PNP Arrest and Booking Sheet: (To Be Accomplished by The Arresting Officer)

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Republic of the Philippines

Department of the Interior and Local Government


PHILIPPINE NATIONAL POLICE
Province of Davao Del Sur
Digos City

PNP ARREST AND BOOKING SHEET


(to be accomplished by the Arresting Officer)
BLOTTER ENTRY NR: ____________
DATE: _____________
PERSONAL INFORMATION:
________________________________________________________________________________
(Last Name)

(First Name)

(Middle Name)

ADDRESS: _______________________________________________________________________
TEL NO._______________________ POB ______________________ DOB ___________________
MARITAL STATUS:
SINGLE
WIDOW/ER
SEX:
MALE
MARRIED
SEPARATED
FEMALE
AGE: _____ WEIGHT (lbs): __________HEIGHT (Ft): ________EYES:___________HAIR:_________
COMPLEXION: ____________OCCUPATION: ______________NATIONALITY:_________________
ETHNIC GROUP_______________________DIALECT/LANGUAGE__________________
HIGHEST EDUCATIONAL ATTAINMENT: _______________________________________________
NAME OF SCHOOL: ________________________________________________________________
LOCATION OF SCHOOL: ____________________________________________________________
IDENTIFYING MARKS:
MOLE
TATOO
BIRTHMARK
SCAR
LOCATION OF IDENTIFYING MARKS__________________________________________________
PHYSICAL DEFORMITY/DEFECT ____________________________________________________
DRIVERS LIC NR: ________________________ISSUED AT: ______________ ON: _____________
RES CERT NR: __________________ DATE AND PLACE OF ISSUE: ________________________
OTHER ID CARDS: _______________________________________________ID NR: ____________
ARREST INFORMATION:
OFFENSE CHARGE:__________________________________________ ____________________
(NATURE OF OFFENSE)

(CRIM/IS NO.)

MODUS OPERANDA:_______________________________________________________________
WHERE ARRESTED: _______________________________________________________________
DATE ARRESTED: ______________________________________ TIME: ____________________
ARRESTING OFFICER/S:
Rank:________Name:______________________________Signature:_____________________
Rank:________Name:______________________________Signature:_____________________
Rank:________Name:______________________________Signature:_____________________
SIGNATURE___________________________________ UNIT: ______________________________
MEDICAL EXAMINATION CONDUCTED AT: ____________________________________________
BY: DR. ___________________________________________________ ON: ___________________
REMARKS:_____________________________________________________________________
FINGERPRINT TAKEN BY: __________________________________________________________
PHOTO TAKEN BY: ________________________________________________________________
INVESTIGATOR ON CASE:___________________________________________________________
BOOKED BY (RANK/NAME/SIGNATURE): ______________________________________________
SIGNATURE OF PERSON ARRESTED: _______________________________________________
(INDICATE IF SUSPECT REFUSE TO SIGN)

OTHER INFORMATION:
NAME OF FATHER: _____________________________________________________ AGE: _____
ADDRESS: _______________________________________________________________________
NAME OF MOTHER: ____________________________________________________ AGE: ______
ADDRESS: _______________________________________________________________________
NAME & ADDRESS OF PERSON TO BE CONTACTED IN CASE OF EMERGENCY:
NAME: __________________________________________________ RELATIONSHIP: _________
ADDRESS: _____________________________________________ TEL # _____________________
LAWYER: _________________________________________ TEL #: _________________________
DOCTOR: _________________________________________ TEL #:_________________________
HEALTH PROBLEM: ________________________________________________________________
NOTE: USE THE PNPCL FORM 452-038 (STANDARD TEN PRINT CARD) TO TAKE THE TENPRINT
OF THE SUSPECT FOR EVENTUAL SUBMISSION TO PNPCL-AFIS
(ATTACH THE MEDICAL EXAM RESULT; MUG SHOTS; TENPRINTS OF SUSPECT)

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