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Jailer's Receipt of Suspects Form

This document is a jailer's receipt form used by the Philippine National Police to record the booking of suspects into custody. It contains fields to record the name, address, sex, age, date of birth, and place of birth for up to four suspects. It also records the arresting officer, date and location of arrest, and confirms the suspects were examined by a doctor and turned over to the duty jailer, including their signatures and timestamps.

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Glorious El Domine
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2K views1 page

Jailer's Receipt of Suspects Form

This document is a jailer's receipt form used by the Philippine National Police to record the booking of suspects into custody. It contains fields to record the name, address, sex, age, date of birth, and place of birth for up to four suspects. It also records the arresting officer, date and location of arrest, and confirms the suspects were examined by a doctor and turned over to the duty jailer, including their signatures and timestamps.

Uploaded by

Glorious El Domine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PNP Booking Form -4 Jailers Receipt of Suspects Form

Republic of the Philippines


Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
Blotter Entry Nr:____________________

Date_________________

JAILERS RECEIPT OF SUSPECT/S


This is to certify that the following arrested suspect/s identified as indicated:
Name: __________________________________________________________
Address: _________________________________________________________
Sex: _________ Age: _________ DOB:______________ POB ______________
Name: __________________________________________________________
Address: _________________________________________________________
Sex: _________ Age: _________ DOB:______________ POB ______________
Name: __________________________________________________________
Address: _________________________________________________________
Sex: _________ Age: _________ DOB:______________ POB ______________
Name: __________________________________________________________
Address: _________________________________________________________
Sex: _________ Age: _________ DOB:______________ POB _____________,
who was/were arrested by the (Rank/name)________ _________ _____________
_______________________________________
(designation)_________________,
on______________ 20____ at ________________________________________
__________________________________were turned over by (rank/name)______
_____________________________(designation) __________________________ on
______________________(time/date) to the Duty Jailer.
This further certifies that the arrested suspect/s have been examined by Dr.
____________________________________________ on _______________ at
____________________________________________________________(attached
copy of Medical Examination results)
.
___________________________________
Rank/Name/Signature of Arresting Officer/s
or

_____________________________________
Rank/Name/Signature of Duty Investigator
Time/Date: ________________

______________________________________
Rank/Name/Signature of Duty Jailer
Time/Date ___________________
________________________________________
Rank/Name/Signature of Witness

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