Republic of the Philippines
Department of Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
NORTHERN SAMAR PROVINCIAL
CRIME LABORATORY OFFICE
Catarman, Northern Samar
April 27, 2025
DATE
Annex B - CSI FORM “2”
CSI Form 2: First Responder’s Form
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)
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:
___________________________________________________________________
____________________________________________ _______________________
Secondary Place of Occurrence: _________________________________________
Type/Nature of Incident: ________________________________________________
Rank and Names of First Responders: ____________________________________
__________________________________________________________________
Time/Date Report of Incident was received by FRs: __________________________
Time FRs Arrived at the Crime Scene:
_____________________________________
Weather Condition ____________________________________________________
Time CS Cordoned Off and Secured/Signs Posted:
___________________________
Time Flash Alarm/Request for Support Relayed by FR to TOC: _________________
__________________________________________________________________
A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
(Note: Use the overleaf or back page for extra entries)
B. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact Nrs):
__________________________ _________________________________
__________________________ ________________________________
__________________________ _________________________________
__________________________ _________________________________
__________________________ _________________________________
C. Names of Suspects and Status (Arrested/At-large, etc..) and Weapons, if any:
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ __________________________________
__________________________ __________________________________
__________________________ ___________________________________
D. Names of Person Found Near or at the Vicinity of CS (Address/Contact Nr):
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ ____________________________________
__________________________ ____________________________________
E. Names of Persons Interviewed by the FR (Address/Contact Nr):
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ ___________________________________
__________________________ ___________________________________
F. 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):
_________________________ __________________________________
_________________________ __________________________________
_________________________ _________________________________
_________________________ __________________________________
_________________________ __________________________________
(Note: Use the overleaf or back page for extra entries)
G. List of Evidence That Have Been Seized/Collected/Recovered by the FR (If Any):
Description Disposition
________________________ ____________________________________
_________________________ ____________________________________
_________________________ ___________________________________
_________________________ ___________________________________
H. Areas where Initial Search were conducted:
_______________________________________________________________
________________________________________________________________
________________________________________________________________
On-Scene Command Post (OSCP) established at:
________________________________________________________________
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:
_____________________________________ -- __________________________
_____________________________________ -- __________________________
CS Received By Duty Investigator/ IOC:
___________________________________________________________________
Time/Date: _________________________________________________________
Witnessed By:
___________________________________________________________________
Prepared and Submitted by:
__________________________________________________________________
Rank/Name/Designation of Officer/
Signature over Printed Name
(Note: Use the overleaf or back page for extra entries)
Republic of the Philippines
Department of Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
NORTHERN SAMAR PROVINCIAL
CRIME LABORATORY OFFICE
Catarman, Northern Samar
April 27, 2025
DATE
Annex D- CSI FORM “4”
Form #4: Request for the Conduct of SOCO
EVIDENCE LOG
DESCRIPTION
SIGNA-
OF COLLECTED TIME SPECIFIC
QTY REMARKS TURE OF
BY COLLECTED PLACE
SPECIMEN SEARCHER
COLLECTED
01 Blood stain found at Tuscano, 11:35AM Female Blood stain
the door knob. Mary jane (CR) Crim was sealed
building, and secure
UEP Town in an
Catarman evidence
bag.
02 Cigarette butt left by Laguares, 11:37AM Female Cigarette
the suspect after Justine (CR) Crim butt was
smoking. building, sealed and
UEP Town secure in an
Catarman. evidence
bag.
03 Pubic Hair Tuscano, 11:39AM Female Pubic hair
Mary Jane (CR) Crim was sealed
building, and secure
UEP Town in an
Catarman. evidence
bog.
04 Blood stain Tuscano, 11:41AM Female The Blood
Mary jane (CR) Crim stain was
building, sealed and
UEP Town secure in an
Catarman. evidence
bag.
05 Blood stain Tuscano, 11:44 Am Female The Blood
Mary jane (CR) Crim stain was
building, sealed and
UEP Town secure in an
Catarman. evidence
bag.
06 Towel Laguares, 11:45AM Female The towel
Justine (CR) crim was found
building, with Blood
UEP Town stain, and
Catarman was sealed
and secure
in an
evidence
bag.
07 Latent print found at Esponilla, 11:46AM Female The latent
the wall Jefferson (CR) Crim print was
building, sealed and
UEP Town secure in an
Catarman evidence
bag.
08 Underwear of the Laguares, 11:48AM Female The
victim Justine (CR) Crim underwear
building, was sealed
UEP Town and secure
Catarman. in an
evidence
bag.
09 Make up (powder & Laguares, 11:49AM Female The
lipstick) Justine (CR) Crim evidence
building, was sealed
UEP Town and secure
Catarman in an
evidence
bag.
10 Latent print found at Esponilla, 11:51AM Female The latent
the on the cellphone Jefferson (CR) Crim print was
of the victim. building, sealed and
UEP Town secure in an
Catarman evidence
bag.
11 Cellphone of the Laguares, 11:52AM Female The
victim Justine (CR) Crim cellphone
building, appears to
UEP Town be
Catarman undamaged,
powered
off. Sealed
and secure
in an
evidence
bag.
Prepared by: Certified Correct by:
PMSg Rey Jan Carido PLT Klyde Moclon
Estrellado
Forensic Photographer SOCO Team Leader
Noted by:
PCMSg Mia Angelic Laodenio Baladad
Chief of Police
Republic of the Philippines
Department of Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
NORTHERN SAMAR PROVINCIAL
CRIME LABORATORY OFFICE
Catarman, Northern Samar
April 27, 2025
DATE
Annex E- CSI FORM “5”
Form #5: Specimen Entries-Photographs Taken
SOCO REPORT NR: 01-25
SCENE OF CRIME EXAMINATION WORKSHEET
SPECIMEN ENTRIES-PHOTOGRAPHS TAKEN
FRAME APERTURE SHUTTER SUBJECT LIGHTING REMARKS
NO. SETTINGS SPEED CONDITION
1 F8. 0 1/640 General Bright This
View Sunlight Photograph
is clear and
sharp
2 F8. 0 1/640 General Bright This
View Sunlight Photograph
is clear and
sharp
3 F8. 0 1/640 General Bright This
View Sunlight Photograph
is clear and
sharp
4 F8. 0 1/640 General Bright This
View Sunlight Photograph
is clear and
sharp
5 F8. 0 1/160 General Bright This
View Sunlight Photograph
is clear and
sharp
6 F3. 3 1/160 General Bright This
View Sunlight Photograph
is clear and
sharp
7 F3. 3 1/160 General Bright This
View Sunlight Photograph
is clear and
sharp
8 F8. 3 1/30 General Bright This
View Sunlight Photograph
is clear and
sharp
9 F3. 3 1/30 General Bright This
View Sunlight Photograph
is clear and
sharp
10 F3. 3 1/40 General Bright This
View Sunlight Photograph
is clear and
sharp
11 F3. 3 1/40 Mid Bright This
range Sunlight Photograph
is clear and
sharp
12 F8. 0 1/50 Mid Bright This
range Sunlight Photograph
is clear and
sharp
13 F8. 0 1/50 Mid Bright This
range Sunlight Photograph
is clear and
sharp
14 F8. 0 1/40 Mid Bright This
range Sunlight Photograph
is clear and
sharp
15 F8. 0 1/50 Mid Bright This
range Sunlight Photograph
is clear and
sharp
16 F8. 0 1/40 Mid Bright This
range Sunlight Photograph
is clear and
sharp
17 F8. 0 1/40 Close up Bright This
Sunlight Photograph
is clear and
sharp
18 F8. 0 1/60 Close up Bright This
Sunlight Photograph
is clear and
sharp
19 F8. 0 1/40 Close up Bright This
Sunlight Photograph
is clear and
sharp
20 F8. 0 1/30 Close up Bright This
Sunlight Photograph
is clear and
sharp
21 F8. 0 1/30 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
22 F8. 0 1/30 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
23 F8. 0 1/40 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
24 F8. 0 1/60 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
25 F8. 0 1/30 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
26 F8. 0 1/30 Extremely Bright This
close up Sunlight Photograph
is clear and
sharp
CAMERA USED: TYPE OF
Canon EOS M100 / Nikon FILM
USED/EMULSION SPEED:
ISO 100 – 200
LENS USED: FLASH UNIT:
15-45mm
DEVELOPING TIME DEVELOPMENT BY:
7:00 PM PMSg Andre Joey C.Batiles
FIX TIME: LOCATION:
8:25 PM College of Criminal Justice Building,
UEP Town, Catarman Northern Samar
WEATHER CONDITION SOURCE OF LIGHT:
Bright Sunlight Natural Sunlight Source
TIME BEGINS: TIME END:
11:06 AM 11:52 AM
PHOTOGRAPHER(Name/Designation): PRINT PAPER:
PMSg Andre Joey C. Batiles Photopaper
INCIDENTS: PLACE OF INCIDENT:
Rape with Homicide Female Comfort Room ,CCJ Building
UEP Town, Catarman N. Samar
DATE AND TIME: TIME:
March 22, 2024 11:04
OFFICER ON CASE: REQUESTING PARTY:
PCMSg Mia Angelic L. Baladad
COMMENTS:
Majority of photographs are captures
indoor from the place of incident.
Prepared by: Certified Correct by:
PMSg Andre Joey C. Batiles PLT Klyde Moclon Estrellado
Forensic Photographer SOCO Team Leader
Noted by:
PCMSg Mia Angelic Laodenio Baladad
Chief of Police
Republic of the Philippines
Department of Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
NORTHERN SAMAR PROVINCIAL
CRIME LABORATORY OFFICE
Catarman, Northern Samar
April 27, 2025
DATE
Annex F- CSI FORM “6”
Form #6: Person Present At The Crime Scene
SOCO REPORT NR: 01-25
PERSON PRESENT AT THE CRIME SCENE
Note: Please include the middle name of the person.
REASON/S TO BE AT REMARKS
NAME DATE / TIME
CRIME SCENE (ADDRESS)
Klyde M. Estrellado April 27, 2025/ Team Leader Female (CR), CCJ
11:12 AM Building, Catarman
N. Samar
Andrea Joey Batiles April 27, 2025/ Photographer Female (CR), CCJ
11:12 AM Building, Catarman
N. Samar
Athelia Mariel T. Ablazo April 27, 2025/ Master Note Taker Female (CR), CCJ
11:12 AM Building, Catarman
N. Samar
Jan Nheilbert A. Palce April 27, 2025/ Evidence Tagger Female (CR), CCJ
11:14 AM Building, Catarman
N. Samar
Nico D. Tomenio April 27, 2025/ Sketcher Female (CR), CCJ
11:18 AM Building, Catarman
N. Samar
Marjhon M. Derla April 27, 2025/ Measurer Female (CR), CCJ
11:19 AM Building, Catarman
N. Samar
Rey Jan Carido April 27, 2025/ Assistant Measurer Female (CR), CCJ
11:19 AM Building, Catarman
N. Samar
Mary Jane C. Tuscano April 27, 2025/ Medico Legal Female (CR), CCJ
11:32 AM Building, Catarman
N. Samar
Justine G. Laguares April 27, 2025/ Evidence Collector Female (CR), CCJ
11:32 AM Building, Catarman
N. Samar
Jefferson M. Esponilla April 27, 2025/ Fingerprint Technician Female (CR), CCJ
11:42 AM Building, Catarman
N. Samar
Mia Angelic L. Baladad April 27, 2025/ IOC Female (CR), CCJ
11:56 AM Building, Catarman
N. Samar
Marjhon M. Derla April 27, 2025/ Removal of the Body Female (CR), CCJ
12:00 PM Building, Catarman
N. Samar
Jan Nheilbert A. Palce April 27, 2025/ Removal of the Body Female (CR), CCJ
12:00 PM Building, Catarman
N. Samar
Prepared by: Certified Correct by:
PMSg Athelia Ablazo PLT Klyde Moclon Estrellado
Forensic Photographer SOCO Team Leader
Noted by:
PCMSg Mia Angelic Laodenio Baladad
Chief of Police
Republic of the Philippines
Department of Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
NORTHERN SAMAR PROVINCIAL
CRIME LABORATORY OFFICE
Catarman, Northern Samar
April 27, 2025
DATE
Annex H- CSI FORM “8”
Form #8: Inventory of Evidence Collected
SOCO REPORT NR: 01-25
INVENTORY OF EVIDENCE COLLECTED
1. SOCO Case Number: 01-25
2. Time and Date of Inventory:
3. Facts of the Case:
a. Nature of the Case: Rape with Homicide ______
b. Victim/s or Complainant: Belinda Infante Chin
c. Suspect/s: Kevin Lopez Castillo
d. Place of Incident: Female Comfort of the CCJ Building, UEP Town,
Catarman, Northern Samar
4. Evidence Collected at the Crime Scene:
a. __________________________________________________________
b. __________________________________________________________
c. __________________________________________________________
d. __________________________________________________________
e. __________________________________________________________
f. __________________________________________________________
g. __________________________________________________________
h. __________________________________________________________
i. __________________________________________________________
CONCURRED: PREPARED BY:
PCMSg Mia Angelic Laodenio Baladad PMSg Rey Jan Carido
Investigator-on-Case Evidence Custodian
WITNESSES:
Signature Over Printed Name Address
Zhameer Quiminales Argenio Jp. Rizal Extension Street,
Brgy. Daganas Catarman
Northern Samar
Hannah Jean Bido Ereño Kahundit Street, Brgy. SMH,
Laoang, Northern Samar
