Philippine National Police

INCIDENT RECORD FORM

IRF ENTRY NUMBER: TYPE OF INCIDENT: COPY FOR:
129 Illegal Possession of Firearms and Ammunition
INSTRUCTIONS: Refer to PNP SOP on Recording of incidents in the Police Blotter in filling up this form. This incident Record Form (IRF) may be reproduced, photocopied,
and/or downloaded from the DIDM website, www.didm.pnp.gov.ph.
DATE AND TIME REPORTED: DATE AND TIME OF INCIDENT: PLACE OF INCIDENT:
June 1, 2023 at 10:00 AM June 1, 2023 at 9:00 AM Barangay Lubang, Buenavista, Bohol

ITEM “A” – REPORTING PERSON

FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME
Jeff Rey Mort

CITIZENSHIP SEX/GENDER CIVIL DATE OF AGE PLACE OF BIRTH HOME MOBILE PHONE
FILIPINO Male STATUS BIRTH 28 Lubang, Buenavista, PHONE 09090011301
Single (MM/DD/YY) Bohol
01/01/95

CURRENT ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

NUMBER/STREET) Lubang Buenavista Bohol

OTHER ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

NUMBER/STREET)

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION ID CARD PRESENTED EMAIL ADDRESS (If Any)
College Graduate Teacher

ITEM “B” – SUSPECT’S DATA

FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME
Pongkol Vince Yay

CITIZENSHIP SEX/GENDER CIVIL DATE OF AGE PLACE OF BIRTH HOME MOBILE PHONE
Filipino Male STATUS BIRTH 23 Lubang, Buenavista, PHONE 09010203122
Single (MM/DD/YY) Bohol
01/25/00
CURRENT ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE
NUMBER/STREET) Lubang Buenavista Bohol

OTHER ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

NUMBER/STREET)

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION ADDRESS RELATION TO EMAIL ADDRESS (If Any)
High School Level None VICTIM
N/A

IF AFP/PNP PERSONNEL: RANK UNIT ASSIGNMENT GROUP AFFILIATION WITH PREVIOUS STATUS OF PREVIOUS CASE
CRIMINAL RECORD?
( ) Yes (/) No
(If Yes, Pls. Specify)

HEIGHT WEIGHT SWUIL COLOR OF DESCRIPTION COLOR OF DESCRIPTION OF UNDER THE INFLUENCE?
5’6 68 EYES OF EYES HAIR HAIR □ NO □ DRUGS
Brown Black □LIQUOR □ OTHERS

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN GUARDIAN ADDRESS HOME PHONE MOBILE PHONE

ITEM “C” – VICTIM’S DATA

FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME

CITIZENSHIP SEX/GENDER CIVIL DATE OF AGE PLACE OF BIRTH HOME MOBILE PHONE
STATUS BIRTH PHONE
(MM/DD/YY)
CURRENT ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE
NUMBER/STREET)

OTHER ADDRESS (HOUSE VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

NUMBER/STREET)

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION WORK ADDRESS EMAIL ADDRESS (If Any)
 ITEM “D” – NARRATIVE OF INCIDENT
TYPE OF INCIDENT DATE/TIME OF INCIDENT PLACE OF INCIDENT
Illegal Possession of Firearms and June 1, 2023 at 9:00 AM Barangay Lubang, Buenavista, Bohol
Ammunition

On June 1, 2023 about 9:00 o’clock in the morning at Barangay Lubang, Buenavista, Bohol while Joint PNP-LGU
RONDA conduct patrolling around the municipality headed by Hon. Mayor Atty. Vinzie Kitil, together with PCPL, PCPL, PO3,
PO1, led by PSSUPT Ray Allen, Municipality Director when one concerned citizen reported that one (1) male person possessing a
handgun caused alarm and scandal on the abovementioned place.
Thereby, apprehend the suspect and was able to recover from his possession and control one (1) pistol 1911
Remington caliber .45 bearing serial number 342113 with one (1) magazine loaded with six (6) live ammunitions and no pertinent
documents.
Apprehended suspect was apprised of his constitutional rights and place under the custodial facility of his office and
for disposition.

I HEREBY CERTIFY TO THE CORRECTIONS NAME OF REPORTING PERSON SIGNATURE OF REPORTING PERSON
OF THE FOREGOING TO THE BEST OF MY Rey Jeff
KNOWLEDGE AND BELIEF.

SUBSCRIBED AND SWORN TO BEFORE ME NAME OF ADMINISTERING OFFICER (DUTY OFFICER) SIGNATURE OF ADMINISTERING OFFICER (DUTY
PCPL Ed Sel OFFICER)

RANK, NAME AND DESIGNATION OF POLICE OFFICER (WHETHER HE/SHE IS THE DUTY SIGNATURE OF REPORTING PERSON
INVESTIGATOR, INVESTIGATION ON CASE OR THE ASSISTING POLICE OFFICER)
PCPL Ed Sel

INCIDENT RECORDED IN THE BLOTTER BY: RANK /NAME OF DESK OFFICER: SIGNATURE OF DESK BLOTTER ENTRY NR.:
PCPL Ed Sel PCPL Sel Ed OFFICER: 1837

REMINDER TO REPORTING PERSON

Keep the copy of this Incident Record Form (IRF). An update of the progress of the investigation of the crime or incident that you reported will be
 given to you upon presentation of this IRF. For your reference, the data below is the contact details of this police station.
Name of Police Station Buenavista Police Station Telephone 09334455677

Investigator-on-Case PCPL Ed Sel Mobile Phone 09112233544

Name of Chief/Head of Office PLT Edsel Ador Mobile Phone 09223344560