Miranda Warning Form

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Republic of the Philippines

National Police Commission


Philippine National Police
Sipocot Municip al Police Station
Tara Sipocot, Camarines Sur

February 20, 2021

You have the right to remain silent. Anything you say can and will be used against you in a
court of law. You have the right to an attorney. If you can't afford an attorney, one will be
provided for you. Do you understand the rights i have read to you?, With these rights in mind, do
you wish to speak to me?

1. Do you understand and invoke your right YES? Y/N

You have the right to remain silent. Anything you say can and will be used against you in a
court of law. You have the right to an attorney. If you can't afford an attorney, one will be
provided for you. Do you understand the rights i have read to you?, With these rights in mind, do
you wish to speak to me?

1. Do you understand that you have the right YES ? Y/N

Ferdinand Magelan
(Name/Signature of person under investigation)

Witnesses:

1. Cardo C. Dalisay 2. Pedro Pandecoco

PCPL DENNIS F
FUERTE
(Name/Signature of Investigator)

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