Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 8
LEYTE POLICE PROVINCIAL OFFICE
SAN JOSE MUNICIPAL POLICE STATION
Brgy. Kuta Kankabato, San Jose Tacloban City
FIRST RESPONDER’S FORM
(This Form shall be brought by the First Responder and/or Investigator at the
Crime Scene and shall be accomplished by the First Responders at the On-
Scene Command Post (OSCP)
February 25, 2025
Date
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:
PRTC 8 Gymnatorium, Brgy. Kuta Kankabato, San Jose Tacloban City
Secondary Place of Occurrence:
Type/Nature of Incident:
Stabbing
Rank and Names of First Responders:
PSSg Ryan Christopher C Lim and PCpl Joenery D Padron
Time/Date Report of Incident was received by FRs:
at about 1:00 PM on February 25, 2025
Time FRs Arrived at the Crime Scene:
1:15 PM
Weather Condition:
Sunny
Time CS Cordoned Off and Secured/Signs Posted:
1: 18 PM
Names of Victims and Status
(Safe/Injured/Hospitalized/Deceased, etc.,):
Kenneth Amarra Quitaleg - deceased
A. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact
Nrs):
N/A N/A
N/A N/A
N/A N/A
B. Names of Suspects and Status (Arrested/At-large, etc..) and
Weapons, if any:
Jundie Majait Molejon __________At Large_____________
_______Bladed Weapon________________
C. Names of Person Found Near or at the Vicinity of CS (Address/Contact Nr):
___Blessy Amor Llavore Urmeneta___ ___09
____Kim Arthhur Makabenta Urmeneta__ ___09
D. Names of Persons Interviewed by the FR (Address/Contact Nr):
___Blessy Amor Llavore Urmeneta___ ___09
____Kim Arthhur Makabenta Urmeneta__ ___09
E. 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):
N/A N/A
F. List of Evidence That Have Been Seized/Collected/Recovered
by the FR (If Any):
G. Areas where Initial Search were conducted:
H. On-Scene Command Post (OSCP) established at:
I. Time and Date of Arrival of Investigator at the CS:
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:
PCpl
PCpl