You are on page 1of 4

Saint Marys University

School of Teachers Education and Humanities


Department of Criminology

__________
__________________________
__________________________

A. Age: 18
B. Birth date: August 13, 1998
C. Birth place: lusod, Maddela, Quirino
D. Home address: lusod, Maddela, Quirin
E. Boarding house address: Purok 3, Sta. Rosa, Bayombong, Nueva Viscaya
F. Name of land lady: Bernaliza D. Baroma
G. Name of boarding house:
H. Contact number: 0906 921 4314
I. Facebook name: Charmagne Lheezl Macutay
J. Email add: Lheezl@yahoo.com

K. Parents
1) Father
Name: Magno Abad Macutay
Home address: Lusod, Maddela, Quirino
Occupation: Retired Philippine Army, Farmer
Position rank:
Place of work: Maddela, Quirino
Date of birth: April 9, 1967
Date of Death (if dead):
FB Name (if any):
Email Add (if any):
Contact number:
2) Mother
Name: Anna Ruth Baroma Macutay
Home address: Lusod, Maddela, Quirino
Occupation: House Keeper
Position rank: none
Place of work: none
Date of birth: June 23, 1997
Date of Death (if dead):
FB Name (if any): Anna Ruth Baroma Macutay
Email Add (if any):
Contact number: 09156371399

L. Marriage of Parents (if married)


Date: October 21, 1995
Place: Saint Vincent Ferrer Parish, Poblacion Sur, Maddela, Quirino

M. Siblings
1) First Child
Name: Mc Rodney Baroma Macutay
Age: 20
Address: Lusod, Maddela, Quirino
Occupation and/or rank (if any):
Place of work (if any):
Name of husband/Wife (if married):
Number of children (if any):
FB Name: Mc Rodney Macutay
Email Add:
2) Second Child
Name: Charmagne Lheezle Baroma Macutay
Age: 18
Address: Lusod, Maddela, Quirino
Occupation and/or rank (if any):
Place of work (if any):
Name of husband/Wife (if married):
Number of children (if any):
FB Name: Charmagne Lheezl Macutay
Email Add: Lheezl@yahoo.com
3) Third Child
Name: Eizzle Gyanne Baroma Macutay
Age: 13
Address: Lusod, Maddela, Quirino
Occupation and/or rank (if any):
Place of work (if any):
Name of husband/Wife (if married):
Number of children (if any):
FB Name: Eizzle Baroma Macutay
Email Add: Eizzlegyanne.macutay@yahoo.com
4) Fourth Child
Name: Mark Ndrei Macutay
Age: 11
Address: Lusod, Maddela, Quirino
Occupation and/or rank (if any):
Place of work (if any):
Name of husband/Wife (if married):
Number of children (if any):
FB Name: Marc Ndrei Macutay
Email Add:

N. Friends
1) Best friend
Name: Azzaleyah Zuen H. Tolentino
Home address: Villaverde, Nueva Viscaya
Boarding house address: Don Mariano Marcos, Bayombong, Nueva Viscaya
Name of Boarding house: Arellano Boarding house
Name of land lord/lady:
Contact number:
2) Other friends
Name: Johanne Barbra Abu
Home address:District 4 Bayombong, Nueva Viscaya
Boarding house address:
Name of Boarding house:
Name of land lord/lady:
Contact number:
O. Boyfriend/Girlfriend or Target
A. Original
Name: NONE
Age:
Course and year level (if student)
Name and place of school:
Home address:
Boarding house address:
Name of land lady/lord:
Contact number:
FB Name:
Email Add:
B. Other Boyfriend/Girlfriend
Name: NONE
Age:
Course and year level (if student)
Name and place of school:
Home address:
Boarding house address:
Name of land lady/lord:
Contact number:
FB Name:
Email Add:

P. Hobbies of Subject: Singing, Dancing, Painting, Putting on Cosmetics


Q. Physical Description: charmagne is chubby and Pretty. She weighs around 65 Kilogram
and a height of like 5.8. She has a short hair, big nose. The color of her skin is light
brown
R. Personality Description:

S. Other secret information


1) Secret information as to the person personal life:
2) Secret information as to person school life:

Attachments:
1. Whole body picture of the subject
2. Picture in frequent places
3. Picture of subject house boarding house
4. Picture of parents
5. Picture of subject siblings
6. Picture of subject BF/GF
7. Picture of subject friends
8. Other pertinent document or picture to prove the reliability and truthfulness of the secret
information as stated in letter S.

You might also like