COMPLETE BACKGROUND INVESTIGATION (CBI)

I. PERSONAL DATA
DATE OF BIRTH CIVIL BLOOD WEIGHT
NAME (mm/dd/yy)
PLACE OF BIRTH SEX AGE ADDRESS RELIGION BUILD (Kg)
COMPLEXION ETHNIC GROUP
STATUS TYPE

II. EDUCATIONAL BACKGROUND

YEAR
SCHOOL LOCATION DATE OF ATTENDANCE GRADUATED
AWARDS RECEIVED PLACE OF RESIDENCE

III. PLACES OF RESIDENCE SINCE BIRTH

INCLUSIVE DATE ADDRESS (include number of Street and Barangay)

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IV. EMPLOYMENT RECORDS
INCLUSIVE DATES &
TYPE/NATURE OF REASON FOR
AGENCY/COMPLANY ADDRESS NUMBER OF YEARS OF PLACE OF RESIDENCE
EMPLOYMENT SERVICE
LEAVING

IV. IF MARRIED
DATE OF
NAME OF SPOUSE BIRTH PLACE OF BIRTH ADDRESS NATIONALITY DATE OF MARRIAGE PROFESSION/OCCUPATION
(mm/dd/yy)

DATE OF
NAME OF CHILDREN SON/ DAUGHTER BIRTH PLACE OF BIRTH PLACE OF RESIDENCE
(mm/dd/yy)

IV. FAMILY HISTORY

DATE OF BIRTH
NAME OF FATHER (mm/dd/yy)
PLACE OF BIRTH AGE ADDRESS OCCUPATION OFFICE BUSINESS

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 DATE OF BIRTH
NAME OF MOTHER (mm/dd/yy)
PLACE OF BIRTH AGE ADDRESS OCCUPATION OFFICE BUSINESS

NAME OF BROTHER/S AND DATE OF BIRTH

(mm/dd/yy)
PLACE OF BIRTH AGE ADDRESS OCCUPATION OFFICE BUSINESS
SISTER/S

*Use the back sheet if necessary

V. CHARACTER REFERENCES
NAME ADDRESS CONTACT NUMBER OCCUPATION

VI. NEIGHBORHOOD INVESTIGATION

NAME ADDRESS CONTACT NUMBER OCCUPATION

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