“Army Vision: By 2028, a world-class Army that is a source of national pride”

BACKGROUND INVESTIGATION/RECORD CHECK

I. PERSONAL DATA:

a. Name:
b. Business or Duty Address:
c. Home Address:
d. DOB/POB:
e. Change in Name:
f. Citizenship:
g. Religion:
h. TIN NR:
l. Blood type:

II. PERSONAL CHARACTERISTICS

A. Description:
Sex:
Age:
Height:
Weight:
Built:
Color of Hair:
Complexion: Fair
Distinguishing Features:

B. Physical Condition: Excellent

Present State of Health: Excellent
Physical/Mental Defects: Excellent
Present Serious Illness: Excellent

C. Vices
Light Moderate Heavy

Smoker N/A N/A N/A

Drunker N/A N/A N/A
Gambler N/A N/A N/A
Others: N/A N/A N/A

III. MARITAL STATUS:

a. Marital Status: Single

b. Name of Spouse: N/A
c. Date and Place of Marriage/s: N/A
f. Children: N/A
g. Occupation/Employment:

“Army Core Purpose: Serving the people, securing the land”

 “Army Vision: By 2028, a world-class Army that is a source of national pride”

IV. FAMILY HISTORY/INFORMATION

a. Father:
Occupation:
Address:

b. Mother:
Occupation:
Address:

c. Brother/Sisters:

Name Occupation Address

V. EDUCATIONAL BACKGROUND:

Name of School Location Prd/Yr Graduated

a. Elementary:

b. High School:

c. College:

d. Civil Service Eligibility and other similar qualification acquired: N/A

VI. PLACE OF RESIDENCE:

Place/Address:
Inclusive date:

VII. EMPLOYMENT: None

VIII. FOREIGN COUNTRY VISITED: None

IX. BUSINESS INTEREST: None

X. GENERAL REPUTATION:

a. Neighborhood Check:

1. - Attested that the subject is known to him and has a good

reputation.

“Army Core Purpose: Serving the people, securing the land”

 “Army Vision: By 2028, a world-class Army that is a source of national pride”

2. - Attested that the subject is known to her and have never been
involved in any form of illegal activities such as use of prohibited
drugs or have been involved in any scandal within the community.

3. - Attested that the family of the subject has a good reputation in the
Barangay, a religious family and has never been involved in any
neighbor misdemeanor.

b. Local Agency Check:

1. Brgy Record Check:

Name:
Position: Chairman
Revelation: Subject is a law-abiding citizen in the community.

2. Police Record Check:

Name:
Position: Chief of Police
Revelation: Subject has no derogatory record as of this report.

3. Municipal Trial Court Check:

Name:
Position: Clerk of Court II
Revelation: The subject person has no criminal record as of this
report.

4. Regional Trial Court Check:

Name:
Position: Clerk of Court IV
Revelation: No derogatory record.

XI. OTHER FUNCTIONS:

As per interview/elicitation from character references and neighbors,

the subject has a good family reputation and good moral character. Furthermore, the
subject has never been involved in taking prohibited drugs and no history of mental
illness.

Subject is not affiliated or associated with any subversive and/or

dubious organization and has no derogatory records and/or criminal complaint filed
against him as of this date.

XII. COMMENT/RECOMMENDATION:

It was found out that the record of the subject conforms to the data he
declared and no derogatory record was found out in the community.

The subject individual is fit/qualified to become Candidate Soldier.

“Army Core Purpose: Serving the people, securing the land”

“Army Vision: By 2028, a world-class Army that is a source of national pride”

JAYSON B TABABAN
1LT (INF) PA
Intelligence Officer

“Army Core Purpose: Serving the people, securing the land”