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Republic of the Philippines National Police Commission Philippine National Police Antique Police Provincial Office BELISON MUNICIPAL POLICE STATION Belison, Antique Web page: Belison.pro6pnp.gov.ph Email add: Belison_policestation@yahoo.com
(To be accomplish by Coordinating Unit) a. Date/Time of Coordination: b. Coordinating Unit: c. Team Leader: Rank Surname First Name MI Designation
d. Number of Personnel Involved: e. Description of Vehicles Involved: NR 1 2 3 f. Nature of Operations: TYPE MAKE COLOR PLATE NR
g. Duration of Operations: Signature II. (To be accomplished by receiving Territorial Police unit) a. Date/Time Received: b. Name of Receiving Personnel: Rank c. Name of receiving Unit: Surname First Name MI Designation
Note: (To be Accomplished in Three (3) copies)