1/13/2021 Online Police Clearance

Republic of the Philippines

National Police Commission
Philippine National Police
NATIONAL CAPITAL REGION POLICE OFFICE

ONLINE POLICE CLEARANCE APPLICATION

APPLICANT DETAILS

Police Station *

MANILA

Application Type

NEW

Purpose *

DRIVER'S LICENSE

First Name *

ALEXANDER

Middle Name

OSAHITA,

Last Name *

VERDIDA

Address *

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(HOUSE # / LOT # / BLOCK #)

This is a required field

(STREET / AREA)

This is a required field

MALAUBANG-OZAMIZ CITY

MISAMIS

Date of Birth *

1966-01-23 

Place of Birth *

DUMINGAG ZAMBOANGA-DEL-ZUR,

Gender *

MALE

Nationality *

FILIPINO

Civil Status *

SINGLE (WALANG ASAWA)

Religion *

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JEHOVAH'S WITNESS

Height *

30 cm

Weight *

69 kg

Hair Color *

GREY AND WHITE (KULAY ABO AT PUTI)

Eye Color *

AMBER (DILAW)

Contact Number

+63 905 153 1156-7TH INFANTRY-REPORTER

Distinguishing Marks
Location

Mole (Nunal)

PHILIPPINES

Scar (Peklat)

7200

Tattoo

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Birthmark (Balat)

1966-1-23

Harelip (Bingot)

ALEXANDER O,VERDIDA

Skin Tag (Kuntil)

ALEXANDER O,VERDIDA-OCCUPATION-IS-REPORTER

Other Information:

Occupational ID

10204

Occupation

MECHANICS

Employer

DRIVER'S

Employer Address

OZAMIZ CITY-PUROK2MALAUBANG-

Blood Type

In Case of Emergency:

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1/13/2021 Online Police Clearance

Contact Person

ALEXANDER O,VERDIDA

Contact No.

7200-OZAMIZ CITY-REGION,10.

Contact Address

PUROK,2.MALAUBANG-BALATIRO-GRAHY!

Consent
I, the Data Subject, hereby give my expressed consent to this station (DPO, PIC & PIP) for the processing, storing, updating, and retrieving of my
personal information indicated herein. I also certify that I was made aware of the following: That the data and/or biometrics captured are necessary
to countercheck any crime committed in the past should there be any. That any crime committed in the future will be appended to my personal
information. That authorized public safety officers are allowed to access and validate the data given in this application. That information will be
stored and kept confidential, within its validity making it available for my next transaction. That processing of information is made through online
technologies. That I was made aware of my Rights as Data Subject as indicated in RA 10173, and I was informed about the contact details of the
DPO, PIC & PIP.

 SUBMIT

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