Republic of the Philippines Department

of the Interior and Local government

POLICE REGIONAL 3
Camp Captain Julian Olivas
City of San Fernando Pampanga

PNP Badge No:

POLICE PERSONAL FILE TIN:617-048-310-000

2 X 2 PICTURE
Phil. Health No:
21-0255937558

WARNING:
The correctness of all statements or entries made herein is subject to verification and any deliberate
correction and distortion of information may give sufficient cause for Investigation.

Date Accomplished:

I. GENERAL INFORMATION
1. NAME ( Last Name First Name Middle Name Qualifier)
PASCUAL MELANIA ANTONIO N/A
2. RANK 3. UNIT/ STATION – NSU / PRO / NHQ

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

PUROK 3, GENERAL LUNA LLANERA, NUEVA ECIJA
5. PLACE OF BIRTH: 6. DATEOF BIRTH:
LLANERA, NUEVA ECIJA MAY 27, 1995
7. SEX: 8. CIVIL STATUS: 9. RELIGION:
FEMALE SINGLE IGLESIA NI CRISTO
10. COLOR OF HAIR: 11. COLOR OF EYES 12. HEIGHT (CM) 13. WEIGHT (KG)
BLACK BLACK 161 63
14. BLOOD TYPE : 15. BUILD: 16. COMPLEXION:
B+ MEDIUM BROWN
17. LANGUAGES 18. IDENTIFYING MARKS 19. ETHNIC GROUP
TAGALOG, ENGLISH N/A N/A

20. NAME OF SPOUSE OR NEAREST KIN/ADDRESS: 21. OCCUPATION:

HAZEL ANNE P. DE GUZMAN N/A

22. DEPENDENTS:
NAME DATE OF BIRTH RELATIONSHIP ADDRESS
KYLIE SCHWEIZERISCHE OCTOBER 14, DAUGHTER GENERAL LUNA, LLANERA, NUEVA
P. ASUNCION 2018 ECIJA
KAITLYN RENZ P. OCTOBER 30,2019 DAUGHTER GENERAL LUNA, LLANERA, NUEVA
ASUNCION ECIJA

23. HOUSING DATA:

[ ] OWN HOUSE & LOT [ ] RENT HOUSE [ ] OCCUPYING GOV’T QRTS
[ ] OWN HOUSE ONLY [ ] RENT ROOM [ / ] OTHERS (Specify):LIVING WITH PARENTS

Signature
 II. APPOINTMENT AND EXPERIENCE/TIG DATA
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF
PREVIOUS RANK BY CSC PREVIOUS RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY: TEMPORARY:
PERMANENT: PERMANENT:
EFFECTIVE DATE OF APPOINTMENT OF EFFECTIVE DATE OF PROMOTION OF
PRESENT RANK BY CSC PRESENT RANK PER PNP SO/GO
STATUS DATE STATUS DATE AUTHORITY
TEMPORARY: TEMPORARY:
PERMANENT: PERMANENT:
IF PRESENT RANK PASSED DATE SATISFIED THE DEFICIENCY:
TEMPORARY, STATE REASON
[ ] Eligibility [ ] TIG DEFICIENCY: (specify)

[ ] Training [ ] Others MONTH/YEAR:

FOR POLICE COMMISSIONED OFFICERS ONLY
SOURCE OF COMMISSION/ENTRY TO THE PNP
YEAR YEAR
[ ] AFP Regular [ ] AFP Reserve [ ] SPO4-PINSP PROM [ ] PMA
[ ] CIS [ ] INP [ ] NAPOLCOM [ ] Lateral Entry: [ ] PNPA
III. EDUCATIONAL BACKGROUND
DEGREE
HONORS
LEVEL NAME OF SCHOOL LOCATION YEAR COMPLETED /
RECEIVED
UNITS
M.V. GALLEGO CABANATUAN 2021 BACHELOR OF DIPLOMA
COLLEGE FOUNDATION COLLEGE CITY, NUEVA SCIENCE IN
ECIJA CRIMINOLOGY
POST
N/A N/A N/A N/A N/A
GRADUATE

IV. POLICE/MILITARY TRAINING CAREER COURSES

CLASS STANDING
COURSE SCHOOL / INCLUSIVE - TRAINING
HONORS
TAKEN LOCATION DATE HOUR
RECEIVED
N/A N/A N/A N/A N/A

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V. NAPOLCOM/CIVIL SERVICE/PRC ELIGIBILITIES

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 TITLE OF EXAMINATION DATE TAKEN WHERE TAKEN RATING OBTAINED

RA 11131- CRIMINOLOGIST JUNE 12-14 2022 ROSALES PANGASINAN 76.85

LICENSURE EXAMINATION

VI. PERFORMANCE EVALUATION RATING

(Immediately preceding two (2) semesters)
RATING PERIOD RATING RATER
N/A N/A N/A

VII. PHYSICAL FITNESS TEST RATING

(Immediately preceding two (2) semesters)
FITNESS PERIOD RATING CONDUCTED BY
N/A N/A N/A

VIII. STATEMENT OF ASSETS & LIABILITIES, NETWORTH

(Immediately preceding Three (3) Fiscal Years)
THIS WILL BE COMPARED TO THE SUBMITTED SALNs AND VERIFIED BY RMD, DPRM.
FISCAL YEAR TOTAL ASSETS TOTAL LIABILITIES NET WORTH
N/A N/A N/A N/A

IX. INDIVIDUAL INCOME TAX RECORDS

(Immediately preceding Three (3) Fiscal Years)
FISCAL YEAR GROSS INCOME TAXABLE INCOME INCOME TAX PAID
N/A N/A N/A N/A

X. OFFENSE DATA
OFFENSE COMMITTED AS CHARGED TYPE OF CHARGE STATUS / DISPOSITION
(State whether Administrative or Criminal) (Principal or what) (Exonerated, etc., - Penalty)
N/A N/A N/A

XI. DATA ON PREVIOUS RETIREMENT/DISMISSAL/SUSPENSION

Have you ever been retired, dismissed, forced to resign or suspended from any employment
for reasons other than lack of funds?

Have you ever been a candidate in a national or local election (including barangay election?)
POSITION PLACE DATE
N/A N/A N/A

XII. PHYSICAL AND MEDICAL RECORD

DATE OF LAST PHY/MEDICAL EXAMTN - N/A WHERE TAKEN - N/A
DATE OF LAST DENTAL EXAMINATION - N/A WHERE TAKEN - N/A

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DATE OF LAST NP EXAMINATION - N/A WHERE TAKEN - N/A
DATE OF LAST DRUG TEST - N/A WHERE TAKEN - N/A
DATE OF LAST PHY FITNESS TEST - N/A WHERE TAKEN - N/A

XIII. POLICE/MILITARY MAJOR DESIGNATIONS

(FOR PCOs: AS PLTN LDR, COP, BN/CPS/CPO/PPO/PRO/NSU STAFF, MG COMDR, CD/PD)
POSITION/DESIGNATION UNIT INCLUSIVE DATES
N/A N/A N/A

XIV. PROMOTION RECORDS

OLD RANK NEW RANK EFF DATE PROM STATUS AUTHORITY
N/A N/A N/A N/A N/A

XV. OTHER COURSES/TRAININGS/SEMINARS (IN PRESENT RANK)

CLASS
SCHOOL / TRAINING STANDING
COURSE TAKEN INCLUSIVE -DATE
LOCATION HOURS HONORS
RECEIVED
N/A N/A N/A N/A N/A

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 XVI. FIREARMS RECORD
LICENSE NO. KIND MAKE CALIBER AMMO ISSUING UNIT
N/A N/A N/A N/A N/A N/A

XVII. AWARDS AND RECOGNITIONS RECEIVED (IN PRESENT RANK)

INDIVIDUAL MEDALS/RIBBONS
NATURE OF AWARD DATE AWARDED AUTHORITY
N/A N/A N/A

INDIVIDUAL AND UNIT CITATION BADGE

N/A N/A N/A

INDIVIDUAL AND UNIT AWARDS/STREAMERS

N/A N/A N/A

LETTERS OF COMMENDATIONS/PLAQUES/CERTIFICATE OF

APPRECIATION/COMMENDATION/MERITS (NOT YET CONVERTED TO PNP MEDALS)

NATURE OF AWARD DATE AWARDED AWARDED BY
N/A N/A N/A

ACADEMIC AWARDS
NATURE OF AWARDS DATE INSTITUTION
N/A N/A N/A

Signature
 XVIII. CERTIFICATION

THIS IS TO CERTIFY that the answers given above are true and correct to the best of my
knowledge and belief.

I COMMIT MYSELF TO BE LIABLE for perjury and/or dishonesty as result of any false,
misrepresentation or omission in this Personal Data Sheet.

LEFT RIGHT Community Tax Certificate No: 23476086

THUMBMARK Issued on: APRIL 14, 2023

Issued at : LLANERA, NUEVA ECIJA

SUBSCRIBED AND SWORN TO before me this at

,Philippines.

NHQ/NSU/PRO
Official Seal

* Not valid without Notarial Seal

Signature