Philippine National Police

IRF ENTRY NUMBER : TYPE OF INCIDENT : Others COPY FOR :

118305-201708-3094 CONSUMATED VIOLATION OF PD 1602 COMPLAINANT

INSTRUCTIONS: Refer to PNP SOP on Recording of Incidents in the Police Blotter in filling up this form. This Incident Record Form (IRF) may be reproduced, photocopied, and/or
downloaded from the DIDM website, www.didm.pnp.gov.ph.
DATE AND TIME REPORTED : DATE AND TIME OF INCIDENT : PLACE OF INCIDENT: BARANGAY, TOWN/CITY, PROVINCE :

2017-08-08 14:24:00 2017-08-08 13:30:00 Tigatto, PS 05 Buhangin, DAVAO CITY

ITEM "A" - REPORTING PERSON
FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Delos Reyes Reglin

CITIZENSHIP : GENDER : ADDRESS :

FILIPINO M PS5 BUHANGIN, Buhangin (Pob.), PS 05 Buhangin, DAVAO CITY, Davao Region

ITEM "B" - SUSPECT'S DATA

FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Nodalo Noel Ledesma Unidentified

CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH :

FILIPINO M 31
ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

Phase 4 NCCC Relocation Jade Valley Tigatto PS 05 Buhangin DAVAO CITY

HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO VICTIM :

RANK (IF AFP/PNP PERSONNEL) : UNIT ASSIGNMENT : GROUP AFFILIATION : WITH PREVIOUS CRIMINAL RECORD : STATUS OF PREVIOUS CASE :

NO
HEIGHT : WEIGHT : COLOR OF EYES : COLOR OF HAIR : DISTINGUISHING MARKS : UNDER THE INFLUENCE :

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN : GUARDIAN ADDRESS :

FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Ladao Ricky Moso Unidentified

CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH :

FILIPINO M 34
ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

purok 3 San Vicente Jade Valley Entrance road Tigatto PS 05 Buhangin DAVAO CITY
HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO VICTIM :

RANK (IF AFP/PNP PERSONNEL) : UNIT ASSIGNMENT : GROUP AFFILIATION : WITH PREVIOUS CRIMINAL RECORD : STATUS OF PREVIOUS CASE :

NO
HEIGHT : WEIGHT : COLOR OF EYES : COLOR OF HAIR : DISTINGUISHING MARKS : UNDER THE INFLUENCE :

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN : GUARDIAN ADDRESS :

FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Enemento Patrick Pareñas Unidentified

CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH :

FILIPINO M 19
ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

Purok 3 San Vicente Jade Valley Tigatto PS 05 Buhangin DAVAO CITY

HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO VICTIM :

RANK (IF AFP/PNP PERSONNEL) : UNIT ASSIGNMENT : GROUP AFFILIATION : WITH PREVIOUS CRIMINAL RECORD : STATUS OF PREVIOUS CASE :

NO
HEIGHT : WEIGHT : COLOR OF EYES : COLOR OF HAIR : DISTINGUISHING MARKS : UNDER THE INFLUENCE :

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN : GUARDIAN ADDRESS :

FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Luciano Andress Paliwa Unidentified

CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH :
 FILIPINO M 53
ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

Purok 3 San Vicente Jade Valley Tigatto PS 05 Buhangin DAVAO CITY

HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO VICTIM :

RANK (IF AFP/PNP PERSONNEL) : UNIT ASSIGNMENT : GROUP AFFILIATION : WITH PREVIOUS CRIMINAL RECORD : STATUS OF PREVIOUS CASE :

NO
HEIGHT : WEIGHT : COLOR OF EYES : COLOR OF HAIR : DISTINGUISHING MARKS : UNDER THE INFLUENCE :

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN : GUARDIAN ADDRESS :

ITEM "C" - VICTIM'S DATA

FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH : PHONE NUMBER :

ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO SUSPECT :

 ITEM "D" - NARRATIVE OF INCIDENT
DATE AND TIME REPORTED : DATE AND TIME OF INCIDENT : PLACE OF INCIDENT: BARANGAY, TOWN/CITY, PROVINCE :

2017-08-08 14:24:00 2017-08-08 13:30:00 Tigatto, PS 05 Buhangin, DAVAO CITY, DAVAO CITY
THE NARRATIVE OF THE INCIDENT OR EVENT, ANSWERING THE WHO, WHAT, WHEN, WHERE, WHY AND HOW OF REPORTING.

On or about 1:30 pm August 8, 2017 elements of this office led by PCI JACK LEON TILCAG officer in charge together with PO3 Allan
Poe, PO3 Jerwin Gasta, PO1 Ariel Macaraeg, PO1 Reglin Delos Reyes, PO1 Deo Archie Balana and PO2 Erwin Labiaga apprehended
the persons of 1. Noel Nodalo Y Ledesma, male, 31 years old, taxi driver, grade 4 level a native of Digos and a resident of Phase 4
NCCC Relocation Jade Valley, 2. Ricky Ladao Y Moso, 34 years old, male, married, driver a native of Nabunturan, Comval a resident of
purok 3 San Vicente Jade Valley Entrance road, 3. Patrick Enemento Y Pareñas, 19 years old, male, laborer a native of Malita Davao
Occidental and a resident of Purok 3 San Vicente Jade Valley Tigatto Buhangin Davao City, 4. Andress Luciano Y Paliwa, 53 years old,
male, married, a native of Parañaque, Manila, a resident of Purok 3 San Vicente Jade Valley Tigatto Buhangin Davao City. Same
person was caught in the act of playing card games "tong its" at purok 3 San Vicente Jade Valley Road Tigatto Buhangin Davao City,
confiscate from their position and control were the following; 1. one set of playing cards (52 pcs pacquiao cards) 2. casing of playing
cards, 3. Bet money one hundred ninety five pesos (195.00) in different denomination, 3 pcs of plastic chair and 1 pcs of plastic table.
Case refer to IS.

I HEREBY CERTIFY TO THE CORRECTNESS OF THE FOREGOING NAME OF REPORTING PERSON : SIGNATURE OF REPORTING PERSON :
TO THE BEST OF MY KNOWLEDGE AND BELIEF.

SUBSCRIBED AND SWORN TO BEFORE ME NAME OF ADMINISTERING OFFICER(DUTY OFFICER) : SIGNATURE OF ADMINISTERING OFFICER(DUTY OFFICER) :

RANK, NAME AND DESIGNATION OF POLICE OFFICER (WHETHER HE/SHE IS THE DUTY SIGNATURE OF DUTY INVESTIGATOR/INVESTIGATOR ON CASE/ASSISTING POLICE OFFICER :
INVESTIGATOR, INVESTIGATOR ON CASE OR THE ASSISTING POLICE OFFICER)

RANK/NAME OF DESK OFFICER: SIGNATURE OF DESK OFFICER : BLOTTER ENTRY NR:

INCIDENT RECORDED IN THE BLOTTER BY:

REMINDER TO REPORTING PERSON

Keep the copy of this Incident Record Form (IRF). An update of the progress of the investigation of the crime or incident that you reported
will be given to you upon presentation of this IRF. For your reference, the data below is the contact details of this police station.

Name of Police Station PS 05 BUHANGIN, DAVAO CPO, PRO 11 Telephone

Investigator-on-Case PO3 Ronnie Relator Mobile Phone 09178337435

Name of Chief/Head of Office JACK LEON TILCAG Mobile Phone