Sample Request Format For The Conduct of Medico Legal

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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE, NATIONAL CAPITAL REGION POLICE OFFICE
NORTHERN POLICE DISTRICT
VALENZUELA CITY POLICE STATION
Mac Arthur-Highway, Karuhatan, Valenzuela City
Telephone No. 8352-4000

MEMORANDUM

FOR : Chief, NPD Forensic Unit

FROM : Chief, SIU

SUBJECT : Request for SOCO

DATE : October 11, 2022

1. Request conducts medico-legal examination on the accompanying


specimen to determine the cause of death.

a) NATURE OF CASE: Shooting Incident

b) VICTIMS: 1. Rodrigo Santos De Guzman, male, 65 years old,


born on May 2, 1957, married, self-employed (deceased); and

2. Jasper Tan De Guzman, male, 34 years old, born


August 10, 1988, married, casino employee, both residents of No. 73 De Guzman
Compound, Eliseo St., Marulas, Valenzuela City (deceased)

c) SUSPECT: Ernesto Santos De Guzman, male, 72 years old, born


on January 31, 1950, resident of No. 73 De Guzman Compound, Eliseo St., Marulas,
Valenzuela City (At large)-brother of victim RODRIGO and uncle of victim JASPER.

d) T D P O: At around 1:30 PM of October 11, 2022 at No. 73 De


Guzman Compound, Eliseo St., Marulas, Valenzuela City.

2. Further request that this Station be furnished a copy of examination result


for our reference.

3. For consideration.

ROBIN DOMINGO SANTOS


Police Lieutenant

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