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Sample Police Blotter

This document is a certification from a Philippine police station. It certifies that a specific incident or case was recorded in the police blotter and log book on specific dates. The certification includes the blotter entry number, page number, nature of case or incident, date and time, and place of occurrence. It also notes that the certification is being issued upon request to support an application for protective security personnel. The certification is signed by a Police Senior Inspector on behalf of the Station Commander.

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Jaybe Blancaflor
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2K views

Sample Police Blotter

This document is a certification from a Philippine police station. It certifies that a specific incident or case was recorded in the police blotter and log book on specific dates. The certification includes the blotter entry number, page number, nature of case or incident, date and time, and place of occurrence. It also notes that the certification is being issued upon request to support an application for protective security personnel. The certification is signed by a Police Senior Inspector on behalf of the Station Commander.

Uploaded by

Jaybe Blancaflor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

National Police Commission


PHILIPPINE NATIONAL POLICE
POLICE PROVINCIAL OFFICE
_ POLICE STATION
Address: _

SAMPLE ONLY

CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that based on the Police Blotter of this Police Station,
record of the events mentioned hereunder was entered in the Log Book Blotter, to
wit:
_

BLOTTER ENTRY No :
PAGE NUMBER :
NATURE OF CASE.INCIDENT :
DATE/TIME OF OCCUREANCE :
PLACE OF OCCURRENCE :
_

FACTS OF THE CASE:

DISPOSITION : For record as requested.


ATTENDED BY : SPO1 Cardo G Dalisay

This certification is being issued upon request of _ in


connection with his application foe availment of Protective Security Personnel.

Issued this day of , _,


Philippines.

For the Station Commander:

BARBIE M MANILOW
Police Senior Inspector
Chief, SIDMB

Note: Certification must be signed or noted by a commissioned officer

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