Passes Form FTP

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Republic of the Philippines


NATIONAL POLICE COMMISSION Republic of the Philippines
PHILIPPINE NATIONAL POLICE, TRAINING SERVICE NATIONAL POLICE COMMISSION
REGIONAL SPECIAL TRAINING UNIT 3 PHILIPPINE NATIONAL POLICE TRAINING SERVICE
Building 7372, Gil Puyat Avenue, Clark Freeport Zone, Pampanga REGIONAL SPECIAL TRAINING UNIT 3
Building 7372, Gil Puyat Avenue, Clark Freeport Zone, Pampanga

Date: __________________
Date: __________________
REQUEST FOR PASS
REQUEST FOR PASS
That I, _______________________________request for a pass due to the
reason(s) hereunder: That I, _______________________________request for a pass due to the
__________________________________________________________________________ reason(s) hereunder:
__________________________________________________________________________ __________________________________________________________________________
__________________________________________________________________________ __________________________________________________________________________
__________________________________________________________________________
Address of Place to visit: ______________________________________________________
Contact Number(s) while on pass: ______________________________________________ Address of Place to visit: ______________________________________________________
Contact Person /Contact Number: _____________________________________________ Contact Number(s) while on pass: ______________________________________________
Contact Person /Contact Number: _____________________________________________
That subject Police Trainee will observe all rules and regulation as student of PSFTP while on
pass. That subject Police Trainee will observe all rules and regulation as student of PSFTP while on
pass.
________________________
Signature Over Printed Name ________________________
Signature Over Printed Name
Inclusive Date of Pass: From / / 2022 to / / 2022
EDRD: Time: H Date / / 2022 Inclusive Date of Pass: From / / 2022 to / / 2022
EDRD: Time: H Date / / 2022
Additional Instructions:
Additional Instructions:
________________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
(to be filled up by the Chief, RSTU3) ________________________________________________________________________
(to be filled up by the Chief, RSTU3)

Noted by: Recommended by: Approved/Disapproved:


Noted by: Recommended by: Approved/Disapproved:
_________________ ____________________ _______________________
____________________ ____________________ ____________________
Duty FTO CARLITO M BALLON JR MYLES ANGEL S PASCUAL Duty FTO CARLITO M BALLON JR MYLES ANGEL S PASCUAL
Police Major Police Colonel Police Major Police Colonel
Asst. Chief, RSTU3 Chief, RSTU3 Asst. Chief, RSTU3 Chief, RSTU3

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