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    Medical Examination of Arrested Suspects Request Form

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    Glorious El Domine
    This document is a request form from the Philippine National Police to a duty physician requesting a medical examination of several arrested suspects. It provides the date of arrest, names and sexes of the suspects, and requests that the results of the medical examination be provided to the arresting officer. The form is signed by both the desk officer and arresting officer, and references the blotter entry number related to the arrests.

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    Medical Examination of Arrested Suspects Request Form

    Uploaded by

    Glorious El Domine
    3K views1 page
    This document is a request form from the Philippine National Police to a duty physician requesting a medical examination of several arrested suspects. It provides the date of arrest, names and sexes of the suspects, and requests that the results of the medical examination be provided to the arresting officer. The form is signed by both the desk officer and arresting officer, and references the blotter entry number related to the arrests.

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    Medical Examination of Arrested Suspects Request Form

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    This document is a request form from the Philippine National Police to a duty physician requesting a medical examination of several arrested suspects. It provides the date of arrest, names and sexes of the suspects, and requests that the results of the medical examination be provided to the arresting officer. The form is signed by both the desk officer and arresting officer, and references the blotter entry number related to the arrests.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    3K views1 page

    Medical Examination of Arrested Suspects Request Form

    Uploaded by

    Glorious El Domine
    This document is a request form from the Philippine National Police to a duty physician requesting a medical examination of several arrested suspects. It provides the date of arrest, names and sexes of the suspects, and requests that the results of the medical examination be provided to the arresting officer. The form is signed by both the desk officer and arresting officer, and references the blotter entry number related to the arrests.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    PNP BOOKING FORM - 1 Medical Examination of Arrested Suspects

    Request Form
    Republic of the Philippines
    Department of the Interior and Local Government
    PHILIPPINE NATIONAL POLICE
    ______________________________________
    _______________________
    Date:________________

    Request for Medical Examination of Arrested Suspect/s


    The Duty Physician:
    _______________________________________________
    _______________________________________________

    Sir/Madam:
    Respectfully request for the Medical Examination of the following suspects who
    were arrested by personnel of this Office on ________________ 20____:
    a. _________________________________________________ sex_____
    b. _________________________________________________ sex_____
    c. _________________________________________________ sex_____
    d. _________________________________________________ sex_____
    e. _________________________________________________ sex_____
    Please furnish the arresting officer/escort officer, (Rank/Name) __________
    _________________________________________________ a copy of the result of the
    Medical Examination for our reference.
    Rest assured of our continuous support on matters of mutual interest. Thank you.

    For the Chief of Police:


    ___________________________________________
    Rank/Name/Signature of the Desk or Duty Officer
    REF: (BLOTTER ENTRY NR: ________________)

    _____________________________________
    Rank/Name/Signature of the Arresting Officer

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