Blank Di Form 100

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SECRET

I-DETECT INFORMANT PROFILE SHEET


(DI Form 100)
First Name

Middle Name
Surname
Nickname:
Home Address (House No./ Street/ Municipality/City/ Province:

Date of Birth: Sex: Contact Number/s:

Place of Birth: Civil Status: Age:

Blood Type: Weight (kg): Height (cm):

Eyes Color: Build (Body): Hair Color:

Complexion: Language/ Dialect: Religion:

Blood Type: Identifying Marks: Ethnic Group:

Name of Nearest Kin, Address and Contact Number:

Name of Spouse: Date of Birth:

Name of Children Date of Birth:

Highest Educational Attainment Occupation

Type of ID Presented ID Number Source Code

I-DETECT Handler: Approved By:

PLTCOL MANUEL M CUBE


(Rank/Signature over printed name) (Rank/Signature over printed name)

Unit & Designation: __________________________ Unit & Designation:_OIC, NCRFU________________


Contact Number: ____________________________ Contact Number: ___09056710043______________
Date: ______________________________________

SECURITY ADVICE: This document contains classified information and is subject to secrecy and proper handling. This
information may only be used for official internal purposes of the recipient and must not be disclosed to another agency or third
party without the prior written consent of the PNP. The recipient must ensure that appropriate security measures are in place to
protect the information from unauthorized access, use or disclosure and must restrict access to recipient personnel on a “need
to know” basis only or cleared persons whose official duties require knowledge or possession thereof.

“PNP Transformation: “Our shared commitment to deliver effective and efficient police services”
SECRET

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