REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF JUSTICE
NATIONAL BUREAU OF
INVESTIGATION

NBI CLEARANCE APPLICATION
FORM
C2364247572

APPLICANT TYPE
NEW
1. ID PRESENTED
SSS 04-2993726-2
2. PURPOSE TYPE
LOCAL
3. PURPOSE APPLICATION
LOCAL EMPLOYMENT
BASIC INFORMATION
5. FAMILY NAME
CASTRO
6. HUSBAND FAMILY NAME (FOR MARRIED
WOMAN ONLY)
7. GIVEN NAME
PRINCESS JOY
8. MIDDLE NAME
COROS
9. NICKNAME
PJ
10. OTHER NAME/ALSO KNOW AS

11. DATE OF BIRTH
02/13/1996
12. BIRTH PLACE
GUMACA, QUEZON
13. CITIZENSHIP
FILIPINO
14. GENDER
FEMALE
15. CIVIL
STATUS
SINGLE
16. SPOUSE

17. BIRTH PLACE

18. PRESENT ADDRESS
BRGY. ROSARIO GUMACA, QUEZON
19. CONTACT NUMBER
09124671265
20. EMAIL ADDRESS
MFP_PJCASTRO88@YAHOO.COM
21.
IDENTIFYING
MARKS

ADDITIONAL INFORMATION
22. HEIGHT
160
23.
WEIGHT
24. COMPLEXION
YELLOW
25. RELIGION
JESUS IS
45 LORD
CHURCH
26. EDUCATIONAL
ATTAINMENT
COLLEGE LEVEL
27. OCCUPATION
STUDENT
PARENTS INFORMATION
28. NAME OF FATHER
ROBERTO S. CASTRO
29. FATHER BIRTH PLACE
BICOL
30. NAME OF MOTHER
JOCELYN C.CASTRO
31. MOTHER BIRTH PLACE
SAN FERNANDO CA MARINES SUR
FOR ALIEN APPLICANT'S ONLY
32. FOREIGN NAME
-
33. ADDRESS ABROAD
-
34. PASSPORT NUMBER

35. DATE ISSUED
-
36. PLACE
ISSUED
-
37. ACR NUMBER
-
38. DATE ISSUED
-
39. PLACE
ISSUED

I certify that I have read and understood all the questions set forth in this application and answer
I have furnished on this form are true and correct to the best acknowledge and belief. I
understand that any false or misleading statement is FALSIFICATION PUNISHABLE UNDER
ARTICLE 171 & 172 OR REVISED PENAL CODE

________________________________

________________________________
36. DATE

37. SIGNATURE
2014 All Rights Reserved