SPECIAL INVESTIGATION DEPARTMENT

SPECIMEN SIGNATURES, HANDWRITINGS AND FINGERPRINTS

NAME : ____________________________________________________________
SSS NO. : ____________________________________________________________
DATE/TIME TAKEN: ______________ SPECIMEN TAKEN BY: ___________________
HANDWRITING : ( Pls. Write about yourself and your complaint )

PRESENT SIGNATURES : PREVIOUS SIGNATURES :

1. ________________________________ 1. ____________________________

2. ________________________________ 2. ____________________________

3. ________________________________ 3. ____________________________

4. ________________________________ 4. ____________________________

5. ________________________________ 5. ____________________________

FINGERPRINTS : ( Note: Kindly take clear/readable fingerprints )

Left Thumb Right Thumb

Left Index Right Index

This is to certify that above specimens were taken from me and were given by
me voluntarily.

____________________________
Signature over printed name

Witnessed by : _____________________________ Date/Time : ________________

Signature over printed name