CSI Form 1: First Responder’s Form

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
CORDILLERA ADMINISTRATIVE REGION
Tabuk City Police Station

FIRST RESPONDER’S FORM

20 May 2024

THIS IS TO CERTIFY that the Crime Scene (CS) described hereunder was turned
over by the First Responder (FR) to the Duty Investigator /Investigator-On-Case (IOC) with
the following gathered information:

Primary Place of Occurrence: Compound Forest infront of KSU Clinic

Secondary Place of Occurrence: Kalinga State University, Kalinga

Type/Nature of Incident: Killing Incident

Rank and Names of First Responders: 1. PO1 Kobe Earl G. Saga-oc

2. PO1 Desiree Baliyang

Time/Date Report of Incident was received by FRs: 1104H

Time FRs Arrived at the Crime Scene: 1105H

Weather Condition: Bright Sunny (Shady Forest)

Time CS Cordoned Off and Secured/Signs Posted: 1106H

Time Flash Alarm/Request for Support Relayed by FR to TOC: 1108H

A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):

Diether C. Fernandaez / Deceassed.

(Note: Use the overleaf or back page for extra entries)

B. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact Nrs):

Maypher Bomusao Tabuk city,Philippines 09511501750

C. Names of Suspects and Status (Arrested/At-large, etc..) and Weapons, if any:

Unidentified

D. Names of Person Found Near or at the Vicinity of CS (Address/Contact Nr):

_____________________________ _____________________________

_____________________________ _____________________________

_____________________________ _____________________________

E. Names of Persons Interviewed by the FR (Address/Contact Nr):

Maypher Bomusao Tabuk City, Kalinga/0951 150 1750

F. Names of Persons Who Entered the CS after the Arrival of FR and Prior to Arrival of
Investigator (Medics, Local Officials, etc) (Address/Contact Nr):

PLT. Anselma S. Dao-ig IOC/09815003542

SPO2 Aisa B. Pukin SOCO Team Leader/09269191497

Dr. Laila B. Saking Medico-Legal Ofiicer/09271969038

SPO2 Windy M. Frias SOCO Ass’t. Team Leader/09614117969

SPO2 Marielle G. Vallejo SOCO Photographer/09618920984

SPO2 Marcelino A. Pacio SOCO Measurer/09168852602

SPO2 Lee Goerge B. Deyag SOCO Sketcher/09383711426

PSMS Laila B. Saking SOCO Evidence Man/09271969038

G. List of Evidence That Have Been Seized/Collected/Recovered by the FR (If Any):

Description Disposition

_____________________________ _____________________________

_____________________________ _____________________________

H. Areas where Initial Search were conducted:

Compound forest in front of KSU clinic.

On-Scene Command Post (OSCP) established at:

Time and Date of Arrival of Investigator at the CS: 1110H 20May2022

East side area near the entry and exit point of the crime scene.

This further certifies that the Crime Scene and all the evidence therein by the FRs
have been properly secured and preserved and that all the information contained herein is
true and correct to the best of our ability:

Name and Signature of First Responders:

1. PO1 Kobe Earl G. Saga-oc -__________________

2. PO1 Desiree D. Baliyang -__________________

CS Received By Duty Investigator/ IOC: PLT Anselma S. Dao-ig

Time/Date: 1110H 20May2024
Witnessed By: SPO2 Aisa B. Pukin
_________________________________________________________________________
_____________________________________________________________

Prepared and Submitted by:

PO1 Kobe Earl G. Saga-oc

Patrol Officer
CSI Form 2: Request for the Conduct of SOCO

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
CORDILLERA ADMINISTRATIVE REGION
Tabuk City Police Station

REQUEST FOR THE CONDUCT OF SOCO

(This shall be brought to the Crime Scene by the Investigator/SOCO Team
and to be accomplished by the Investigator/Investigator-On-Case
before the SOCO Team process the Crime Scene)

1130H 20May2022

FOR : Chief Aisa Pukin, CLO

FROM : PLT. Anselma S. Dao-ig

SUBJECT : SOCO Assistance

1. Request for the availability of SOCO Team to process the crime scene located at
compound forest infront of KSU CLINIC, kalinga State University,Tabuk City,Philippines.

NATURE OF CASE: Killing

Time and Date of Incident: ALLEGED 1030H 20May2024

2. This request is made with the assurance that the Duty Investigator/ Investigator-On-
Case, being in- charge of the Crime Scene shall remain and provide all the
necessary security and support to the SOCO Team during the whole process until
after the crime scene is released.

3. Further request that this Office be furnished a copy of the list of evidence gathered and
the result of the examination conducted thereon.

4. For consideration and approval.

For the Chief of Police:

PLT. Anselma S. Dao-ig

(Duty Investigator/Investigator-On-Case)
CSI Form 3: Turn-Over of Collected Evidence from Investigator to SOCO Team Leader

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
CORDILLERA ADMINISTRATIVE REGION
Tabuk City Police Station

TURN-OVER OF COLLECTED EVIDENCE AT THE CRIME SCENE

FROM INVESTIGATOR TO SOCO TEAM
(If Applicable)
MAY 20, 2024

This further certify that the following items/physical evidence found, collected and
initially marked and inventoried by the investigator at the crime scene were properly turned
over to SOCO Team Evidence Custodian:

ITEMS/ARTICLES QUANTITY/UNITS
(Technical Description)
Dried leaf with blood /Cotton swab with blood 3
Scraped part of tree with blood 3
Yellow nylon rope with blood 1
Dried leaf with blood 1
Dried leaf with blood 1
Dried leaf with blood 1
Shoeprint with a length of 10 and 5” wide 1
Shoeprint with a length of 10 and 5” wide 1
Shoeprint with a length of 9 and 4” wide 1
Scraped part of tree with blood 2
Shoeprint with a length of 10 and 5” wide 1
Shoeprint with a length of 10 and 5”wide 1
Shoeprint with a length of 10 and 5”wide 1
Scraped part of tree with blood 2
Shoeprint with a length of 10 and 5”wide 1
Shoeprint with a length of 10 and 5”wide 1
Male cadaver 1

SPO2 Windy M. Frias

(SOCO Team Evidence Custodian)
Witnessed by:

PLT. Anselma S. Dao-ig

Duty Investigator/IOC
Received By: SPO2. Frias Windy

Time/Date: 1:20 PM MAY 20, 2024

Turned over By: [Link] S. Dao-ig

Time/Date: 1:26 PM MAY 20, 2024

SOCO REPORT FORM 1

Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

20May2024

RE SOCO REPORT NR: 003-24

PERSONS PRESENT AT THE CRIME SCENE

(Note: Please include the middle name of the person.)

REASON/S TO
DATE/ REMARKS
NAME BE AT
TIME ADDRESS
CRIME SCENE
20MAY202
Tabuk City,
Maypher B. BomOsao 4 Witness
Kalinga
1104H
20MAY202
Tabuk City,
Bheng O. Gasatan 4 Witness
Kalinga
1104
20MAY202
Tabuk City,
PO1 Kobe Earl G. Saga-oc 4 First Responder
Kalinga
1106H
20MAY202
Tabuk City,
PO1 Desiree D. Baliyang 4 First Responder
Kalinga
1106H
20MAY202
Tabuk City,
PLT Anselma S. Dao-ig 4 IOC
Kalinga
1110H
20MAY202
SOCO Team Tabuk City,
SPO2 Aisa B. Pukin 4
Leader Kalinga
1120H
20MAY202
Medico-Legal Tabuk City,
Dr. Laila B. Saking 4
Officer Kalinga
1120H
20MAY202
SOCO Ass’t. Tabuk City,
SP01 Windy M. Frias 4
Team Leader Kalinga
1120H
20MAY202
SOCO Tabuk City,
SPO1 Marielle G. Vallejo 4
Photographer Kalinga
1120H
20MAY202
Tabuk City,
SPO1 Marcelino A. Pacio 4 SOCO Measurer
Kalinga
1120H
20MAY202
Tabuk City,
SPO1 Lee George B. Deyag 4 SOCO Sketcher
Kalinga
1120H
20MAY202
SOCO Evidence Tabuk City,
PSMS Laila B. Saking 4
Man Kalinga
1120H
20MAY202
SOCO Master Tabuk City,
SPO1 Mary Grace G. Balutas 4
Note Taker Kalinga
1120H

Prepared by: Certified by:

SPO2 Mary Grace Balutas SPO2 Aisa Pukin

Recorder SOCO Team Leader
Noted by:

PLT. Anselma Dao-ig

Chief of Office

SOCO REPORT FORM 2

Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

20May2024

RE SOCO REPORT NR: 003-24

EVIDENCE LOG

DESCRIPTION SIGNATURE
COLLECTED TIME SPECIFIC
QTY OF SPECIMEN OF
BY COLLECTED PLACE REMARKS
COLLECTED SEARCHER
ON THE
Dried leaf with PSMS
3(sample SHOULDER In good
blood/Cotton LAILA B. 1300H
) OF THE condition
swab with blood SAKING
DECEASED
3 Scraped part of PSMS 1302H ON THE In good
tree with blood LAILA B. GROUND condition
SAKING BENEATH
THE TREE
1 Yellow nylon PSMS 1307H ON THE In good
rope with blood LAILA B. STEM OF condition
SAKING THE TREE
2 Dried leaf with PSMS 1308H ON THE In good
blood LAILA B. TREE AD condition
SAKING NECT OF
THE
DECEASED
1 Dried leaf with PSMS 1309H ON THE In good
blood LAILA B. GROUND condition
SAKING BENEATH
THE TREE
1 Dried leaf with PSMS 1309H ON THE In good
blood LAILA B. GROUND condition
SAKING BENEATH
THE
DECEASED
1 Shoeprint PSMS 1310H ON THE In good
LAILA B. GROUND condition
SAKING BENEATH
THE
DEECEASE
D
1 PSMS 1311H ON THE In good
Shoeprint LAILA B. GROUND condition
SAKING BENEATH
THE TREE
1 Shoeprint PSMS 1311H ON THE In good
LAILA B. GROUND condition
SAKING BENEATH
THE TREE
2 Scraped part of PSMS 1311H ON THE In good
tree with blood LAILA B. GROUND condition
SAKING NEAR THE
DECEASED
RIGHT
 FOOT
1 Shoeprint PSMS 1312H ON THE In good
LAILA B. GROUND condition
SAKING NEAR THE
DECEASED
LEFT
ELBOW
1 Shoeprint PSMS 1313H ON THE In good
LAILA B. GROUNF condition
SAKING NEAR THE
DECEASED
LEFT
SHOULDER
1 Shoeprint PSMS 1313H ON THE In good
LAILA B. GROUND condition
SAKING NEAR THE
DECEASED
LEFT HAND
2 Scraped part of PSMS 1314H ON THE In good
tree with blood LAILA B. STEM OF condition
SAKING THE TREE
NEAR THE
BARRIER
1 Shoeprint PSMS 1315H ON THE In good
LAILA B. GROUND condition
SAKING NEAR THE
DECEASED
1 Shoeprint PSMS 1315H ON THE In good
LAILA B. GROUND condition
SAKING NEAR THE
DECEASED
LEFT
Male Cadaver PSMS 1316H ON THE In good
1 LAILA B. GROUND condition
SAKING BENEATH
THE TREE

Prepared by: Certified by: Noted by:

SPO2 FRIAS WINDY SPO2 AISA PUKIN PLT. ANSELMA DAO-IG

Evidence Custodian SOCO Team Leader Chief of Office
SOCO REPORT FORM 3

Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

20May2024

RE SOCO REPORT NR: 003-24

SCENE OF CRIME EXAMINATION WORKSHEET

SKETCH DETAILS AND MEASUREMENT

NOTE: NOT TO SCALE

LEGEND:

TITLE BLOCK
Nature of Case: Killing
Requesting Party: PLT. Anselma S. Dao-ig
Victim/s: Deither C. Fernandez
Officer-on-Case: PLT. Anselma S. Dao-ig
Date & Time Sketched: 20MAY2024
Place of Incident: KSU Main Campus, Bulanao, Tabuk city,
Kalinga
Weather Condition: Sunny (shady forest)
Sketched by: SPO2 Lee George B. Deyag
Witnesses: 1. Maypher Bomusao
2.
Remarks:
SOCO REPORT FORM “4”

Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

INVENTORY OF EVIDENCE COLLECTED

1. SOCO Case Number: 00-243

2. Time and Date of Inventory: 1104H 20May2024
3. Facts of the Case:

a. Nature of the Case: Killing

b. Victim/s or Complainant: Diether C. Fernandez

c. Place of Incident: KSU Main Campus, Bulanao, Tabuk City, Kalinga

1. Evidence Collected at the Crime Scene:

Qty. Item
3 DRIED LEAF WITH BLOOD/COTTON SWAB WITH BLOOD
2 SCRAPED PART OF THE TREE WITH BLOOD

1 YELLOW NYLON ROPE WITH BLOOD

1 DRIED LEAF WITH BLOOD

1 DRIED LEAF WITH BLOOD

1 DRIED LEAF WITH BLOOD

1 SHOEPRINT
1 SHOEPRINT

1 SHOEPRINT

2 SCRAPED PART OF THE TREE WITH BLOOD

1 SHOEPRINT
1 SHOEPRINT
1 SHOEPRINT
2 SCRAPED PART OF THE TREE WITH BLOOD
1 SHOEPRINT
1 SHOEPRINT
1 MALE CADAVER
 1 SHOEPRINT

CONCURRED: PREPARED BY:

PLT. Anselma S. Dao-ig SPO2 Windy M. Frias

Investigator-on-Case Evidence Custodian

WITNESSES:
Signature over Printed Name Address

SPO2 AISA B. PUKIN Bulanao, Tabuk City, Kalinga

PSMS LAILA B. SAKING Bulanao, Tabuk City, Kalinga
 Republic of the Philippines
Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

RELEASE OF THE CRIME SCENE

TO WHOM IT MAY CONCERN:

This is to certify that a Crime Scene Investigation was conducted at Kalinga State
University, Main Campus, Tabuk city, Kalinga from1110H 20MAY2024 to 1325H
20MAY2024 by the members of the Tabuk City Police Station investigating unit and CSI
Team in connection with the killing incident.

This is to further certify that a final crime scene survey was conducted on or about
1322H and that the CSI was concluded and the cordon was officially lifted and crime scene
was officially released at around 1325H.

SIGNED:

PLT. Anselma S. Dao-ig 1326H 20MAY2024

(IOC)

PCPT. Aisa Pukin 1326H 20MAY2024

(CSI Team Leader)

Conformed by:

Mr. Orlando B. Arangorin 1326H20MAY2024

Owner of the Property/Local Authority/Representative

Witnesses:

PO1 Kobe Earl G. Saga-oc _____________________________

SPO2 Windy M. Frias _____________________________

PSMS Laila B. Saking _____________________________

 Republic of the Philippines
Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
CORDILLERA ADMINISTRATIVE REGION
TABUK CITY POLICE STATION

IOC/INVESTIGATOR’S CSI FORM

23MAY2022

Primary Place of Occurrence: Compound forest in front of Kalinga State University clinic

Secondary Place of Occurrence or Finding Place: Kalinga State University, Main Campus,
Bulanao, Tabuk City, Kalinga

Type/Nature of Incident: Killing

Time IOC/Investigator’s arrived at the Crime Scene: 1110H

Weather Condition: Sunny (shady forest)

Time Flash Alarm/Request for Support Relayed by IOC to TOC:1115H

Time SOCO Team Arrived: 1120H

A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):

Diether C. Fernandez / Deceased

B. Names of Persons Found at (inside) the Crime Scene by the IOC/Investigator

(Address/Contact Nrs):

_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

C. Names of Suspects and Status (Arrested/At-large, etc.) and Weapons, if any:

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________

D. Name of Person Found Near or at the Vicinity of CS by the IOC/Investigator

(Address/Contact Nr):

Maypher B. Bomosao Bheng O. Gasatan

Bulanao, Tabuk City/ 0951 150 1750 Bulanao, Tabuk City/ 0956 385 5015

E. Names of Persons Interviewed by the IOC/Investigator (Address/Contact Nr):

Bheng O. Gasatan Bulanao, Tabuk City/ 0956 385 5015

Maypher B. Bomosao Bulanao, Tabuk City/ 0951 150 1750
Ernimel P. Orque Bulanao, Tabuk City/ 0946 646 8923

F. Names of Persons Who Entered the CS in the presence of the IOC (Medics, Local
Officials, etc) (Address/Contact Nr):

SPO2 Aisa B. Pukin SOCO Team Leader/09269191497

Dr. Laila B. Saking Medico-Legal Officer/09271969038

SPO2 Windy M. Frias SOCO Asst Team Leader/09614117969

SPO2 Marielle G. Vallejo SOCO Photographer/09618920984

SPO2 Marcelino A. Pacio SOCO Measurer/09168852602

SPO2 Lee George B. Deyag SOCO Sketcher/09383711426

PSMS Laila B. Saking SOCO Evidence Man/09271969038

G. List of Evidence That May Have Been Seized or Collected by the IOC/Investigator (If
Any):

Description Disposition

_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

H. Areas where Initial Search were conducted:

Compost forest, in front of Kalinga State University clinic, Main Campus, Tabuk City

On-Scene Command Post (OSCP) established at:

East side area near the entry and exit point of the crime scene.

Names of Other PNP Personnel who participated in the CSI:

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Initial Assessments and Impression of the Crime and the Crime Scene:

The dead victim, lying face down, was tied at the lower trunk of a mahogany tree
with a rope tied around his neck. There were blood spatters including the victims pants on
the buttocks area.

Possible Motive: Anger

Other Significant Information Gathered:

 The victim was tied at the lower trunk of a mahogany tree, with a rope tied around his
neck. There were blood spatters on the rope and the tree trunk where the rope was
positioned as well as blood stains on the victim’s pants down to the buttocks area.

The victim lying face down on the ground with his right hand above his head and his
left hand by his hips. A 7.5 meter, 3 mm yellow polyethylene rope, was tied around his neck
with the other end tied around the mahogany tree. There is no strangulation mark on his
neck.

There are shoeprints surrounding the deceased victim in his left side and near his
head. No identification items are present, but the victim is wearing pink pants and a dark
blue shirt, which is torn in the chest area.

Prepared by:

PLT. Anselma S. Dao-ig

Investigator-on-Case
 Republic of the Philippines
Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

SOCO FORM # 1
23May2022

AFTER SOCO REPORT NR 001-22

I. AUTHORITY

/✓/ Telephone Call From : PLT Anselma S. Dao-ig

/ / Verbal Instruction Office: Tabuk City Police Station
/ / Written Request Through: PLT Desiree D. Baliyang
/ / Call by Radio Office: Camp Juan M. Duyan

II. TIME & DATE OF DEPARTURE FROM STATION: 1118H 20May2024

III. TIME & DATE OF ARRIVAL AT THE CRIME SCENE: 1120H 20May2024

IV. WEATHER CONDITION

/ / Fair / ✓ / Sunny / / Cloudy / / Rainy

Others, (Specify): ________Shady forest____________________
V. NATURE OF CASE : Killing
VI. TIME & DATE OF INCIDENT: 1030H 20MAY2024

VII. PLACE OF INCIDENT : KSU Campus, Bulanao, Tabuk city, Kalinga

_________________________________________________________________

VIII. VEHICLE USED BY SOCO TEAM

/ ✓ / Organic Vehicle / / Private Vehicle

Others, (Specify) ____________________________________________

IX. INVESTIGATOR-ON-CASE (RANK / NAME / UNIT ASSIGNMENT / ADDRESS)

:PLT. Anselma Dao-ig / CIDG / Purok 6, Bulanao, Tabuk City, Kalinga

X. DATA OF VICTIM(S) (Use extra sheets if necessary)

VICTIM 1: Name: Diether C. Fernandez Height: 5’7’’

Sex: Male Weight:
Age: 21 Build: Masculine
Complexion: Tan Civil Status: Single
Address: Purok, Bulanao, Tabuk City

VICTIM 2: Name: N/A Height:

Sex: Weight:
Age: Build:
Complexion: Civil Status:
 Address:

XI. IF UNIDENTIFIED, GIVE DESCRIPTIONS

Approximate Age: Complexion:

Height : Attire:
Sex: Build:

Other identifying characteristics: ___________________________________

XII. INFORMATION GATHERED FROM THE CRIME SCENE UPON

ARRIVAL OF THE SOCO TEAM

The Team noted the victim/s' position to be

a) hanging / /
b) lying /✓ / face down / ✓ / face up / /

c) kneeling / /
d) sitting / /
e) others, (specify) __________________________________________

It was gathered from

a) relative/s ____________________________
b) witness/es Maypher B. Bomosao
Bheng O. Gasatan

that on or about ______H 23May2022 the victim was _________________

a) stabbed / / d) drowned / /
b) shot / / e) others,(specify) Assaulted
c) strangled / /

This prompted PLT. Anselma S. Dao-ig to call-up Tabuk City Police Station who
subsequently called up this office for SOCO/technical assistance.

XIII. DESCRIPTION OF THE CRIME SCENE UPON ARRIVAL

/✓/ Police line has been installed when the SOCO team arrived
/ / Crime scene appears disturbed and contaminated by

a) suspect/s / /
b) victim/s / /
c) others, (specify)
_______________________________________________________

/ / Crime scene appears well secured and preserved by

a) investigators / /
b) patrol officers / ✓ /
c) others, (specify)
________________________________________________________

Objects at the crime scene were in disarray

a) chairs / /
b) tables / /
c) clothing / /
d) doors / /
closed / / destroyed / /
open / / others,(specify)_____________
e) windows / /
closed / / destroyed / /
open / / others, (specify)_____________
 f) light/s
on / / off/ / others, (specify)____________

XIV. ITEM STOLEN

1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
4. ___________________________________________________________
5. ___________________________________________________________
6. ___________________________________________________________
7. ___________________________________________________________
8. ___________________________________________________________
9. ___________________________________________________________
10. ___________________________________________________________
11. ___________________________________________________________
12. ___________________________________________________________
13. ___________________________________________________________
XV. DATA OF THE SUSPECT(S) (Use extra sheets if necessary)

SUSPECT 1: Name: Height:

Sex: Weight:
Age: Build:
Complexion: Civil Status:
Address:

SUSPECT 2: Name: Height:

Sex: Weight:
Age: Build:
Complexion: Civil Status:
Address:
XVI. IF UNIDENTIFIED, GIVE DESCRIPTIONS

Age: Height:

Complexion: Build: Masculine

Sex: Male Attire:

Other identifying characteristics _____________________________

XVII. INJURIES SUSTAINED BY THE VICTIM/S, IF ANY (use extra sheets if

necessary)

VICTIM 1:Bruise around his right abdomen, lower right chest and both sides of the
chest, and bleeding on his buttocks area.

VICTIM 2:
XVIII. INJURIES SUSTAINED BY THE SUSPECT/S AND THEIR SPECIFIC LOCATION
(use extra sheets if necessary)

SUSPECT 1:

SUSPECT 2:

XIX. MOTIVE/S BEHIND THE INCIDENT

/ / Jealousy / / Unknown
/ / Revenge /✓ / Others, (specify): Anger
XX. HOW THE INCIDENT HAPPENED/MANNER OF COMMISSION OR EXECUTION

/ / With treachery / / With the use of blunt instrument

/ / With the use of bladed weapon / / With the use of Firearm/s
/✓/ Others, (specify): With the use of superior strenght

XXI. STATUS OF THE VICTIM/S (use extra sheets if necessary)

VICTIM 1: / / Wounded
/ / Brought to ______________ Hospital for treatment
/ / Brought to Falgui Funeral Homes for autopsy

XXII. STATUS OF THE SUSPECT/S

SUSPECT 1:/ ✓/ At large / / Wounded

/ / Brought to _________________ Hospital for treatment
/ / Others, (specify) _______________________________

SUSPECT 2:/ ✓ / At large / / Wounded

/ / Brought to _________________ Hospital for treatment
/ / Others, (specify) _______________________________

XXIII. STATUS OF THE CASE

Under investigation by: PLT. Anselma S. Dao-ig

(Investigator and unit/address)

XXIV. TIME & DATE OF DEPARTURE FROM THE CRIME SCENE: 1326H 20May2024
XXV. TIME & DATE OF ARRIVAL AT THE STATION: 1330H 20May2024

XXVI. SOCO TEAM COMPOSITION

Team Leader : Aisa B. Pukin

Assistant Team Leader: Windy M. Frias
Photographer: Marielle G. Vallejo
Sketcher: Lee George B. Deyag
Evidence collector: Laila B. Saking
Evidence custodian: Windy M. Frias
Asst. evidence custodian:
Security: Kobe Earl G. Saga-oc
Desiree D. Baliyang
XXVII. DISPOSITION ON EVIDENCE COLLECTED

XXVIII. REMARKS/PROBLEMS ENCOUNTERED DURING SOCO

This is to certify that the details entered into this document are true and correct.

A by stander has intruded the crime scene but no evidence were stolen or accumulated.

PREPARED BY:

PCPT. Aisa Pukin

Team Leader
NOTED BY:

PLT. Anselma S. Dao-ig

Chief

Republic of the Philippines

Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

FOR : The Director,

Crime Laboratory

Attn : SPO2 Aisa B. Pukin

SUBJECT : Request for Laboratory Examination

DATE : 20May2024

1. Reference: MEMORANDUM

2. Facts of the case:

a. SOCO Case Number : 003-24
b. Nature of the Case : Killing incident
c. Victim/s or Complainant : Diether C. Fernandez
d. Time & Date of Incident : 1104H 20MAY2024
e. Place of Incident :Kalinga State University, Main Campus,
Bulanao ,Tabuk City, Kalinga

3. In connection with the above reference, submitted herewith are the following
evidence collected from the crime scene for appropriate laboratory examination:

a. Cotton swab with blood

b. Scraped bark of the tree with blood
c. Dried leaves with blood

FOR THE CHIEF SOCO:

[Link] S. Dao-ig
Investigator-on-case
 Republic of the Philippines
Department of the Interior and Local Government
National Police Commission
PHILIPPINE NATIONAL POLICE
CRIME LABORATORY
Tabuk City

20May2024

SOCO FORM # 2

RE SOCO REPORT NR : 003-24

SOCO COORDINATION SLIP

1. OFFICER-ON-CASE (Rank / Name) : PLT. Anselma S. Dao-ig

Office & Address : TABUK CITY POLICE STATION

b. Time & Date of Arrival at Crime Scene: 1108H 20MAY2024

c. Signature : ____________________________

2. NATURE OF OFFENSE : Killing

a. Time & Date Committed/Discovered : 1100H 20MAY2024

b. Place of Commission/Incident : Kalinga State University, Main

Campus, Bulanao, Tabuk City, Kalinga

3. RESPONDING SOCO TEAM : CAR CRIME LAB

a. Time & Date of Arrival at Crime Scene: 1120H 20May2024

b. Team Leader : SPO2 Aisa B. Pukin

c. Signature : ____________________________

4. RELEASE OF CRIME SCENE : ____________________________

a. Time & Date Release : 1326H 20MAY2024

b. To Whom Crime Scene Release : Mr. Orlando B. Arangorin

c. Office & Address : TABUK CITY POLICE STATION

d. Signature : ____________________________

5. WITNESSES ( Name / Address / Signature )

Signature over Printed Name Address

a. PSMS LAILA B. SAKING Bulanao, Tabuk City, Kalinga

b. SPO2 WINDY M FRIAS Bulanao, Tabuk City, Kalinga

c. PO1 KOBE EARL G. SAGA-OC Bulanao, Tabuk City, Kalinga

PLT. Anselma S. Dao-ig SPO2 Aisa B. Pukin

Investigator-on-case SOCO team leader