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Barangay Blotter Report
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Incident Date
Time Reported (Oras ng Report)
*
The Landmark Details
Date Reported (Petsa ng Report)
*
Time Of_Incident (Oras na nangyari ang insidente)
*
Date Of_Incident (Araw ng nangyari ang insidente)
Place of Incident
Select Province
*
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First Choice
Second Choice
Third Choice
Select City
*
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First Choice
Second Choice
Third Choice
Select Barangay
*
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First Choice
Second Choice
Third Choice
Purok/Sitio
*
--- Select Choice ---
First Choice
Second Choice
Third Choice
Nearest Landmark
*
Reporting Person
Full Name
*
First
Middle
Last
Email
*
Age
*
Relationship To The Incident
First Choice
Second Choice
Third Choice
Phone
Home Address
Reporter Purok
*
Reporter City
*
--- Select Choice ---
First Choice
Second Choice
Third Choice
Reporter Province
*
--- Select Choice ---
First Choice
Second Choice
Third Choice
Reporter ZipCode
*
--- Select Choice ---
First Choice
Second Choice
Third Choice
Narrative Of Incident
Number Of People Involved
*
Narrative Of Incident
Involved Parties
Perpetrator Details
Victim Details
Summary Report
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