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SECRET

INFORMATION REPORT SAMPLE ONLY


(PNP DI Form 004A)

1.FILE NUMBER PECU ABRA 2022-01


2.REFERENCE Update on LLO Projected Assembly
3.SUBJECT LLO Activities
4.DATE OF REPORT June 13, 2022
5.REPORTER PSSg William Kimmayong
6.DESIGNATION/UNIT Intel PNCO/ EODK9G
7.EVALUATION B2Y
8.SOURCE OF INFORMATION Complete name
9.DATE ACQUIRED June 13, 2022
10.MANNER ACQUIRED Info acquired thru SMS/phone call from source

11.INFORMATION PROPER:
Information received that the LLO projected assembly conducted was the Apit
Tako 5th general assembly held at Pillar gym, Abra. Participants were mostly peasant
groups from different provinces of cordillera. The assembly was hosted by the
Timpoyog ti Manalon ti Abra. Guest speaker is Rep. ---------- ------- representative of
anak pawis partylist who discussed about irrigation fees and violence against
farmers.

Said event ended at about 3:00pm of the same date wherein 14 facilitators
were brought to the residence of James Barnacho located at Barangay ---, Pillar,
Abra.

Identified personalities during the said event are as follows:


a. Punong barangay Mark Widwidan-General Secretary CPA
b. Jed Fontanilla-Chairman Timpuyog ti Manalon Abra
c. Juan Tammad-Chairman CPA
d. Jones Sigma-President Timpuyog ti Manalon ti Abra
e. Delmar Pacquio-Community Liason CPA
12.COMMENT/s:
This event was conducted to agitate the participants to highlight the upcoming
CPP 54th coming December 26, 2022.

13.ACTION/s TAKEN/ TO BE TAKEN / REQUESTED:


Information was shared with other concerned PNP and military counterparts
for further validation and reference.

14.ATTACHMENT/s:

Pictures
Warrant of Arrest/Search Warrants
Videos
Etc…

signed
William Kimmayong
Police Staff Sargent

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SECURITY ADVICE: This document is for official and internal purposes only of the recipient and not for legal use. It is not to be
reproduced, copied, used in part or whole and disclosed or disseminated to another agency of third party without the consent of
the originator.

TAKE NOTE:

1.Information is from other unit/offices must not be edited just transmit.

2. We can get information from the social media, populace, counter parts
and other possible source of information.

3.This is a SECRET document “Never share to un authorized person” and


never post on social media.

SECRET

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