Banadero, Legazpi City
Serving Our Community
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Blotter
Are you a registered resident of this barangay?
· Rehistradong residente ka ba ng barangay?
Yes
No
Age
· Edad
*
Contact Number
· Telepono
*
Address
· Tirahan
*
Civil Status
· Katayuang Sibil
*
Select an option
Single
Married
Widowed
Divorced
Separated
Date of Incident
· Petsa ng Insidente
*
Time of Incident
· Oras ng Insidente
*
Hr
1
2
3
4
5
6
7
8
9
10
11
12
Min
00
30
AM
PM
Place of Incident
· Lugar ng Insidente
*
Type of Incident
· Uri ng Insidente
*
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Respondent Name (other party)
· Pangalan ng Respondent
*
Respondent Sex
· Kasarian ng Respondent
Select an option
Male
Female
Unknown
Witnesses (names + contacts)
· Mga Saksi
Relationship between you and the respondent
· Relasyon sa respondent
Select an option
Stranger
Acquaintance
Neighbor
Co-worker
Friend
Relative
Spouse / partner
Ex-partner
Other
How did it start? What led up to it?
· Paano ito nag-umpisa?
Why do you think it happened?
· Bakit ito nangyari sa palagay mo?
What happened immediately after?
· Ano ang nangyari pagkatapos?
What outcome do you want from this report?
· Anong resulta ang nais mo?
Select an option
Mediation / settlement
Apology
Restitution / compensation
Stop the behavior (warning)
Refer to higher authorities (PNP / court)
Document only (for record)
Other
Additional Details
· Narrative
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