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Napolcom Request Form

The document is a request form for a Regional NAPOLCOM Clearance in the Philippines, certifying the status of pending or no pending cases for police personnel. It includes instructions for uniformed personnel and clients regarding transaction requirements. Contact information for the NAPOLCOM IX Regional Office and Satellite Office is also provided.

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anitoculanag107306
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205 views2 pages

Napolcom Request Form

The document is a request form for a Regional NAPOLCOM Clearance in the Philippines, certifying the status of pending or no pending cases for police personnel. It includes instructions for uniformed personnel and clients regarding transaction requirements. Contact information for the NAPOLCOM IX Regional Office and Satellite Office is also provided.

Uploaded by

anitoculanag107306
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Republic of the Philippines

NATIONAL POLICE COMMISSION


REGIONAL OFFICE NO. IX
Gumilao Bldg. J. Zulueta St. Purok Santan B
San Jose District, Pagadian City 7016
Contact Nos.: (062) 925-1100 / 925-1112 (telefax)
Email: napolcom.r9@[Link]

“Public Office is a Sacred Trust.”

REQUEST FOR: REGIONAL NAPOLCOM CLEARANCE


(CERTIFICATION OF PENDING / NO PENDING CASE)

Badge No. Request Date (mm/dd/yyyy):


Rank and Complete Name:
Address of Present Unit Assignment:

Purpose: Contact No./s:


Document Pick-up: NAPOLCOM IX Regional Office (Pagadian City)

NAPOLCOM IX Satellite Office (Zamboanga City)

------------------- Do Not Write Below This Line -------------------


Notices: (1) To all PNP Uniformed Personnel: “No Uniform, No Transaction.”
(2) To all Clients/Visitors: “No Face Mask, No Transaction.”
(3) Authorization Letter Required for Representative.

Received by:
Signature over Printed Name Date
ID Presented: ID No:
O.R. No. O.R. Date:

Released by:
Signature over Printed Name of OD Date

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