINCE)

    HIGHEST
    EDUCATIONAL ATTAINMENT

    OCCUPATION e-MAIL ADDRESS

    NAME OF MOTHER

    CONTACT NUMBER / S FOR NBI USE ONLY REMARKS R/C: ________

    THIS FORM IS NOT FOR SALE


    SUNDRY INFORMATION
    FN: Revised NBI Clearance Application Form V1.2

    I HEREBY CERTIFY THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT

    Q/C: _________

    ________________________________________ SIGNATURE OF APPLICANT

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