Republic of the Philippines

National Police Commission

Rizal Police Provincial Office
Antipolo City Police Station
Antipolo City, Rizal

POLICE CLEARANCE CERTIFICATE

CERTIFICATE No. C1656368
TO WHOM IT MAY CONCERN:
This is to certify that the person whose name, picture, signature and right thumb print appear hereon,
has passed the records verification which was conducted by this Station. The result(s) of which is/are listed below:
NAME : FERANDO, JESSALYN CEPE

ADDRESS : SITIO RUHAT 3 LOWER BARANGAY MAMBUGAN ANTIPOLO CITY

DATE OF BIRTH : DECEMBER 01, 2005

PLACE OF BIRTH : BRGY. MAMBUGAN ANTIPOLO CITY

GENDER : FEMALE

CIVIL STATUS : SINGLE

CITIZENSHIP : FILIPINO

REMARKS : NO RECORD FILE

VALID UNTIL : February 14, 2023

LEFT AND RIGHT THUMB MARK
THIS CERTIFICATE IS ISSUED FOR OJT REQUIREMENT
NOT VALID FOR TRAVEL ABROAD
APPROVED FOR ISSUE:

PLTCOL ALVIN R. CONSOLACION

__________________
APPLICANT SIGNATURE