Case Folder (Arrest and Booking Sheet)

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Republic of the Philippines

Department of the Interior and Local Government


PHILIPPINE NATIONAL POLICE
CAUAYAN CITY POLICE STATION
Cauayan, Isabela

PNP ARREST AND BOOKING SHEET


Picture (to be accomplished by the Arresting Officer)
2x2
FRONT VIEW 2021-09-001 November 8, 2021
BLOTTER ENTRY NR: DATE:

VERGARA ALFRED DE LEON


(Last Name) (First Name) (Middle Name)

ADDRESS: Brgy. Dadda, Amulung, Cagayan


TEL NO. POB AMULUNG, CAGAYAN DOB: 06/13/1996
MARITAL STATUS: SINGLE WIDOW/ER SEX: MALE
/ / SEPARATED
MARRIED FEMALE
AGE: 25 WEIGHT (lbs): 60kgs HEIGHT (Ft): 5’7 EYES: BLACK HAIR: BLACK
COMPLEXION: MEDIUM OCCUPATION: CONSTRUCTION NATIONALITY: FILIPINO
WORKER
ETHNIC GROUP: DIALECT/LANGUAGE: FILIPINO AND ENGLISH
HIGHEST EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE
NAME OF SCHOOL: TUCAL ELEMENTARY SCHOOL
LOCATION OF SCHOOL: SOLANO, NUEVA VIZCAYA
IDENTIFYING MARKS: MOLE TATOO BIRTHMARK SCAR
LOCATION OF IDENTIFYING MARKS:
PHYSICAL DEFORMITY/DEFECT:
DRIVER’S LIC NR: ISSUED AT: ON:
RES CERT NR: DATE AND PLACE OF ISSUE:
OTHER ID CARDS: ID NR:
ARREST INFORMATION:
OFFENSE CHARGE: ROBBERY
(NATURE OF OFFENSE) (CRIM/IS NO.)
MODUS OPERANDA: ALLEGEDLY WHITE CRYSTALLINE PACKED IN A SMALL SACHET
WHERE ARRESTED: Maharlika Highway, Brgy. Tagaran, Cauayan City, Isabela
DATE ARRESTED: NOVEMBER 8, 2021
ARRESTING OFFICER/S:
RANK: PATROLMAN NAME: RHEJIE P DOCTOR SIGNATURE:
RANK: PATROLMAN NAME: RAYMART PAUL F ALMONDIA SIGNATURE:
RANK: NAME: SIGNATURE:
MEDICAL EXAMINATION CONDUCTED AT:
BY: DR. ON:
REMARKS:
FINGERPRINT TAKEN BY: PSSG JOHN ANTHONY R ALMASCO
PHOTO TAKEN BY: PSSG JOHN ANTHONY R ALMASCO
INVESTIGATOR ON CASE: PSSG JOHN ANTHONY R ALMASCO
BOOKED BY (RANK/NAME/SIGNATURE): PSSG JOHN ANTHONY R ALMASCO
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:

PERSONAL INFORMATION:
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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