Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 7
Regional Special Operations Group
Camp Sergio Osmeña Sr., Cebu City

Picture
2x2 PNP ARREST AND BOOKING SHEET
FRONT VIEW

BLOTTER ENTRY NR: ____________ DATE: _____________

PERSONAL INFORMATION:
_________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
ADDRESS: _______________________________________________________________________________
TEL NO._______________________ POB ______________________________ DOB ___________________
MARITAL STATUS: SINGLE WIDOW/ER SEX: MALE
MARRIED SEPARATED FEMALE
AGE: ________ WEIGHT (lbs): ____________HEIGHT (Ft): __________EYES:___________HAIR:_________
COMPLEXION: ____________OCCUPATION: _____________________NATIONALITY:_________________
ETHNIC GROUP____________________________DIALECT/LANGUAGE_____________________________
HIGHEST EDUCATIONAL ATTAINMENT: ______________________________________________________
NAME OF SCHOOL: _______________________________________________________________________
LOCATION OF SCHOOL: ___________________________________________________________________
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:__________________________________________ ___________________________
(NATURE OF OFFENSE) (CRIM/IS NO.)
MODUS OPERANDA:______________________________________________________________________
WHERE ARRESTED: ______________________________________________________________________
DATE ARRESTED: ______________________________________ TIME: ___________________________
ARRESTING OFFICER/S:
Rank:________Name:__________________________________Signature:________________________
Rank:________Name:__________________________________Signature:________________________
Rank:________Name:__________________________________Signature:________________________
SIGNATURE_____________________________________ UNIT: ___________________________________

MEDICAL EXAMINATION CONDUCTED AT: ____________________________________________________

BY: DR. __________________________________________________________ ON: ___________________
REMARKS:____________________________________________________________________________
FINGERPRINT TAKEN BY: __________________________________________________________________
PHOTO TAKEN BY: _______________________________________________________________________
INVESTIGATOR ON CASE:_________________________________________________________________
BOOKED BY (RANK/NAME/SIGNATURE): _____________________________________________________
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: _______________________________________________________________________