PNP BOOKING FORM 2

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 7
BOHOL PROVINCIAL POLICE OFFICE
Picture San Isidro Police Station
2x2 San Isidro, Bohol
FRONT VIEW
PNP ARREST AND BOOKING SHEET
(to be accomplished by the Arresting Officer)

BLOTTER ENTRY NR: ____________ DATE: _____________

________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
ADDRESS: _______________________________________________________________________
TEL NO._______________________ POB ______________________ DOB ___________________
MARITAL STATUS: SINGLE WIDOW/ER SEX: MALE
MARRIED SEPARATED FEMALE
AGE: ________WEIGHT: __________HEIGHT: _________EYES:___________HAIR:____________
COMPLEXION: ___________OCCUPATION: _____________________NATIONALITY:___________
HIGHEST EDUCATIONAL ATTAINMENT: _______________________________________________
NAME OF SCHOOL: ________________________________________________________________
LOCATION OF SCHOOL: ____________________________________________________________
IDENTIFYING MARKS/CHARACTERISITICS: ____________________________________________
DRIVER’S LIC NR: ________________________ISSUED AT: ______________ ON: _____________
RES CERT NR:: __________________ DATE AND PLACE OF ISSUE: _______________________
OTHER ID CARDS: _______________________________________________ID NR:____________
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: ________________________________________________________________
OFFENSE CHARGE:__________________________________________ ____________________
(NATURE OF OFFENSE) (CRIM/IS NO.)
WHERE ARRESTED: _______________________________________________________________
DATE ARRESTED: ______________________________________ TIME: ____________________
NAME OF ARRESTING OFFICER/S: ___________________________________________________
________________________________________________ UNIT: ___________________________
MEDICAL EXAMINATION CONDUCTED AT: ______________________________________________
BY: DR. ___________________________________________________ ON: _____________________
FINGERPRINT TAKEN BY: __________________________________________________________
PHOTO TAKEN BY: ________________________________________________________________
ARRESTING OFFICER _____________________________________________________________
Rank Name Signature
DUTY INVESTIGATOR: _____________________________________________________________
BOOKED BY (RANK/NAME/SIGNATURE): ______________________________________________
SIGNATURE OF PERSON ARRESTED: ________________________________________________
(INDICATE IF SUSPECT REFUSE TO SIGN)
RIGHT HAND

THUMB INDEX MIDDLE RING LITTLE

LEFT HAND
(ATTACHED: MEDICAL EXAM; MUG SHOTS; TENPRINTS OF SUSPECTS)
D:\cedec\DIDM FORMS\Arrest and Booking Form.doc