PNP BOOKING FORM 2 – “Arrest and Booking Form”

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________

PNP ARREST AND BOOKING SHEET

(to be accomplished by the Arresting Officer)

BLOTTER ENTRY NR: ____________ DATE:

_DECEMBER 6, 2021___
PERSONAL INFORMATION:
____________ASAN_______________BRIXTER__________________
DUMAÑINA___________________________________
(Last Name) (First Name)
(Middle Name)
ADDRESS: _ ___________LANTON APOPONG GENERAL SANTOS
CITY
TEL NO.__NONE_____________________ POB _PRK 3 LANTON
APOPONG_____________________ DOB ___________________
MARITAL STATUS: SINGLE WIDOW/ER SEX: MALE
MARRIED SEPARATED FEMALE
J
AGE: _23____ WEIGHT (lbs): __125________HEIGHT (Ft):5’5
________EYES:__BLACK_________HAIR:__BLACK_______
COMPLEXION:FAIR ____________OCCUPATION:
__JOBLESS____________NATIONALITY:_FILIPINO________________
ETHNIC
GROUP_BISAYA______________________DIALECT/LANGUAGE__BISAYA,TAGALOG___________
_____
HIGHEST EDUCATIONAL ATTAINMENT:
_COLLEGE______________________________________________
NAME OF SCHOOL: _CRONASIA FOUNDATION COLLEGE
INC._______________________________________________________________
LOCATION OF SCHOOL: PENDATON
AVENUE.____________________________________________________________
IDENTIFYING MARKS: MOLE TATOO BIRTHMARK SCAR

5
LOCATION OF IDENTIFYING MARKS__scars of
nose________________________________________________
PHYSICAL DEFORMITY/DEFECT none____________________________________________________
DRIVER’S LIC NR: __none______________________ISSUED AT: ______________ ON:
_____________
RES CERT NR: __________________ DATE AND PLACE OF ISSUE: ________________________
OTHER ID CARDS: ___none____________________________________________ID NR:
____________
ARREST INFORMATION:
OFFENSE CHARGE:_FRUSTRATED HOMICIDE_________________________________________
____________________
(NATURE OF OFFENSE) (CRIM/IS NO.)
MODUS OPERANDA:_______________________________________________________________
WHERE ARRESTED: __LANTON PRK3 APOPONG GENERAL SANTOS
CITY_____________________________________________________________
DATE ARRESTED: ___DECEMBER__4,2021_________________________________ TIME:
____________________
ARRESTING OFFICER/S:
Rank:________Name:____SPO3.DANNY T. AGAEL
JR.__________________________Signature:_____________________
Rank:________Name:______________________________Signature:_____________________
Rank:________Name:______________________________Signature:_____________________
SIGNATURE___________________________________ UNIT: ______________________________

MEDICAL EXAMINATION CONDUCTED AT: ____________________________________________

BY: DR. ___________________________________________________ ON: ___________________
REMARKS:_____________________________________________________________________
FINGERPRINT TAKEN BY: _SPO2.ALBERTO
ROMAN_________________________________________________________
PHOTO TAKEN BY: __SPO2.ALBERTO
ROMAN______________________________________________________________
INVESTIGATOR ON CASE:___________________________________________________________
BOOKED BY (RANK/NAME/SIGNATURE): ______________________________________________
SIGNATURE OF PERSON ARRESTED: _______________________________________________
(INDICATE IF SUSPECT REFUSE TO SIGN)
OTHER INFORMATION:
NAME OF FATHER: __REY ROBLES
ASAN___________________________________________________ AGE:50 _____
ADDRESS: __LANTON APOPONG GENERAL SANTOS
CITY_____________________________________________________________________
NAME OF MOTHER: _ROSELLA DUMALINA
ASAN___________________________________________________ AGE: _51_____
ADDRESS: _LANRON APOPONG GENERAL SANTOS
CITY______________________________________________________________________
NAME & ADDRESS OF PERSON TO BE CONTACTED IN CASE OF EMERGENCY:
NAME: __ROSELLA DUMALINA ASAN________________________________________________
RELATIONSHIP: __MOTHER_______
ADDRESS: _____________________________________________ TEL # _____________________
LAWYER: _________________________________________ TEL #: _________________________
DOCTOR: _________________________________________ TEL #:_________________________
HEALTH PROBLEM:
___NONE_____________________________________________________________

NOTE: USE THE PNPCL FORM 452-038 (STANDARD TEN PRINT CARD) TO TAKE THE TENPRINT
OF THE SUSPECT FOR EVENTUAL SUBMISSION TO PNPCL-AFIS

(ATTACH THE MEDICAL EXAM RESULT; MUG SHOTS; TENPRINTS OF SUSPECT)