APPENDICES

Technical English 1

Appendix A
Police Blotter
(Incident Record Form)

Appendix B
Initial Report

Review Notes in Technical English 1 RCS 2022 16

 APPENDIX C
PROGRESS REPORT

Sample Format of Police Progress Report

Republic of the Philippines

Department of the Interior and Local Government
NATIONAL POLCE COMMISSION
PHILIPPINE NATIONAL POLICE

MEMORANDUM

FOR:
FROM:
SUBJECT: Progress Report
DATE:

1. Reference: (previous related Memos)

2. (indicate briefly the date/time and place of occurrence) example
3. (brief facts of the case)
4. Requested/recommendation actions from Hqs.
5. Disposition/ Action Taken
6. Final Report will follow
______________________________________________________________________

Source links:
https://www.fairfaxcounty.gov/policecommission/
https://pressbooks.bccampus.ca/technicalwriting/chapter/progressreports/

APPENDIX D
FOLLOW REPORT
(No format found)

APPENDIX E
After Incident Report
(No format found)

Review Notes in Technical English 1 RCS 2022 17

 APPENDIX F
POST OPERATION REPORT FORMAT
(AFTER OPERATION REPORT FORMAT)

Review Notes in Technical English 1 RCS 2022 18

 Appendix G
Status Report Format:
(No format found )

APPENDIX H
INVESTIGATION REPORT FORMAT

Republic of the Philippines

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

MEMORANDUM

FOR :

FROM :

SUBJECT : Investigation Report on

DATE :

I AUTHORITY

1. Memo from that Office dated__________ re-investigation report on the above subject.
2. Inherent

II MATTERS TO BE INVESTIGATED

3. To determine the surrounding circumstances of the killing of the said police officer.
4. To possibly identify the suspects that will led to their apprehension and possible prosecution

III FACTS OF THE CASE

5. (D/T/P Occurrence and events)

IV INVESTIGATION/FINDINGS

6. etc.

V CONCLUSION

VI RECOMMENDATION/DISPOSITION

____________________
Chief of Office
Source: DIDM

Review Notes in Technical English 1 RCS 2022 19

 Appendix I
Final Report Format

Sample Report of Final Report

Republic of the Philippines

Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
_______________________________________

___________________________

MEMORANDUM

FOR :

FROM :

SUBJECT : Final Report

DATE :

1. Reference: (previous related Memos)

2. (Indicated briefly the date/time, and place of occurrence)

3. Background/Brief facts of the case

4. Sequence of Events

5. Summary of Action

6. Recommendation/ Conclusion

7. Disposition/findings

8. For your information

_______________________________
Source: DIDM

Review Notes in Technical English 1 RCS 2022 20

After Incident Report

Review Notes in Technical English 1 RCS 2022 21

APPENDIX x
Progress Report

Sample of Affidavit of Arresting Officers

Republic of the Philippines)

____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

JOINT AFFIDAVIT OF ARREST

We, the UNDERSIGNED Police Officers, both members of the Philippine National Police, presently assigned at the
__________________________, _________, _____________, do hereby depose and state THAT:

01. We are among the members of the ___________________________________ who conducted entrapment operations
at _______________________ located along ________________________________, _______________;

02. Said operation stemmed from the complaint of _____________ for violation of
______________________________________ which was referred to our office by the ______________________________ against
_____________________, (age), (civil status), (nationality) and residing at No. __________________________,
__________________;

03. On the complaint dated _______________, (state the act and the crime committed).

04. Upon receipt of their said complaint, our office planned out an entrapment operation against the suspect. At
about ______________ of ______________, the undersigned together with the complainant proceeded at the pre-arranged pay off
_________________________ located along ____________________________, __________ to give the money being asked by the
respondent;

05. Upon arrival thereat, complainants waited for the suspect to arrive while we the undersigned seated near the
table of the complainants. At about ________, suspect arrived and approached the complainants and after few conversation,
complainants handed over the marked money to the suspect that minutes of prompted the undersigned to immediately effect
arrest;

06. Seized and recovered in the possession and control of the arrested person were the following, to wit:

a.) Marked Money, (state the denomination and serial numbers);

b.) (Name of documents promised);

c.) (type of CP and SIM Card); and

d.) Other evidence confiscated;

07. Suspect together with the seized and recovered evidence was brought to the
___________________________________, ____________, ___________ for booking and proper disposition. Likewise, the arrested
person was apprised of their rights as provided for under the Constitution of the Philippines.

Review Notes in Technical English 1 RCS 2022 22

 08. The report of the PNP Crime Laboratory Group Physical Identification Report No. ___________ dated
__________, revealed that suspect ______________________ was POSITIVE for the presence of Bright Yellow Ultraviolet
Fluorescent powder on both palm and right dorsal portion of the hands.

We executed this joint affidavit to attest the truthfulness of the foregoing facts and to support the filing of Criminal Cases
against _______________________________ for violations of ________________________.

AFFIANTS SAYETH NAUGHT.

IN WITNESS WHEREOF, we hereunto affixed our signature this ___day of ____________ at ____________,
_______________.

_______________________________ ____________________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______ at _______________. I HEREBY CERTIFY that I have
personally examined the herein affiants and I am satisfied that they voluntarily executed and understood their given affidavit.
_____________________
Administering Officer
Sample of Affidavit of Complaint
Republic of the Philippines )
____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF COMPLAINT

The UNDERSIGNED, __________________________, accuses _________, of

_____________, committed as follows, to wit:
That on or about _________, at about _____________ in the
_________________, ______________, Philippines, the said accused did then and
there willfully, unlawfully, feloniously, and by means of _____________, committed
_____________, upon the undersigned directly by overt acts to wit: (state the details
how the crime was committed).
The undersigned executed this affidavit to attest the truthfulness of the foregoing
facts and to support the filing of Criminal Cases against
_______________________________ for violations of ________________________.
___________, this _____ day of __________, ____.

____________________________
Offended Party

SUBSCRIBED AND SWORN to before me this ___ day of _______ at

_______________. I HEREBY CERTIFY that I have personally examined the herein
offended party and I am satisfied that they voluntarily executed and understood their
given affidavit.
_________________________
Judge
WITNESSES:
__________________________
__________________________

Sample of Application for Search Warrant

REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
BRANCH ____, MANILA

PEOPLE OF THE PHILIPPINES

Plaintiff

Review Notes in Technical English 1 RCS 2022 23

 SEARCH WARRANT NO._____

-versus- FOR:

x------------------------------------------x

APPLICATION FOR SEARCH WARRANT

The Applicant, ____________________ of the ________________________,

____________________, after having been duly sworn, states:

That on _________., __________ personally appeared to the office of ________________

and reported that SUBJECT OF S.W, located at __________________________________ is
engaged in the illegal operation of _______________________________; (See Photos and Sketch
as Annex “A”).

That relative to the said information, at around ________, the informer and _________
together with the undersigned conducted investigation and surveillance operation at
___________________, located at _____________________________, __________. The
undersigned together with ____________ and _____________ inquires to the said office about
_______________.

That on the said occasions, SUBJECT OF S.W, disclosed that they are (illegal activities). (See
photos & sketch and See Attached Calling Card, List of Requirements, Studio Romano Job
Order Form & MTC Job Information as Annexes “B” - “C”)

(modus operandi).

Further, investigation conducted disclosed that _________________________.

On the ensuing investigation, SUBJECT OF SW, ________________found to be engaged in

the operation of illegal activities;

That on the said investigation and surveillance operation the undersigned confirmed and
believes that SUBJECT OF SW and/or any of its Officer, Agents, employees of
_____________________________________, __________ is indeed engaged in
________________________despite the fact that the said office is ________________and is not
licensed to __________________.

The properties, articles, objects and items which are used and/or intended to be used in the
commission of the afore-stated offense in the possession of the SUBJECT OF S.W includes the
following:

a. Leads
b. ....

The undersigned has personally verified the report thru surveillance and investigation activities
together with _________________ and _______________, to ascertain the veracity thereof and
found the same to be true and correct;

PRAYER
WHEREFORE, the Undersigned respectfully prays:

a. that the Honorable Court include in the Search Warrant and express authority to conduct
the raid of the above-mentioned premises at any time of the day or night including
SATURDAYS and SUNDAYS considering that these are the days when the customer
traffic are at its peak and to break open the premises to be searched should the owner
thereof refuse entry in the premises or is absent therein.

b. that this Honorable Court cause the immediate issuance of a Search Warrant commanding
any Peace Officer to conduct a search on the above-described premises and to seize the
above-described items to be dealt with as the law directs;

Review Notes in Technical English 1 RCS 2022 24

 (Date), (Place).
________________
Applicant

SUBSCRIBED AND SWORN TO before me this _______ day of _____________,

______

______________________
Presiding Judge

CERTIFICATION AND VERIFICATION

I, THE UNDERSIGNED, under oath, depose and say that:

1. I am the applicant in the above-entitled application for Search Warrant;

2. I personally caused the preparation of the foregoing application for Search Warrant and
have read its content and the allegations therein, which are true and correct to my own
personal knowledge and belief.

3. I further certify that (a) I have not therefore commenced or filed any application for a
Search Warrant involving the same issues in any court, tribunal or quasi-judicial agency
and to the best of my knowledge, no such other application for Search Warrant is
pending therein; (b) If there is such other pending Application for Search Warrant, I will
therefore inform this Honorable Court of the present status thereof; (c) If I should
thereafter learn that the same and similar application for Search Warrant has been filed
or its pending , I shall report that fact within five (5) days there from to this Honorable
Court, wherein the aforesaid application for Search Warrant has been filed.

____________________
Applicant

Date: ___________________

Review Notes in Technical English 1 RCS 2022 25

Sample of Affidavit of Witness

Republic of the Philippines )

____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF WITNESS

I, ________________________, age, civil status, resident of __________________________, _________, after

having sworn in accordance with law, do hereby depose and state THAT:

01. I was present and personally saw that accused, __________, committed the crime of
___________________________ against the victim _______________;

02. (State other circumstances and the relation either to the victim or accused or both);

03. (State the details of the acts committed by the accused against the victim.

04. (State the acts done by the witness and the reason thereof);

I executed this affidavit to attest the truthfulness of the foregoing facts and to support the filing of Criminal Cases
against _______________________________ for violations of ________________________.

AFFIANTS SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereunto affixed my signature this ___day of ____________ at ____________,

_______________.

_______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______ at _______________. I HEREBY CERTIFY
that I have personally examined the herein affiants and I am satisfied that they voluntarily executed and understood their
given affidavit.

_____________________
Notary Public

Review Notes in Technical English 1 RCS 2022 26

 AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES)

CITY OF MANILA                       ) S.S.

        I, Juan del la Cruz, of legal age, single, and a resident of # 123 Main St., Malate, Manila, after having duly
sworn to in accordance with law hereby depose and state:

        1. I am the complaining witness for Serious Physical Injuries against Jesus Santos in the case
entitled "People of the Philippines versus Jesus Santos", Criminal Case No. 12345, Metropolitan Trial Court,
Branch No. 11, City of Manila.

        2. After my sober and soul searching assessment and analysis of the incident, I have realized that because I
was not wearing my eyeglasses and it was dark, I can not point out, without a doubt the accused or any other
person/s who inflicted harm against me.

        3. Since I could not state with certainty and without doubt the liability of Jesus Santos, in fairness to him, I
am permanently withdrawing my complaint against him. I clear him of whatever responsibility or liability to
me.

        4. I hereby inform the City Prosecutor of Manila that I am withdrawing my complaint for Serious Physical
Injuries in Criminal Case No. 12345 entitled "People of the Philippines versus Jesus Santos", Metropolitan
Trial Court, Branch No. 11, City of Manila.

        5. I likewise request the Metropolitan Trial Court, Branch No. 11, City of Manila to dismiss with prejudice
the said criminal case.

        IN WITNESS WHEREOF, I hereby set my hand this __ day of September 20__ at the City of Manila.

Juan de la Cruz

Complaining Witness

SUBSCRIBED AND SWORN to before me this 22nd day of January 20__ at the City of Manila, Philippines.

 
Review Notes in Technical English 1 RCS 2022 27
 

Romeo Abad

Public Prosecutor

Review Notes in Technical English 1 RCS 2022 28

 Republic of the Philippines
Department of Justice
NATIONAL PROSECUTION SERVICE
Office of the City Prosecutor
City

JUANA DE LA CRUZ,
Complainant,

NPS Docket No.

FOR: ESTAFA

-versus-

MARIA MERCEDES,
ANDRES BONIFACIO, AND
ANDRES BONIFACIO, JR.
Respondents.

x-------------------------------------------------x

JOINT REJOINDER-AFFIDAVIT

WE, ANDRES BONIFACIO AND ANDRES BONIFACIO, JR., of legal ages, Filipinos, and with residence and postal
address at Paranaque City, after having been duly sworn to in accordance with law, do hereby state under
oath, that:

1. As respondents in the instant case, we have been in receipt of the Reply dated 15 August 2013 on 16
August 2013.

2. We deny the allegations under paragraph 3 of the Reply that “the alleged APECO projects did not exist at
all as they did not materialize”, for lack of knowledge to form a sufficient belief as to the truthfulness of
the same. The fact that there was a “Contract for Delivery And Payment Of Money” executed between the
parties, which even provided for onerous interest therein, only shows that indeed, both parties believed of
the existence of the APECO project. Parties would not have entered into the said contract, if they did not
believe in such project.

3. We specifically deny the allegations in paragraph 4 of the Reply, the fact being that it is stated in
their Contract for Delivery and Payment of

Money 1 that the amount borrowed shall be used exclusively for the facilitation of the APECO project. Complainant is very
much aware of the need of the respondents in borrowing the said amount from her. Parties met several times before the
agreement was executed.
https://dokumen.tips/documents/joint-rejoinder-affidavit-sample.html?page=6

Review Notes in Technical English 1 RCS 2022 29