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Philippine National Police

IRF ENTRY NUMBER : TYPE OF INCIDENT : (Incident) Mauling COPY FOR :

023117-201806-0431 CONSUMMATED MURDER COMPLAINANT


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: BARANGAY, TOWN/CITY, PROVINCE :

2018-05-27 13:45:00 2018-05-25 04:00:00 Diana, MACONACON, ISABELA


ITEM "A" - REPORTING PERSON
FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Cabaldo Remy
CITIZENSHIP : GENDER : ADDRESS :

FILIPINO F Dimapula (Pob.), DIVILACAN, ISABELA, Cagayan Valley

ITEM "B" - SUSPECT'S DATA


FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Unidentified Unidentified Unidentified Unidentified


CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH :

FILIPINO M Married 1971-01-31 48 Maconacon, Isabela


ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

Aplaya MACONACON ISABELA


HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO VICTIM :

NOT GRADUATED FARMER None


RANK (IF AFP/PNP PERSONNEL) : UNIT ASSIGNMENT : GROUP AFFILIATION : WITH PREVIOUS CRIMINAL RECORD : STATUS OF PREVIOUS CASE :

NO
HEIGHT : WEIGHT : COLOR OF EYES : COLOR OF HAIR : DISTINGUISHING MARKS : UNDER THE INFLUENCE :

153 45
FOR CHILDREN IN CONFLICT WITH THE LAW
NAME OF GUARDIAN : GUARDIAN ADDRESS :

ITEM "C" - VICTIM'S DATA


FAMILY NAME : FIRST NAME : MIDDLE NAME : QUALIFIER : NICKNAME :

Gonzales Rosemary Unknown Unknown


CITIZENSHIP : GENDER : CIVIL STATUS : DATE OF BIRTH : AGE : PLACE OF BIRTH : PHONE NUMBER :

FILIPINO F Married 1977-02-02 42 Maconacon, Isabela


ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO: BARANGAY : TOWN/CITY : PROVINCE :

Aplaya MACONACON ISABELA


HIGHEST EDUCATIONAL ATTAINMENT : OCCUPATION : RELATION TO SUSPECT :

NOT GRADUATED HOUSEKEEPER None


ITEM "D" - NARRATIVE OF INCIDENT
DATE AND TIME REPORTED : DATE AND TIME OF INCIDENT : PLACE OF INCIDENT: BARANGAY, TOWN/CITY, PROVINCE :

2018-05-27 13:45:00 2018-05-25 04:00:00 Diana, MACONACON, ISABELA, ISABELA


THE NARRATIVE OF THE INCIDENT OR EVENT, ANSWERING THE WHO, WHAT, WHEN, WHERE, WHY AND HOW OF REPORTING.

At about 1;45 in the afternoon of May 27, 2018 a female Cadaver was found lying in prone position near seashore and the street of
Brgy. Diana, Maconacon, Isabela by a certain Remy Cabaldo 49 years old, married a native of Divilacan, Isabela. The Cadaver was
identified as one Rosemary Gonzales ?aka Maling? Indigenous People (I.P.?s) (ODU) and a resident of Brgy. Aplaya,
Maconacon, Isabela. Initial investigation conducted disclosed that at about 4am of May 25, 2018 an certain one Lito Plata (I.P) also a
resident of Brgy. Aplaya this municipality saw the victim along with Dionita Velasco and a certain ?Lokdong? left sitio Dibol at Brgy.
Diana, Maconacon, Isabela going to their residence at brgy. Aplaya. But when Lito Plata arrived at barangay Aplaya he found that the
trio weren?t arrive yet, and at 4:00 in the afternoon of same date, Dionita and Lokdong arrive at brgy. Aplaya, but Rosemary(victim)
is not with them .hence, they opted to look her whereabout. Until Remy Cabaldo discovered the cadaver of the victim with head injury
believed to be mauled by unidentified suspect. The cadaver was examined by Dr. Aida G Manalay, municipal health officer RHU
Maconacon at the place ofn discovery and thereafter brought to her family for proper disposition.

I HEREBY CERTIFY TO THE CORRECTNESS OF THE FOREGOING NAME OF REPORTING PERSON : SIGNATURE OF REPORTING PERSON :
TO THE BEST OF MY KNOWLEDGE AND BELIEF.

SUBSCRIBED AND SWORN TO BEFORE ME NAME OF ADMINISTERING OFFICER(DUTY OFFICER) : SIGNATURE OF ADMINISTERING OFFICER(DUTY OFFICER) :

RANK, NAME AND DESIGNATION OF POLICE OFFICER (WHETHER HE/SHE IS THE DUTY SIGNATURE OF DUTY INVESTIGATOR/INVESTIGATOR ON CASE/ASSISTING POLICE OFFICER :
INVESTIGATOR, INVESTIGATOR ON CASE OR THE ASSISTING POLICE OFFICER)

RANK/NAME OF DESK OFFICER: SIGNATURE OF DESK OFFICER : BLOTTER ENTRY NR:


INCIDENT RECORDED IN THE BLOTTER BY:

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 MACONACON PS, ISABELA PPO, PRO 2 Telephone

Investigator-on-Case PO3 Ariel S Palma Mobile Phone 09295857161

Name of Chief/Head of Office DOMER T PELO Mobile Phone

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