PART I.

Demographic Profile

Name (Optional): __________________________________

Age: _____
Civil Status:

Single Married Widowed Divorced/Separated

Educational Attainment:
High School College Graduate College Undergraduate Vocational

Elementary Graduate Elementary Undergraduate

Pending Criminal Case:

Section 5 Section 11 Section 12 Section 13 Section 14

Section 15

Monthly Basic Salary:

PHP 10, 000 – PHP 14, 999 PHP 15, 000 – PHP 19, 999
PHP 20, 000 – PHP 24, 999 PHP 25, 000 – PHP 29, 999
PHP 30, 000 – PHP 34, 999 PHP 35, 000 – PHP 39, 999
PHP 40, 000 – PHP 44, 999 PHP 45, 000 above

Rank:
Seaman 2nd Class/Apprentice Seaman 1st Class
3rd Class Petty Officer 2nd Class Petty Officer1st Class Petty Officer
Chief Petty Officer