Republic of the Philippines

NATIONAL POLICE COMMISSION

NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Kayang Street, Baguio City
Telefax No. 723-01187, Cell phone Number 09109897307

POLYGRAPH REQUEST FORM (PRF)

The Director
Crime Laboratory, University of the Cordilleras
College of Criminal Justice Education, Baguio City
Attn: Chief, Polygraph Division

Sir,
Respectfully requesting your good office to conduct Polygraph Examination on the following
person/s to wit:

Name of subject/s:

1. LYSANDER S. LLANETA 3. __________________________________

2. ______________________________ 4. __________________________________

Name and Signature of Investigator and Unit/Person/Company/Agency Requesting:

PEMS. ROBIN S. PADILLA

0955 563 0048
Telephone/Cellphone No.

Purpose of Polygraph Examination:

√ For Investigation For Insurance Claims For Employment Others. pls. Specify
_________________
This case was first referred to:
____ National Bureau of Investigation (NBI) Copy of result submitted No copy of Result
Submitted
____ Private Company/Security Agency. pls. specify __________________________________
Copy of result submitted No copy of result submitted
____ None of this is the first time. Remarks: __________________________________________

A. Requirement/ Document Submitted:

√ a. Initial Investigation Report/ Facts of the Case ___ d. S.S. of Suspects/ Witness/es
___ b. Background/ Summary of the Case/ Synopsis ___ e. Others. Pls. Specify _________
___ c. S.S. of Victim or Complainant
___ f. if none, submit or fax Facts of the Case BEFORE the scheduled date of exam

B. Time and Date of Polygraph Examination: 10:00 AM / NOVEMBER 10 , 2019

Re-scheduled on: N/A by: N/A
C. The subject must observe the following on the day of the polygraph examination:
a. Had eaten heavy breakfast prior to the test; d. At least four (4) hours sleep;
b. No smoking, prior to the test; e. No temporary illness; and
c. Co alcoholic beverages, 12 hours prior to the test; f. Not pregnant (for females)

Note: Subjects must wear decent clothes. (No wearing of sando, sleeveless, shorts
and slippers)
Subject must bring NOT EXPIRED VAID ID (with picture) on the day of the
scheduled examination
D. Results of Polygraph Examination

a. Polygraph report will be released two (2) days after all the examination on the persons indicated
the request have been completed.
b. Bring PRF for claiming the Official Report.
c. Bring two (2) copies of authorization letter and valid ID if claim will be made thru representative.

E. Cancellation of Request for polygraph Examination

a. Telephone/ Letter of Cancellation/ Personal Appearance on N/A

by: N/A received by: N/A
F. I hereby certify that the items listed above were understood and explained to me by the Duty
Receiving Polygraph Personnel.

Signature: __________________ Date: NOVEMBER 7 2019

Form No: 60319

Revision No: 50318

POLYGRAPH EXAMINATION
WAIVER AND RELEASE OF LIABILITY
ID Presented: Postal ID
ID No.: B29180023672

I Lysander S. Llaneta, voluntarily and consciously agree to be interviewed and to undergo polygraph
examination by examiners of Polygraph Division/Section PNP Crime Laboratory. I understand that I am
entitled to the following rights in the conduct of polygraph examination:
 1. I may refuse to be interviewed or examined and, if so, I hereby authorize the Examiner/
Technician PNP Crime Laboratory to inform PEMS. ROBIN S. PADILLA of my refusal.

2. I may consult a lawyer, my parent(s), relatives or guardians prior to the interview and polygraph
examination.

3. The interview / and or polygraph examination will be terminated at any time I upon my request
and, if so, I hereby authorize Polygraph Division/ Section PNP Crime Laboratory to inform the
requester of my request.

4. All questions to be asked in the polygraph examination will be discussed with me prior to the
actual testing.

5. No questions pertaining to sexual conduct, obscene or offensive to chastity, or morals or decency

will be asked during the interview and/ or the polygraph examination, unless relevant or
necessary in the investigation.

6. I will not be asked any questions pertaining to my religion or political beliefs unless relevant or
necessary in the investigation.

7. I have a right to receive a copy of this “Waiver and Release of Liability” upon request.

I hereby authorize the polygraph examiners of Polygraph Division/Section PNP Crime Laboratory to
disclose to the polygraph requester any information, conclusions, and opinions arising out of or connected
with my interview and polygraph examination, even though such information, conclusions, and opinions
may be unfavorable or may result with adverse consequences to me.

I hereby release and discharge the examiners/ technician or personnel of Polygraph Division/Section PNP
Crime Laboratory and the requester including the investigator-on-case, personnel, representatives,
officers, and managers, from all liability and from each and every demand, claim, or cause of action
existing, or which may hereafter arise, resulting directly/ indirectly from the conduct of my interview and/
or polygraph examination and/ or publication, communication or dissemination of any information,
conclusion, and opinions arising out of or connected with my interview and/ or polygraph examination.

Highest level of education completed: COLLEGE GRADUATE

Given sufficient time to deliberate by signing below, I have carefully read, acknowledge, and fully
understand that I have personally reviewed and completed this “Waiver of Release and Liability”.
My agreement to undergo interview and polygraph examination is given without threats, promises of
leniency or immunity, reward or favoritism, duress, pressure or force, and clemency. I believe that
cooperation with Polygraph Division/Section PNP Crime Laboratory is the best of my own interest.

LYSANDER S. LLANETA 1:30 PM/NOVEMBER 08, 2019

Print Name and Signature Time and Date Signed

Form No.: 60319

Signature of Examiner/ Technician ______________________________ Revision No.: 50318
 Republic of the Philippines
UNIVERSITY OF THE CORDILLERAS
COLLEGE OF CRIMINAL JUSTICE EDUCATION
CRIME LABORATORY
West Burnham Park, Legarda Road, Baguio City
Telefax No, 723-01187, Cell Phone No. 0910 989 7307

POLYGRAPH SUBJECT NO. CL1-00-19

PERSONAL IDENTIFICATION PHOTO

Name : LYSANDER S. LLANETA

Gender : Male
Date of Birth : December 25 1987
Civil Status : Single
ID Presented : Postal I.D
Address : 3rd Road, Palma Street, Baguio City

EXAM INFORMATION SIGNATURE AND FINGERPRINT

Case No : 0955-56
Requester : PEMS. ROBIN S. PADILLA
Time/ Date Rcvd : 4:30 PM / NOVEMBER 08, 2019
Nature of Case : HOMICIDE
Exam Location : University of the Cordilleras
SECTION 1: PURPOSE OF EXAMINATION

The main issue under consideration for the polygraph examination was whether or not the examinee was
telling the truth to the pertinent questions listed under Section 3 of this report.

SECTION 2: PRE-TEST INTERVIEW

On NOVEMBER 10 2019, MR. LYASANDER S. LLANETA arrived and voluntary submitted to a

polygraph examination. The following were read, completed, and voluntary signed by the examinee:

 Polygraph Consent form

 Personal Data of the Subject

During the pre-test interview, MR. LYASANDER S. LLANETA read the contents of the above forms
which he/she understood, signed and agreed to the test, waiving the rights set forth in the documents. The
examinee was fully advised that the entire examination would be recorded using both audio and video. In
the opinion of the examiner, MR. LYASANDER S. LLANETA was suitable for polygraph testing.

On the pre-test interview, the examiner discussed and thoroughly reviewed all the test examinee an
opportunity to ensure that he/she completely understands the questions before the onset of the testing
phase.

SECTION 3: IN- TEST PHASE

A Lafayette Computerized Polygraph System, Model LX4000 was used for the collection of polygraph
test data. This instrument makes a continuous recording of autonomic responses associated with
respiration, electro dermal activity, and cardiovascular functioning. The instrument also includes activity
sensors designed to record peripheral behavior activity and cooperation during the examination. A
functional check prior to the examination confirmed the instrument was in proper working order.

The following Relevant questions were asked during the Polygraph examination.

 Relevant Question 1 “Where were you at the time of the commission of the crime?”
 Relevant Question 2 “Are you the one who killed the victim?”
 Relevant Question 3 “Have you saw the victim anywhere else in the city?”
 Relevant Question 4 “Have you in any way interacted with the victim?”

SECTION 4: RESULT

FINDINGS:

 Using the ACEV (Analysis, Comparison, Evaluation and Verification) method, reveled presence
of specific responses of the subject on relevant questions. Deviations from the normal responses
of the subject indicated signs of deception.

CONCLUSION:
 The subject is deceptive.

SECTION 5: POST TEST INTERVIEW

 No post-test interview was conducted on LYSANDER S. LLANETA
REMARKS: This case of Homicide has only one subject for polygraph examination

TIME AND DATE COMPLETED: 10:00 AM, November 12, 2019

EXAMINED BY:
PEMS. ALDANA, LAY PAUL L.
Polygraph Examiner

APPROVED BY:
PMAJ. JACK E. BAGBAGA
Chief of Polygraph Examination Unit

NOTED BY:
PMAJ. REY P. NYOKO
Regional Chief of Crime Laboratory

PERSONAL DATA OF SUBJECT

Polygraph Subject No. CL1-001-19

LLANETA LYSANDER SOJIE

Last Name First Name Middle Name
Age: 32 Gender: Male Civil Status: Single
Number of Children: N/A Son: N/A Daughter: N/A
rd
Present Address: 3 Road, Palma Street, Baguio City Years Stayed: 3 years
Provincial Address: Itogon, Benguet Religion: Roman Catholic
Date of Birth: December 25, 1987 Place of Birth: Baguio City
Citizenship: Filipino Height: 5’4” Weight: 57 kg Built: Medium
Complexion: Fair Occupation: Entrepreneur
Name of Company/ Agency: N/A Address: N/A
No. of Years Employed:N/A Education: College Graduate
Course: BS Business Administration
Hobbies: Reading Books and Playing Basketball
Previous Polygraph Examination: Yes ( ) No ( √ )
When: N/A Where: N/A Purpose: N/A
Remarks: N/A
Previous Hospitalization: N/A When: N/A Why: N/A
Time Slept Last Night: 9 o’clock pm Time Woke Up: 5 o’clock am
Last Meal Taken: Vegetables, Rice and Egg Time: 9 o’clock am
Wine Taken: N/A Quantity: N/A Time: N/A
Cigarette Smoked: ( ) Yes (√) No If yes, how many stick/s: N/A
Time: N/A_______
Medicine Taken: N/A Dosage: N/A Time: N/A
Physical Condition: Subject alleged to feel well today. Yes (√) No ( ) If no, Subject alleged to have :
N/A Signature: N/A Time and Date N/A
If unfit subject is re-scheduled at 7:30 AM N/A Remarks: N/A

======================================================================
For Retest/ Re-Scheduled Subject For Retest/ Re-Scheduled Subject
DATE: N/A DATE: N/A
TSLN: N/A TSLN: N/A
TSWU: N/A TSWU: N/A
LMT: N/A LMT: N/A
Time: N/A Time: N/A
PC: Subject alleged to feel well today. Yes ( √ )No ( ) PC: Subject alleged to feel well today. Yes ( √ ) No ( )
If no, Subject alleged to have _____________ If no , Subject alleged to have ______________
Signature: ______________ Signature: ______________
Time and Date: ____________ Time and Date: ____________

================================================================
(OPTIONAL) For Doctor’s Only: Initial Findings: ________________________________
Doctor’s Diagnosis: _________________________________________________________
Doctor’s Comment: ( ) Fit for polygraph test ( ) Unfit for polygraph test
Doctor’s Name and Signature: ____________________ Time and Date: __________

======================================================================

For Polygraph Examiner’s Only

During the test, subject is Cooperative (√) Uncooperative ( ) Failed to follow instructions( )
Remarks: The subject is Cooperative
After the test, subject. Inquire about the results ( ) Wait for instruction to leave (√)
Leave room immediately ( )
Remarks: The Subject waited for instruction before leaving.

For Subject: The polygraph examination having been completed, I confirm that I took the examination
voluntarily, that I was well treated, and that I remained of my own free will, having been advised that I
could leave the examination at any time.

Signature: ________________________ Time and Date: 11:30 November 10, 2019

Examined by: PEMS. LAY PAUL L. ALDANA Date: NOVEMBER 10, 2019
Retest by: _________________________________ Date: _____________________

Form No: 60319

Revision No: 50318
POLYGRAPH EXAMINATION
(Lysander S. Llaneta)

Submitted To:
Ms. Djoana May P. Aoas

Submitted By:
Aldana, Lay Paul L.
Dacsic, Kennenth Moises A.

Criminalistics 6
M,TH (3:30 PM-7:30 PM)

NOVEMBER 21, 2019

 TABLE OF CONTENTS

REQUEST LETTER--------------------------------------------------A

WAIVER AND RELEASE OF LIABILITY-------------------------B

PERSONAL DATA SHEET-----------------------------------------C

POLYGRAPH RESULT---------------------------------------------D