Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE

Dolores Municipal Police Station

Dolores, Eastern Samar
ARREST AND BOOKING SHEET
DATE:
FILE NO:
TIME BOOKED:
NAME:
______________________
AGE:
SEX: ____________
ADDRESS: _________________________________________________________________
OCCUPATION:
NATIONALITY: _______
RELIGION: __________
EDUCATIONAL ATTAINMENT: ________________________ DATE OF BIRTH: _______________
PLACE OF BIRTH: ___________________________________ COMPLEXION: ______________
COLOR OF HAIR: ___________ COLOR OF EYES: _______
HEIGHT: _______________
NAME AND ADDRESS OF NEAREST RELATIVE: _________________________________________
OFFENSE: _______________________________
TIME/DATE/PLACE OF ARREST: _____________________________________________________
ARRESTING OFFICERS:
FACTS KNOWN TO ARRESTING OFFICERS:

PERSON ARRESTED: __________________________

ARRESTING OFFICERS: ________________________

CHIEF OF OFFICE: _______________________

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FINGERPRINTED BY: ______________________________

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Republic of the Philippines

National Police Commission
Philippine National Police
Dolores Municipal Police Station
Dolores, Eastern Samar

BOOKING AND INFORMATION REPORT

BUENAVISTA
CHARLIE
MAYUGA
(LAST NAME)
(FIRST NAME)
(MIDDLE NAME)
ADDRESS: No. 56 1st Avenue, Barangay Lipunan ng Crame, Quezon City___________________
PLACE/DATE OF BIRTH: San Fernando La Union/May 29, 1977___________
TIME BOOKED: 1:00 P.M., May 30, 2007_______________________________________________
SEX: Male WEIGHT: 70 kg AGE: 30_ EDUCATIONAL ATTAINMENT: High School Graduate_____
RESIDENT CERTIFICATE NO./PLACE OF ISSUE: 15405667/Quezon City__________________
SCARS AND MARKS: None___________________________________
NAME AND ADDRESS OF FATHER: Martin M Buenavista/No. 56 1st Avenue, Barangay Lipunan ng
NAME AND ADDRESS OF MOTHER: Emy E Buenavista/No. 56 1st Avenue, Barangay Lipunan ng___
NAME AND ADDRESS OF NEAREST KIN: _____________________________________
OFFENSE CHARGED: MURDER
CC # 2027-17
ASST CITY PROS ROMMEL S MIRANDA
(Nature of Offense)
(Criminal Case)
(Court Prosecutor)
ARRESTED BY: SPO1 Robert L Lumabi and SPO1 Virgilio V Villanueva UNIT: Headquarters Support Servi
PLACE OF ARREST: Along 1st Avenue, Barangay Lipunan ng Crame, Quezon City_________________
DATE/TIME OF ARREST: May 30, 2007/10:20 AM____________________________________
BOOKED BY: PO2 Edna C Tanawe BRANCH/SECTION: Investigation Division_______________
DISTRIBUTION:
1 - Investigation
1 - Intelligence
1 - Operation

_______________________________________
Signature of Person Arrested
_______________________________________

Arresting Officers
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Republic of the Philippines

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE

Dolores Municipal Police Station

Dolores, Eastern Samar

BOOKING AND INFORMATION REPORT

(LAST NAME)
(FIRST NAME)
(MIDDLE NAME)
ADDRESS: ______________________________________________________________________________
PLACE/DATE OF BIRTH: _________________________________________________________________
TIME BOOKED: ________________________________________________________________________
SEX: _____ WEIGHT: ____AGE: ____ EDUCATIONAL ATTAINMENT: ___________________________
RESIDENT CERTIFICATE NO./PLACE OF ISSUE:______________________________________________
SCARS AND MARKS: ______________________________________________________________
NAME AND ADDRESS OF FATHER: _________________________________________________________
NAME AND ADDRESS OF MOTHER: _______________________________________________________
NAME AND ADDRESS OF NEAREST KIN: ___________________________________________________
OFFENSE CHARGED:
CC #__________________________________________
(Nature of Offense)
(Criminal Case)
(Court/Prosecutor)
ARRESTED BY: __________________________________________________________________________
PLACE OF ARREST: ______________________________________________________________________
DATE/TIME OF ARREST: __________________________________________________________________
BOOKED BY: _______________________ BRANCH/SECTION: _________________________________
DISTRIBUTION:
1 - Investigation
1 - Intelligence
1 - Operation

_______________________________________
Signature of Person Arrested
_______________________________________

Arresting Officers
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Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
Philippine National Police
Headquarters Support Service
Base Police Office
Camp Crame, Quezon City

BOOKING AND INFORMATION REPORT

(LAST NAME)
(FIRST NAME)
(MIDDLE NAME)
ADDRESS:
________________________________________________________________________________
PLACE/DATE OF BIRTH:
_____________________________________________________________________
TIME BOOKED:
____________________________________________________________________________
SEX: _____ WEIGHT: ____AGE: ____ EDUCATIONAL ATTAINMENT: ____________________________
RESIDENT CERTIFICATE NO./PLACE OF ISSUE: ______________________________________________
SCARS AND MARKS:
_______________________________________________________________________
NAME AND ADDRESS OF FATHER:
____________________________________________________________
NAME AND ADDRESS OF MOTHER:
____________________________________________________________
NAME AND ADDRESS OF NEAREST KIN:
________________________________________________________
OFFENSE CHARGED:
______________________
________________________
(Nature of Offense)
(Criminal Case)
(Court Prosecutor)
ARRESTED BY:
____________________________________________________________________________
PLACE OF ARREST:
_________________________________________________________________________
DATE/TIME OF ARREST:
_____________________________________________________________________
BOOKED BY: _______________________ BRANCH/SECTION: _____________________________
DISTRIBUTION:
1 - Investigation
1 - Intelligence
1 - Operation

_______________________________________
Signature of Person Arrested
_______________________________________

Arresting Officers
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