RSTU FILE Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICETRAINING SERVICE
Regional Special Training Unit 2
Camp Marcelo A Adduru, Tuguegarao City

Memorandum CN:
FOR : Officer In-Charge FTC:
SUBJECT : Request for Ordinary/Emergency Pass
DATE : ______________________
1. Request that the undersigned be granted _____ day(s) ordinary/emergency pass
From: __________________________ To: __________________________
Time: ___________ am/pm Time: ___________ am/pm
2. That this request is being made for the following reason(s):
a. ____________________________________________________________________________
b. _____________________________________________________________________________
3. That my contact no. and address while on pass is at: __________________________________________
__________________________________________
4. That while on pass, I will not enter bars, clubs, gambling dens and house of ill refute.
5. Further request approval.

__________________
Full Name & Signature

______________________ _____________________
Field Training Officer Chief of Police
Noted by:

Approved/Disapproved:

PLTCOL ERNESTO R MACASIL

OIC, RSTU2

PERSONAL FILE Republic of the Philippines

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICETRAINING SERVICE
Regional Special Training Unit 2
Camp Marcelo A Adduru, Tuguegarao City

Memorandum CN:
FOR : Officer In-Charge FTC:
SUBJECT : Request for Ordinary/Emergency Pass
DATE : ______________________
1. Request that the undersigned be granted _____ day(s) ordinary/emergency pass
From: __________________________ To: __________________________
Time: ___________ am/pm Time: ___________ am/pm
2. That this request is being made for the following reason(s):
a. _____________________________________________________________________________
b. _____________________________________________________________________________
3. That my contact no. and address while on pass is at: __________________________________________
__________________________________________
4. That while on pass, I will not enter bars, clubs, gambling dens and house of ill refute.
5. Further request approval.

_________________
Full Name & Signature

______________________ _____________________
Field Training Officer Chief of Police
Noted by:

Approved/Disapproved:
PLTCOL ERNESTO R MACASIL
OIC, RSTU2