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Reassignment and Availability of Personnel

PNP application form for reassignment and availability of personnel

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
National Police Commission
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

DPRM Form RSD-02-A

APPLICATION FORM
(REASSIGNMENT OF PERSONNEL)

FOR: _________________
(Chief of Office)

__________________
(Date)

Request that I be allowed to transfer from my present unit ________________to
(Present Unit)
_______________with projected position as _______________. With this, I certify that:
(Projected Unit)
(Title of Position)
1. I have no money and property accountability with my present unit;
2. I have no pending administrative and criminal case up to this date;
3. I am not a witness to drug related case in relation to R.A. No. 9165 and
DDB Regulation No. 6 Series of 2008;
4. I have no malice and bad intention in requesting for this transfer;
5. I will not seek reassignment/detail to other offices/units six months after the
issuance of my promotion and reassignment order;
6. I am fully aware of my liability and responsibility in the foregoing declaration
under the law and regulation of the PNP and NAPOLCOM;
7. I am attesting to the truthfulness of the foregoing declaration and the
information in my attached PDS;
8. I shall be held administratively liable for “DISHONESTY” for any acts of
perjury, misrepresentation, distortion and omission made in this
application.
That I attest to the truthfulness of the foregoing declaration and submit myself to
the legal consequences thereof, if ever the statements above are wanting in truth and in
substance.

_____________________________
Rank/Name/Signature of Applicant

SUBSCRIBED AND SWORN to before me
of______________, 2014 at ____________________, Philippines.

this

_________day

NOTARY PUBLIC/ADMINISTERING OFFICER

Note:

This application shall be acted within fifteen (15) working days upon its receipt/filing as provided under
Rule VI. Section 1 of R.A. 6713 (Rules Implementing the Code of Conduct and Ethical Standards for Public
Officials and Employees)

(to be accomplished in three (3) original copies)

(to be filled up by Losing Unit)
AVAILABILITY FOR REASSIGNMENT

__________________
(Date)
FOR: _____________
(Gaining Unit)
Availability for transfer is hereby granted to ____________________, with Badge
Number __________ for his/her reassignment/detail to _____________ to any positions that
he/she is qualified.
Based on the evaluation conducted by this office, we certify that subject PCO/PNCO is
cleared of money and property accountabilities, no pending administrative/criminal case and is
not a witness to any drug related case in relation to RA 9165 and DDB Regulation No.6, Series
of 2008.
Processed by:
______________________
C, RPHRDD/Admin Officer
Cleared by:
No Property Accountability:

_______________________
C, RLD (or Supply Officer)

No Money Accountability:

_______________________
C, RCD (or Finance Officer)

No Pending Admin and Criminal case
and not a witness to drug related case:

___________________________
C, RIDMD (or Investigation Officer)
Recommended/Not recommended
________________________
Chairman, Placement Board

Reason for disapproval

Approved/Disapproved

_______________________

___________________________
Unit Director
(to be filled up by Gaining Unit)
ACCOMODATION

__________________
(Date)
FOR: _____________________
(Unit/Office Issuing Order)
THIS IS TO CERTIFY that _________________ of _______________ is accommodated
to this unit/office where he/she is projected to be designated as _________________.
This certification is issued to subject PCO/PNCO to facilitate the issuance of order for
his/her transfer of assignment.
Processed by:
______________________
C, RPHRDD/Admin Officer
Recommended/Not recommended
____________________________
Chairman, Placement Committee
Reason for disapproval

Approved/Disapproved

_____________________

____________________________
Unit Director
 
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