Republic of the Philippines

Department of the Interior and Local Government

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

PNP BADGE NO.

304189

T I N No.
POLICE PERSONAL FILE 703-119-098

Phil Health No.

07-251571022-2

WARNING:

The correctness of all statements or entries made herein is subject to verification and any
deliberate omission or distortion of information may give sufficient cause for investigation.

Date Accomplished: _____________________

I. GENERAL INFORMATION
1. NAME (Last Name First Name Middle Name Qualifier)
CARLOS LESLIE CAÑADA N/A
2. RANK 3. UNIT / STATION – NSU / PRO / NHQ
PATROLWOMAN CITY MOBILE FORCE COMPANY/NAGA CITY POLIE OFFICE
4. HOME ADDRESS (House No. / Street / City / Province)
SITIO YABUTAN, BRGY. SAN MIGUEL, TARLAC CITY, TARLAC
5. PLACE OF BIRTH 6. DATE OF BIRTH
TARLAC CITY JULY 13, 1995
7. SEX 8. CIVIL STATUS 9. RELIGION
FEMALE SINGLE BAPTIST
10. COLOR OF HAIR 11. COLOR OF EYES 12. HEIGHT(cms) 13. WEIGHT (kgs)
BLACK BLACK 161 50
14. BLOOD TYPE 15. BUILD 16. COMPLEXION
O SMALL FAIR
17. LANGUAGES 18. IDENTIFYING MARK 19. ETHNIC GROUP
TAGALOG, KAPAMPANGAN, ENGLISH MOLE AT NECK
20. NAME OF SPOUSE OR NEAREST KIN/ADDRESS 21. OCCUPATION
ELSIE C. CARLOS / TARLAC CITY HOUSEWIFE
22. DEPENDENTS
NAME DATE OF BIRTH RELATIONSHIP ADDRESS
ELSIE C. CARLOS APRIL 11, 1960 MOTHER SAN MIGUEL, TARLAC CITY

23. HOUSING DATA

[ ] OWN HOUSE & LOT [ ] RENT HOUSE [ ] OCCUPYING GOV’T QUARTERS

[ ] OWN HOUSE ONLY [ ] RENT ROOM [ ] OTHERS

(Specify)LIVING WITH PARENTS________________

_________________
Signature

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 II. APPOINTMENT AND EXPERIENCE / TIG DATA

EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF

PREVIOUS RANK BY CSC PREVIOUS RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY ___N/A________ TEMPORARY _____N/A___ _____N/A______
PERMANENT ____N/A_________ PERMANENT _____N/A___ ______N/A______
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF
PRESENT RANK BY CSC PRESENT RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY TEMPORARY
PERMANENT PERMANENT
IF PRESENT RANK PASSED TEMPORARY, DATE SATISFIED THE DEFICIENCY
STATE REASON
DEFICIENCY (specify)
[ ] Eligibility [ ] TIG MONTH/YEAR
[ ] Training [ ] Others
FOR POLICE COMMISSIONED OFFICERS ONLY
SOURCE OF COMMISSION / ENTRY TO THE PNP
[ ] AFP Regular [ ] AFP Reserve [ ] SPO4-PINSP Prom [ ] PMA
[ ] CIS [ ] INP [ ] NAPOLCOM [ ] Lateral Entry [ ] PNPA

III. EDUCATIONAL BACKGROUND

NAME OF DEGREE COMPLETED/ HONORS
LEVEL LOCATION YEAR
SCHOOL UNITS RECEIVED
SAN MIGUEL
CENTRAL SAN MIGUEL,
PRIMARY ELEMENTARY TARLAC CITY
2002-2008 GRADUATED N/A
SCHOOL
TARLAC NATIONAL
SAN MIGUEL,
SECONDARY HIGH SCHOOL- 2008-2012 GRADUATED N/A
ANNEX TARLAC CITY
TARLAC STATE SAN ROQUE, BACHELOR OF SCIENCE
TERTIARY 2012-2016 IN CRIMINOLOGY
N/A
UNIVERSITY TARLAC CITY

IV. POLICE / MILITARY TRAINING CAREER COURSES

INCLUSIVE TRAINING CLASS STANDING /
COURSE TAKEN SCHOOL / LOCATION
DATE HOURS HONORS RECEIVED
BASIC INTERNAL SECURITY
OPERATION COURSE (BISOC) RSTU5 ANNEX, BRGY.
VILLAHERMOSA, DARAGA ALBAY
11/12/18-04/24/19 480 N/A
PUBLIC SAFETY FIELD
TRAINING (PSFTP) RSTU5 ANNEX, BRGY. TOP 2
VILLAHERMOSA, DARAGA ALBAY
04/03/18-08/18/18 1440
(CLASS 03)
PUBLIC SAFETY BASIC REGIONAL TRAINING CENTER 5,
RECRUIT COURSE CAMP GENERAL SIMEON A OLA, 09/04/17-03/26/18 960 N/A
LEGAZPI CITY

V. NAPOLCOM / CIVIL SERVICE / PRC ELIGIBILITIES

TITLE OF
DATE TAKEN WHERE TAKEN RATING OBTAINED
EXAMINATION
BOARD OF CRIMINOLOGY 10/28-30/2016 ROSALES, PANGASINAN 77.80%

______________________________
Signature

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 VI. PERFORMANCE EVALUATION RATING
(Immediately preceding two (2) semesters)

RATING PERIOD RATING RATER

O1 JANUARY TO 30 JANUARY 83.2 PEMS MAURO C. RINON JR
01JULY TO 31 DECEMBER 2018 83.2 PEMS MAURO C. RINON JR.

VII. PHYSICAL FITNESS TEST

(Immediately preceding two (2) semesters)

FITNESS PERIOD RATING CONDUCTED BY

2018 100% RPHAU

VIII. STATEMENT OF ASSETS AND LIABILITIES

(Immediately preceding three (3) fiscal years)
THIS WILL BE COMPARED TO THE SUBMITTED SALNS AND VEDRIFIED BY RMD, DPRM
FISCAL YEAR TOTAL ASSETS TOTAL LIABILITIES NETWORTH
2018 32,000 464,000 432,000

IX. INDIVIDUAL INCOME TAX RECORDS

(Immediately preceding three (3) fiscal years)
FISCAL YEAR GROSS INCOME TAXABLE INCOME INCOME TAX PAID

X. OFFENSE DATA
OFFENSE COMMITTED AS TYPE OF CHARGE STATUS/DISPOSITION
CHARGED (principal or what) (Exonerated, etc – Penalty)
(State whether Administrative or Criminal)
N/A N/A N/A

XI. DATA ON PREVIOUS RETIREMENT / DISMISSAL / SUSPENSION

Have you ever been retired, dismissed, force to resign or suspended from any employment for
reasons other lack of funds? [ ] NO [ ] YES (specify) ________

Have you ever been a candidate in a national or local election (including barangay election)?
[ ] NO [ ] YES (specify) ________
POSITION PLACE DATE

XII. PHYSICAL AND MEDICAL RECORD

DATE OF LAST PHY/MEDICAL EXAM NOVEMBER 2018 WHERE TAKEN: LEGAZPI CITY
DATE OF LAST NP EXAMINATION MAY 2017 WHERE TAKEN: SAN FERNANDO, PAMPANGA
DATE OF LAST DENTAL EXAMINATION WHERE TAKEN:
DATE OF LAST DRUG TEST TAKEN NOVEMBER 2018 WHERE TAKEN: LEGAZPI CITY
DATE OF LAST PHYSICAL FITNESS TEST AUGUST 2019 WHERE TAKEN: CAMARINES SUR
XIII. POLICE / MILITARY MAJOR DESIGNATIONS
(FOR PCOs: AS PLTN LDR, COP, BN.CPS/CPO/PPO/PRO/NSU) STAFF. MG COMDR, CD / PD)

POSITION / DESIGNATION UNIT INCLUSIVE DATES

N/A N/A N/A

______________________________
Signature
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 XV. OTHER COURSES / TRAINING / SEMINARS (IN PRESENT RANK)
CLASS
INCLUSIVE TRAINING STANDING
COURSE TAKEN SCHOOL / LOCATION
DATE HOURS / HONORS
RECEIVED
INTERNAL SECURITY CAMARINES SUR POLICE
OPERATION REFRESHER PROVINCIAL OFFICE-CAMARINES 06/29/2019
SEMINAR SUR 1st PROVINCIAL MOBILE TO 160 hrs
FORCE COMPANY 7/18/2019 N/A

SEMINAR ON VIP REGIONAL TRAINING 03/15/2018 16 hrs N/ A

SECURITY AND CENTER 5 TO
PROTECTION 03/16/2018

PREVENTING AND REGIONAL TRAINING 02/22/2018 8 hrs N/ A

COUNTERING VIOLENT CENTER 5 TO
EXTREMISM 2/22/2018

DEFENSIVE REGIONAL TRAINING 03/13/2018 8 hrs N/ A

DRIVING(MOTORCYCLE) CENTER 5 TO
03/14/2018

XVI. FIREARMS RECORD

SERIAL # KIND MAKE CALIBER AMMUNITION ISSUING UNIT

XVII. AWARDS AND RECOGNITIONS RECEIVED (IN PRESENT RANK)

NATURE OF AWARD DATE AWARDED AUTHORITY
MEDALYA NG PAGLILINGKOD SA
LUZON
MARCH 19, 2019 GO NO. 1021/ PCOL ROQUE A BAUSA

MEDALYA NG KASANAYAN JULY 4, 2018 GO NO. 2697/ PCOL ROQUE A BAUSA

MEDALYA NG PAPURI JUNE 20, 2018 GO NO. 2119/ PCOL ROQUE A BAUSA

______________________________
Signature

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 INDIVIDUAL AND UNIT CITATION BADGE
NATURE OF AWARD DATE AWARDED AUTHORITY

INDIVIDUAL AND UNIT AWARDS / STREAMERS

NATURE OF AWARD DATE AWARDED AUTHORITY

LETTERS OF COMENDATIONS / PLAQUES / CERTIFICATES OF APPRECIATION

COMMENDATION MERIT
(NOT YET CONVERTED TO PNP MEDAL)
NATURE OF AWARD DATE AUTHORITY
AWARDED
LETTER OF COMMENDATION OCTOBER 18, 2018 PBGEN ELPIDIO DS GABRIEL JR
LETTER OF COMMENDATION AUGUST 17, 2018 PLTCOL EDISON A DUMANGAS
LETTER OF COMMENDATION JULY 30, 2018 PLTCOL EDISON A DUMANGAS
LETTER OF COMMENDATION JULY 20, 2018 PLTCOL EDISON A DUMANGAS
LETTER OF COMMENDATION MAY 28, 2018 PLTCOL EDISON A DUMANGAS
LETTER OF COMMENDATION MAY 18, 2018 PLTCOL EDISON A DUMANGAS
LETTER OF COMMENDATION MARCH 26, 2018 PLTCOL RANDY M MALUYO
LETTER OF COMMENDATION MARCH 26, 2018 PLTCOL RANDY M MALUYO
LETTER OF COMMENDATION MARCH 26, 2018 PLTCOL RANDY M MALUYO
LETTER OF COMMENDATION MARCH 26, 2018 PLTCOL RANDY M MALUYO

______________________________
Signature

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 ACADEMIC AWARDS
NATURE OF AWARD DATE AWARDED AUHTORITY

XVII. 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 Police Personal Data Sheet

PAT LESLIE C CARLOS

(PRINTED NAME)

Community Tax Certificate No. :

Issued on :
Issued at :

LEFT RIGHT
THUMBMARK

SUBSCRIBED AND SWORN TO before me this ______ day of___________, 2018 at

_______________________________________, Philippines.

________________________
Administering Officer