Republic of the Philippines

Department of Interior and Local Government

National Police Commission
PHILIPPINE NATIONAL POLICE TRAINING SERVICE
Camp BGen Rafael T Crame, Quezon City

STUDENT’S INFORMATION SHEET

Course Title: BASIC LOGISTIC COURSE

Date Accomplished: SEPTEMBER 04,2022

PLEASE PRINT ALL ENTRIES

1. NAME (Lastname) (Firstname) (Middlename) (Qualifier)

BOADO JIM ROY BALEG

2. RANK UNIT/STATION/ADDRESS DESIGNATION

1 ST
LA UNION PROVINCIAL MOBILE
PATROLMA FORCE COMPANY, CARLATAN, CITY LEAD SCOUT
N OF SAN FERNANDO, LA UNION

3. HOME ADDRESS: (House No./Street/Mun/City/Province)

BRGY. PATAC, SANTO TOMAS, LA UNION

4. PLACE OF BIRTH: 5. DATE OF BIRTH 6. BADGE NO.

ATOK, BENGUET APRIL 04, 1993 311818

7. SEX 8. CIVIL STATUS 9. RELIGION

MALE MARRIED ROMAN CATHOLIC

10. LANGUAGE/DIALECT SPOKEN 11. CONTACT NO. 12. E-MAIL ADDRESS

KANKANA-EY,ILOCANO,TAGALOG, 09916092010 boadoj05@gmail.com

ENGLISH
13. NAME OF SPOUSE/ 14. ADDRESS/CONTACT NO.
NEAREST KIN BRGY. PATAC SANTO TOMAS, LA
DIVINA LEID BOADO UNION/09916092016

15. TIN NO.

725-598-618
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