CONFIDENTIAL

Republic of the Philippines

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 11
Camp Sgt Quintin M Merecido, Buhangin, Davao City

BADGE NO: 372205

PNP PERSONAL DATA SHEET
GSIS NO:
PHILHEALTH NO: 160507740518
PAG-IBIG NO: 1212-2195-4252
WARNING !
The correctness of all statements or entries made herein is subjected to verification and any deliberate omission or distortion of information may give
sufficient cause for Investigation.

I. GENERAL INFORMATION
1. NAME (Last Name, First Name, Middle Name, Qualifier)
AFAN JEP KIRK NIMES
2. RANK 3. DESIGNATION 4. DATE DESIGNATED
Pat 10/12/2022

5. UNIT : PRO 11 6. TEL # :

SUBUNIT : DAVAO CITY POLICE OFFICE
STATION :
ADDRESS : Camp Sgt Quintin M Merecido, Buhangin,
Davao City
7. DATE OF BIRTH 8. PLACE OF BIRTH: 9. E-MAIL ADDRESS
06/09/1996 SARA, ILOILO kurt09sk8@gmail.com

10. HOME ADDRESS (House No. / Street / Mun. / City / Province) 11. PHONE #
Topaz / Matina Crossing / DAVAO CITY / DAVAO DEL SUR 09318145031
12. SEX: 13. CIVIL STATUS: 14. RELIGION
Male Single Roman Catholic
15. COLOR OF EYES 16. HEIGHT (cm.) 17. WEIGHT (kgs.)
BROWN 175 71
18. BLOOD TYPE : 19. BUILD: 20. COMPLEXION
O+ MEDIUM FAIR
21. COLOR OF HAIR: 22. IDENTIFYING MARKS
BLACK Mole on left jawline
23. LANGUAGES/DIALECT (Read/Write/Speak) 24. ETHNIC GROUP
English, Tagalog
25. HOUSING DATA:

25. DEPENDENTS

NAME RELATIONSHIP BIRTHDATE ADDRESS

JOSE FABIAN AFAN Father 08/22/1962 TOPAZ ST STO NIÑO MATINA DAVAO CITY
CRISTIPHINE NIMES AFAN Mother 08/06/1965 - DO -

Signature page: 1
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II. APPOINTMENT DATA
26. AUTHORITY FOR PRESENT RANK 27. EFFECTIVITY DATE (mm/dd/yy) 28. IF TEMP, STATE REASON
MODE/STATUS OF PROMOTION
GO PRO11-GO-PA-2022-4700 PRO 11
dtd 10/11/2022 10/12/2022(Temporary)

29. AUTHORITY FOR PREVIOUS RANK 30. EFFECTIVITY DATE (mm/dd/yy) 31. ABSORPTION ORDER
MODE/STATUS OF PROMOTION

32. AUTHORITY FOR APPOINTMENT/CAD 33. EFFECTIVITY DATE / SOURCE OF 34. ORIGINAL RANK/UNIT
AS OFFICER/PCO COMMISSION

35. AUTH FOR APPT AS PNCO/ 36. DATE ENTERED MIL/ 37. CSC ACCREDITED SVC
CADET/EP/PATROLMAN POLICE SERVICE (RANK) (DATE ENTERED/POSITION/OFFICE)

III. EDUCATIONAL BACKGROUND

LEVEL COURSE NAME OF SCHOOL INCLUSIVE DATE

IV. TRAINING

COURSE TITLE CLASS NUMBER LOCATION AUTHORITY NO. OF HOURS INCLUSIVE DATE

A. Mandatory Course

B. Specialized Course
C. Seminars

V. ELIGIBILITIES
DATE TAKEN TITLE TEST CENTER RATING DATE OF RESULT

VI. ASSIGNMENT RECORD

UNIT SUB UNIT / STATION DESIGNATION / DETAILED AUTHORITY SOURCE EFFECTIVITY
DATE
PRO 11 DAVAO CPO SO PRO11-SO-RA-2023-3818 PRO 11 12/01/2023
dtd 12/01/2023
PRO 11 RHQS, ORPRMD-RPHAS Schooling AL .. dtd 03/01/2023 PRO 11 10/12/2022

PRO 11 RHQS / RTS-11 SO PRO11-SO-DO-2022-2301 PRO 11 10/12/2022

dtd 10/14/2022
PRO 11 RHQS SO PRO11-SO-AO-2022-2283 PRO 11 10/12/2022
dtd 10/14/2022
PRO 11 GO PRO11-GO-PA-2022-4700 PRO 11 10/12/2022
dtd 10/11/2022

Signature page: 2
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VII. PROMOTION RECORD

RANK STATUS AUTHORITY EFFECTIVITY DATE REMARKS

Pat (P) GO#PRO11-GO-CHAPS-2023-5477 dtd 12/01/2023, 11/20/2023

PRO 11
Pat (T) GO#PRO11-GO-PA-2022-4700 dtd 10/11/2022, PRO 11 10/12/2022

VIII. MEDALS / AWARDS / COMMENDATION

NATURE OF AWARD SSC# BAL# AUTHORITY AWARDED BY REMARKS

Medalya ng Kasanayan GO#PRO11-GO-AW-2023-5704 dtd RD DELVO

12/07/2023, PRO 11
Medalya ng Papuri GO#PRO11-GO-AW-2023-5176 dtd RD DELVO
11/13/2023, PRO 11
Medalya ng Kasanayan GO#PRO11-GO-AW-2023-4006 dtd RD SILO
09/25/2023, PRO 11

IX. INDIVIDUAL OPERATION ACCOMPLISHMENT

PARTICULARS ROLE/DESIGNATION DATE AWARDED BY

X. PHYSICAL FITNESS TEST

DATE TAKEN Year RATING CONDUCTED BY REMARKS

XI. OFFENSE DATA

CASE STATUS/
NATURE OF IMPLEMENTING
CASE NATURE SPECIFIC OFFENSE PENALTY REMARKS
OFFENSE ORDERS
IMPOSED

XII. PERFORMANCE EVALUATION RATING

RATING PERIOD NUMERICAL RATING ADJECTIVAL RATING

XIIi. FIRE ARMS RECORD

LICENCE NO. KIND MAKE CALIBER AMMO ISSUING UNIT

Signature page: 3
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XVIII. CERTIFICATION

"I CERTIFY to the truthfulness, correctness and accuracy of the foregoing data. I hold myself for perjury and shall
be dealt with in accordance to the provisions of NAPOLCOM MC 2016-002, (The Uniform Rules of Procedures before the
Disciplinary Authorities and the Internal Affairs Service of the PNP), and/or 2017 RACCS (The Rules on Administrative
Cases in the Civil Service) for any misrepresentation."

Pat JEP KIRK NIMES AFAN

SIGNATURE OVER PRINTED NAME

LEFT RIGHT

THUMBMARK

SUBSCRIBED AND SWORN TO before me this __________day of _____________20_________at___________________

Signature page: 4