This document is an NBI clearance application form completed by Allan Paul Villalon Perez on 9/16/2014. It provides his personal details such as name, date of birth, address, parents' names, and purpose for applying, which is for local employment. The form notes he presented his driver's license as ID and certifies the information provided is true under penalty of falsification.

1. 9/16/2014 NBI Online Application
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF JUSTICE
NATIONAL BUREAU OF INVESTIGATION
NBI CLEARANCE APPLICATION FORM
PRINT APPLICATION
P6203711019
APPLICANT TYPE
NEW
1. ID PRESENTED
D14-98-089841
2. PURPOSE TYPE
LOCAL
3. PURPOSE APPLICATION
LOCAL EMPLOYMENT
BASIC INFORMATION
5. FAMILY NAME
PEREZ
6. HUSBAND FAMILY NAME (FOR MARRIED WOMAN ONLY)
7. GIVEN NAME
ALLAN PAUL
8. MIDDLE NAME
VILLALON
9. NICKNAME 10. OTHER NAME/ALSO KNOW AS
11. DATE OF BIRTH
12. BIRTH PLACE
06/19/1981
QUEZON CITY
13. CITIZENSHIP
FILIPINO
14. GENDER
MALE
15. CIVIL STATUS
MARRIED
16. SPOUSE
EDEN ERANZO SANCHEZ
17. BIRTH PLACE
CALAWAN, LAGUNA
18. PRESENT ADDRESS
BLK. 38 LOT 7 PH. 2 SUMMERFIELDS SUBD., OSORIO, TRECE MARTIRES, CAVITE
19. CONTACT NUMBER
09494103113
20. EMAIL ADDRESS
ZENSHIE_SIESTA@YAHOO.COM
21. IDENTIFYING MARKS
ADDITIONAL INFORMATION
22. HEIGHT
167
23. WEIGHT
86
24. COMPLEXION
BROWN
25. RELIGION
ROMAN CATHOLIC
26. EDUCATIONAL ATTAINMENT
COLLEGE LEVEL
27. OCCUPATION
DRIVER
PARENTS INFORMATION
28. NAME OF FATHER
FELIX RELATADO PEREZ JR.
29. FATHER BIRTH PLACE
MANILA
30. NAME OF MOTHER
AVELINA SALAS VILLALON
31. MOTHER BIRTH PLACE
MANILA
FOR ALIEN APPLICANT'S ONLY
32. FOREIGN NAME
-
http://clearance.nbi.gov.ph/print/P6203711019 1/2

2. 9/16/2014 NBI Online Application
33. ADDRESS ABROAD
-
34. PASSPORT NUMBER 35. DATE ISSUED
-
38. DATE ISSUED
-
I certify that I have read and understood all the questions set forth in this application and answer I have furnished on this form are true and correct to the best acknowledge and belief. I understand that any false or
misleading statement is FALSIFICATION PUNISHABLE UNDER ARTICLE 171 & 172 OR REVISED PENAL CODE
________________________________ ________________________________
36. DATE 37. SIGNATURE
© 2014 All Rights Reserved
36. PLACE ISSUED
-
37. ACR NUMBER
-
39. PLACE ISSUED
http://clearance.nbi.gov.ph/print/P6203711019 2/2