Republic of the Philippines

Department of the Interior and Local Government

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
EASTERN POLICE DISTRICT
MARIKINA CITY POLICE STATION
4th Floor Legislative Building, Brgy. Sta Elena Marikina City

ADVANCE INFORMATION

NATURE OF CASE : __________________________________________________

VICTIM : __________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES OF VICTIM)

DATE/TIME/PLACE : __________________________________________________
OF OCCURRENCE : __________________________________________________
SUSPECTS : __________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES)

__________________________________________________
RESIDENCE AND STATUS-WHETHER

__________________________________________________
SUSPECTS ARE UNDER ARREST OR NOT

EVIDENCE : __________________________________________________
WITNESSES : __________________________________________________

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FACTS OF THE CASE:

_________________________________
NAME OF OFFICER-ON-CASE
_________________________________
RANK PNP
_________________________________
DESIGNATION

NOTED AND FORWARDED:

____________________________
CHIEF OF GROUP/UNIT
____________________________
RANK PNP
____________________________
DESIGNATION