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    Irf Burnham VTA

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    laikadeank
    The document describes a vehicular traffic incident reported by Edwin Abucejo involving his vehicle and a vehicle driven by Cristopher Cambod. According to the report, Cambod's vehicle hit and damaged Abucejo's vehicle while backing out of a parking spot at Burnham Parking Lot in Baguio City. Both vehicles incurred damage to their respective front and rear bumpers in the incident.

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    Irf Burnham VTA

    Uploaded by

    laikadeank
    17 views2 pages
    The document describes a vehicular traffic incident reported by Edwin Abucejo involving his vehicle and a vehicle driven by Cristopher Cambod. According to the report, Cambod's vehicle hit and damaged Abucejo's vehicle while backing out of a parking spot at Burnham Parking Lot in Baguio City. Both vehicles incurred damage to their respective front and rear bumpers in the incident.

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    irf Burnham VTA

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    The document describes a vehicular traffic incident reported by Edwin Abucejo involving his vehicle and a vehicle driven by Cristopher Cambod. According to the report, Cambod's vehicle hit and damaged Abucejo's vehicle while backing out of a parking spot at Burnham Parking Lot in Baguio City. Both vehicles incurred damage to their respective front and rear bumpers in the incident.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views2 pages

    Irf Burnham VTA

    Uploaded by

    laikadeank
    The document describes a vehicular traffic incident reported by Edwin Abucejo involving his vehicle and a vehicle driven by Cristopher Cambod. According to the report, Cambod's vehicle hit and damaged Abucejo's vehicle while backing out of a parking spot at Burnham Parking Lot in Baguio City. Both vehicles incurred damage to their respective front and rear bumpers in the incident.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 2

    Philippine National Police

    INCIDENT RECORD FORM


    IRF ENTRY NUMBER: TYPE OF INCIDENT: COPY FOR:
    J2023-07-07 Vehicular Traffic Incident Police Station 5/ 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:
    July 7, July 7, 2023/9:35PM Burnham Parking Lot, Baguio City
    2023/10:16PM
    ITEM “A” - REPORTING PERSON
    FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER CONTACT NUMBER
    Abucejo Edwin Ora 09603069231
    CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH AGE PLACE OF BIRTH PROVINCE
    Filipino Male Married October 8, 1970 52
    PROVINCE
    12 Gumangan Street Purok 5 Ambiong Proper Baguio City
    PROVINCIAL ADDRESS (HOUSE NUMBER/STREET)VILLAGE/SITIO/BARANGAY/TOWN/CITY PROVINCE

    HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION ID CARD PRESENTED EMAIL ADDRESS(If Any)


    Driver
    ITEM “B” – SUSPECT’S DATA
    FIRST NAME MIDDLE NAME FAMILY NAME QUALIFI NICKNAME
    ER
    Cristoper Lartec Cambod
    CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH AGE PLACE OF BIRTH HOME MOBLIE PHONE
    (MM/DD/YY) PHONE
    Filipino Male Single 24 Baguio City 09664985445
    April 14,
    1999
    CURRENT ADDRESS (HOUSE NUMBER/STREET/VILLAGE/SITIO/BARANGAY/TOWN/CITY PROVINCE
    182-A Mullers Subdivision Crystal Cave Bakakeng, Central Baguio City
    OTHER ADDRESS (HOUSE NUMBER/STREET)VILLAGE/SITIO/BARANGAY/TOWN/CITY PROVINCE

    HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION WORK ADDRESS RELATION TO VICTIM EMAIL ADDRESS(If Any)

    IF AFP/PNP PERSONNEL RANK UNIT ASSIGNMENT GROUP AFFILATION WITH PREVIOUS CRIMINAL RECORD? STATUS OF PREVIOUS CASE
    ` [ ] Yes [ ] No
    (If Yes, Pls. Specify)

    HEIGHT WEIGHT BUILT COLOR OF DESCRIPTION OF EYES COLOR OF HAIR DESCRIPTION OF UNDER THE INFLUENCE
    EYES HAIR NO DRUGS LIQUOR
    OTHERS
    _____________________

    FOR CHILDREN IN CONFLICT WITH THE LAW


    NAME OF GUARDIAN GUARDIAN ADDRESS HOME PHONE MOBILE PHONE

    ITEM “C” – VICTIM’S DATA


    FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME

    CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH (MM/DD/YY) AGE PLACE HOME PHONE MOBLIE PHONE
    OF BIRTH

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

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


    ITEM “D” - NARRATIVE OF INCIDENT
    TYPE OF INCIDENT: DATE/TIME OF INCIDENT PLACE OF INCIDENT
    Vehicular Traffic Incident July 7, 7 Burnham Parking Lot, Baguio
    2023/9:35PM City
    ENTER IN DETAIL THE NARRATIVE OF THE INCIDENT OR EVENT ANSWERING THE WHO, WHERE, WHY AND HOW OF REPORTING.

    The incident transpired at about 9:35PM on July 6, 2023 at Burnham Parking Lot, Baguio
    City that was reported by both parties at about 10:16PM of same date involving One(1) SUV, red
    silver in color with plate number AEG593, registered under the name of Crismar Laron Galap and
    driven by MR. Cristopher Lartec Cambod,23 years old, born on April 4, 1999, single, and a resident
    of 182-A MULLERs SUBDW. Crystal Cave Bakakeng Central, Baguio City.

    Mr. Edwin Ora Abucejo narrated that the above-described car hit the ______________on its
    park position, while backing-off which the driver did not notice. As a result, both vehicles involved
    incurred a damage on each body part particularly on front bumper of V2 and back bumper of V1,
    respectively.

    (DETAILS OF THIS NARRATIVE SHALL BE THE BASIS IN THE ENTRY OF RECORD IN THE POLICE BLOTTER)
    NAME OF REPORTING PERSON SIGNATURE OF REPORTING PERSON

    SUBSCRIBED AND SWORN TO BEFORE ME NAME OF ADMINISTERING OFFICER/DUTY OFFICER SIGNATURE OF ADMINISTERING OFFICER
    PLT WENCESLAO BANGAWAN
    RANK, NAME AND DESIGNATION OF POLICE OFFICER (WHETHER HE/SHE IS THE DUTY INVESTIGATOR, SIGNATURE OF DUTY INVESTIGATOR
    INVESTIGATOR ON CASE OR THE ASSISTING POLICE OFFICER)
    Pssg Jennelyne L Andres
    INCIDENT RECORDED IN THE BLOTTER BY: RANK/NAME OF DESK OFFICER: SIGNATURE BLOTTER
    ENTRY NR:

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