Republic of the Philippines

Department of the Interior and Local Government

Regional Office IX
San Pablo Fire Station - Zamboanga del Sur
LGU Compound, Poblacion, San Pablo, Zamboanga del Sur
Hotlines: Smart (0948) 480-8299 / Globe (0966) 920-1844
Email: sanpablo.firesubstation@gmail.coml

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COMPLETE BACKGROUND INVESTIGATION (CBI)

I. PERSONAL DATA:
Name:
DOB:
POB:
Age: Sex: Occupation:
Blood Type: Civil Status: Religion:
Weight: Build: Ethic Group:
Height: Complexion: Dialect/s:
II. FAMILY BACKGROUND:
Name of Spouse(if married):
POB:
DOB: Occupation:
Nationality: Religion:
Place of Marriage: Date of Marriage:
Name of Children: Date of Birth: Place of Birth: Gender:

III. FAMILY HISTORY:

DOB POB Occupation Address
Father’s Name

Mother’s Name

Brothers/Sisters:

IV. PLACES OF RESIDENCE FROM DATE OF BIRTH:

Inclusive years of stay Address

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V. EDUCATIONAL BACKGROUND:
Date of Year
Level Degree / Course School / Location
Attendance Graduated
Elementary

High School

Vocational

College

Post Graduate

VI. ELIGIBILITY:
Title Date and Place of Conferment

VII. EMPLOYMENT RECORDS:

Agency/ Type / Nature Nr. of Years Reason for
Address
Company of Employment of Service Leaving

VIII. NEIGHBORHOOD CHECK:

(Should contain information by elicitation and verification to the subject’s neighborhood.)

IX. CREDIT REPUTATION:

(Should contain matters pertaining to the subject’s financial capabilities, credit reputation and financial liabilities.)

X. Principal Amusement
(Make a brief statement of your subject’s sports activities)

XI. LOCAL AND INTERNATIONAL ORGANIZATION:

(Should contain information pertaining to the subject’s membership in local and international organization/fraternities, sororities and alike.)

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XII. CHARACTER REFERENCE:
(Should contain information by elicitation and verification to the different characters provided on the submitted PDS of the subject)

XIII. LOCAL AND NATIONAL AGENCY CHECK:

a. Barangay (No or With Derogatory Information. Cite nature if any)

b. Philippine National Police (No or With Derogatory Record. Cite nature if any )

c. Court Record (MTC/RTC/City Prosecutor) (No or With Criminal Record. Cite nature if any)

d. National Bureau of Investigation (No or With Criminal Record. Cite nature if any)

e. Philippine Drug Enforcement Agency (No or With Derogatory Information. Cite nature if any)

f. Internal Affairs Service, BFP (No or With Derogatory Record. Cite nature if any)
(For promotion only)
g. Directorate for Intelligence and Investigation, (No or With Derogatory Record. Cite nature if any)
(For promotion only)
BFP-NHQ
XIV. USE OF INTOXICANT/DRUGS:
(Should contain information regarding the intoxicant/drugs being used by the subject to include the frequency of use).

XV. SUMMARY OF FINDINGS:

(Agents personal analysis on the subject’s over-all qualities and attributes).

XVI. RECOMMENDATION:
(Should indicate PASSED or FAILED with corresponding reasons and explanation whether the applicant qualifies to be hired/serve, or
promoted to the BFP).

Prepared and Conducted by:

_______________________
Intelligence Officer Date

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