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Physical Medical Examination
PNP sample request form for physical medical examination
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Republic of the Philippines
Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
_________________________________________
___________________________
MEMORANDUM
FOR
:
FROM
:
SUBJECT
:
DATE
Director, PNP Crime Laboratory
:
Request for Physical/Medical Examination
1. Request conducts Physical/Medical Examination
____________________ residing at ________________________.
of
the
person
2. In connection with para 1 above, request furnish this office a copy of the initial
result thereof for reference purposes.
3. For consideration.
____________________________
(CHIEF OF OFFICE)
