HCUI

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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE
DARAT MUNICIPAL POLICE STATION
Darat, Surigao

FORM A

Audit of Homicide Cases


Darat Municipal Police Station
Covered Period: November 2020

Step 1a: Died in Police Operation (DIPO)


Names of Victim Operating Units
Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 1b: Homicide Case Under Investigation (HCUI)


Names of Victim Police Station/Office/Unit Municipality/City of Province
Negative Dolores MPS Dolores, Eastern Samar

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
Step 2a: Confirmation of Case Folders on (HCUI)
List of the names of Victims with Complete case folders/ List of the names of Victims with Incomplete case
as per DIDM checklist folders/ as per DIDM checklist
Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 2b: List of usual missing documents in an incomplete folder (HCUI)


List of Missing Documents Frequency/Number
Negative

ANNEX A-1

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Signature & Printed Name of Investigator Signature & Printed Name of OIC

FORM A

Step 2c: Identifying Reason of Incomplete Folder (HCUI)


List of Reason
Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
Step 3a: Determination Cause of Death (HCUI)
List of Names of Victims Died with Placard/Vigilantes Date of Incident Place of Incident
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 3b:
List of the Names of Victims Died by Motorcycle Date of Incident Place of Incident
Riding Criminals
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 3c:
List of the Names of Victims Died Thru Other Causes Date of Incident Place of Incident
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
Step 4a: Determination of Cases (HCUI)
List of Victims on Non-Drug Related List of Victims on Drug Related
Negative Negative

ANNEX A-2

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Form A

Step 4b: Status of Cases on Drug-Related (HCUI)


Names of Victims of Solved Cases Names of Victims of Cleared Cases Names of Victims of Unsolved
Cases/Under Investigation
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
Step 4c: Status of Cases on Non Drug-Related (HCUI)
Names of Victims of Solved Cases Names of Victims of Cleared Cases Names of Victims of Unsolved
Cases/Under Investigation
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 5: Profile of the Victims on solved Cases (Drug Related HCUI)


Step 5a:
Names of Minor Victims Age
Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 5b:
Names of Male Victims Age Time and Date
Negative

ANNEX A-3

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
FORM A
Step 5c
Names of female victims age
Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

FORM A

Step 6: Profile of Suspects on Solved Cases ((Drug Related HCUI)


Step 6a:
Names of Minor Suspects Age Specify the Cause of Death
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

Step 6b:
Names of Male Suspects Age Specify the Cause of Death
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC
Step 6c:
Names of Female Suspects Age Specify the Cause of Death
Negative Negative Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

DIED IN POLICE OPERATION (DIPO)


COVERED PERIOD: November 2020
N Investigatio Ran Fisr Middl Las Ql Date Unit Concerned DAT TIM PLAC NAME NATURE TYPE OF SPICIFIC REMEARKS
r n Control k t e t r assignme office E E E OF OF OFFENS OFFENS / STATUS
Nr of nt conducting VICTI OFFENS E E
MPI investigatio M E
R n
Negative

PMSg Paquito Pechay PLT JUAN DELA CRUZ CRUZ


Signature & Printed Name of Investigator Signature & Printed Name of OIC

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