Republic of the Philippines

National Police Commission

PHILIPPINE NATIONAL POLICE
Manila Police District Office, NCRPO
MANILA CITY POLICE STATION
STATION ANTI-ILLEGAL DRUGS SPECIAL OPERATIONS
TASK GROUP
Sta. Mesa, Manila

PNP ARREST AND BOOKING SHEET

(to be accomplished by the Arresting Officer)

BLOTTER ENTRY NR; 18-023 DATE: June 29, 2018

RAPOSAS JASON PASCUA

(Last Name) (First Name) (Middle Name)

Address: #1490 F.T. Benitez, Ermita, Manila City

TEL NO.: _______________ POB: MANILA DOB:

Marital Status: SINGLE WIDOW/ER SEX: X MALE

X MARRIED SEPARATED FEMALE

AGE: 30 WEIGHT: 58 HEIGHT: 5’5 EYES: Black HAIR: Black

COMPLEXION: Fair OCCUPATION: Call Center Agent NATIONALITY: Filipino

HIGHEST EDUCATIONAL ATTAINMENT: College Graduate

NAME OF SCHOOL: PUP, Sta. Mesa
IDENTIFYING MARKS/CHARACTERISTICS:
DRIVER’S LIC NR: ISSUED AT: _________________ ON: _____________
RES CERT NR: 10000078 DATE AND PLACE OF ISSUE:
OTHER ID CARDS: ______________________________ ID NR: __________________________
NAME OF FATHER: ______________________________ AGE: _____________________
ADDRESS: _____________________________________________________________________
NAME OF MOTHER: _________________________________________________ AGE: _______
ADDRESS: _____________________________________________________________________
NAME & ADDRESS OF PERSON TO BE CONTACTED IN CASE OF EMERGENCY:
NAME: _______________________ RELATIONSHIP: _______________________
ADDRESS: _______________________ TEL #: _______________________
LAWYER: _______________________________________ TEL #: _________________________
DOCTOR: ______________________TEL #: _______________________
HEALTH PROBLEM: _____________________________________________________________
OFFENSE CHARGE: Violation of Section 28 of RA 9165 (Illegal
Possesion of Firearms/Ammunition

(NATURE OF OFFENSE) (CRIM/IS NO.)

WHERE ARRESTED: ____________________________________________________________
TIME AND DATE ARRESTED: _____________________________________________________
NAME OF ARRESTING OFFICER/S: _______________________________________________
___________________________________________ UNIT: ___________________________
MEDICAL EXAMINATION CONDUCTED AT: ___________________________
BY: DR. : ____________________________________________________________
FINGER PRINT TAKEN BY: : _____________________________________________________
PHOTO TAKEN BY: : ____________________________________________________________

ARRESTING OFFICER : __________________________________________________________

(RANK) (NAME) (SIGNATURE)
DUTY INVESTIGATOR: :
____________________________________________________________
BOOKED BY (RANK/NAME/SIGNATURE): _________________________________________
SIGNATURE OF PERSON ARRESTED: ____________________________________________
(INDICATE IF SUSPECT REFUSE TO SIGN)
RIGHT HAND

THUMB INDEX MIDDLE RING LITTLE

LEFT HAND