Sample Format of Booking and Arrest Report

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
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BOOKING AND ARREST REPORT

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2x2 __Divinagracia_______________________________________ DATE:
_____________
(Last Name) (First Name) (Middle Name)

ADDRESS : ______________________________________ Tel No. _____________________

PLACE & DATE OF BIRTH : _____________________________________________________
OCCUPATION : ________________________ MARITAL STATUS : _____________________
NATIONALITY : __________________ SEX : _________ WEIGHT : _________ HEIGHT: ____
AGE : __________ EDUCATIONAL ATTAINMENT : __________________________________
NAME OF SCHOOL: __________________________LOCATION OF SCHOOL: ___________
SCARS AND MARKS : _________________________ OTHER IDENTIFYING MARKS: ______
NAME & ADDRESS OF FATHER: ________________________________________________
NAME & ADDRESS OF MOTHER: ________________________________________________
NAME & ADDRESS OF RELATIVES: ______________________________________________

OFFENSE CHARGE:

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

ARRESTED BY: _____________________________________ UNIT: ____________________

WHERE ARRESTED: ______________________________ DATE/TIME ARRESTED: _______
BOOKED BY : ___________________________________ BRANCH/SECTION: ___________

SIGNATURE OF PERSON ARRESTED: ___________________________________________

NAME OF ARRESTING OFFICER: _______________________________________________

RIGHT HAND
 THUMB INDEX MIDDLE RING LITTLE

LEFT HAND