LEGAL FORMS COMPILATION
______________________________________
In Partial Fulfillment
of the Requirements of CRI 326a –
Technical English 2 (Legal Forms)
______________________________________
SUBMITTED TO:
MARY GRACE M. SUIZO, Rcrim, MSCJ
SUBMITTED BY:
DAVE B. BETONIO
JULY 22, 2025
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TABLE OF CONTENTS
Title Page i
Table of Contents ii
SCENARIO 1
PNP FORMS
Police Blotter 2
Incident Record Form 3
Spot Report 5
Progress Report 6
Final Report 7
AFFIDAVITS
Complaint Affidavit 8
Affidavit of Witness 9
Affidavit of Arrest 10
Arrest Warrant 11
CURRICULUM VITAE 12
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SCENARIO: THEFT INCIDENT
On June 10, 2025, at around 2:30 PM, a customer named Reynaldo Cruz was
caught stealing items from Mercado Grocery Store, located in Barangay Poblacion,
Santa Cruz, Davao del Sur. Security guard Mario Dela Peña observed Reynaldo
placing several cans of imported corned beef and packs of instant coffee inside his
backpack while pretending to browse other shelves. After passing the cashier
without paying, the guard confronted and detained him. Police officers arrived within
minutes and arrested the suspect. A witness, Maria Jane Lopez, who was also
shopping, saw the incident clearly and was able to give her statement.
Police Blotter Entry
Entry Date Time Incidents/Events Disposition
No.
2025-06- 12 June 8:15 PM At around 7:50, James The case is
12-004 2025 Villarin, 27 years old and a under
resident of Sta. Cruz, was investigation.
robbed by two unknown men
riding a motorcycle while he
was in Barangay Zone 4. One
of the suspects, later
identified as Anthony Roque,
threatened him with a
balisong knife and took his
bag containing ₱7,800 in
cash, a Tecno phone, and
several delivery receipts. The
incident was witnessed by a
local vendor, Rio Mario, who
immediately reported the
robbery to the Sta. Cruz
Municipal Police Station.
Within 15 minutes,
responding officers
conducted a hot pursuit
operation and successfully
arrested the suspects near
the Sta. Cruz Public Market.
Recovered from the suspects
were the victim’s bag, the
knife used in the robbery, and
the stolen cash.
Officer-on-case: Dave B.
Betonio
Republic of the Philippines
National Police Commission
Philippine National Police
SANTA CRUZ MINUCIPAL POLICE STATION
Santa Cruz
MEMORANDUM
FOR : The Provincial Director
Provincial Regional Office XI
Sta. Cruz, Davao del Sur
Attn: Chief, Inves Div
FROM : The Chief of Police
SUBJECT : Spot Report, re – Robbery Incident
Date : June 12, 2025
1. References:
a. Police Blotter Entry No. 2025-06-12-004 dated June 12, 2025; and
b. Standard Operating Procedure.
2. Please be informed that on or about 7:50 PM of June 12, 2025, a robbery
incident occurred outside a convenience store located in Barangay Zone 4,
Sta. Cruz, Davao del Sur. The victim was identified as James Villarin, 27
years old, a delivery rider and resident of Sta. Cruz. According to the victim
and a witness, two unidentified male suspects riding a motorcycle approached
Mr. Villarin. One of them, later identified as Anthony Roque, threatened the
victim with a balisong knife and forcibly took his bag containing ₱7,800.00 in
cash, a Tecno cellphone, and several delivery receipts. Mr. Alex Ramiro, a
tricycle driver who witnessed the incident, immediately reported it to Sta. Cruz
Municipal Police Station. Officers conducted a hot pursuit operation and at
around 8:45 PM, successfully arrested Anthony Roque and his accomplice
near the Sta. Cruz Public Market.
3. Request acknowledge receipt.
DAVE B. BETONIO
Police Major
5
Republic of the Philippines
National Police Commission
Philippine National Police
SANTA CRUZ MUNICIPAL POLICE STATION
Santa Cruz
MEMORANDUM
FOR : The Provincial Director
Provincial Regional Office XI
Santa Cruz, Davao del Sur
Attn: Chief, Inves Div
FROM : The Chief of Police
SUBJECT : Progress Report, re- Robbery Incident
Date : June 14, 2025
1. References:
a. Police Blotter Entry No. 2025-06-12-004 dated June 12, 2025; and
b. Spot Report dated June 12, 2025.
2. Please be informed that a follow-up investigation was conducted regarding
the suspects involved in the robbery incident that took place on June 12,
2025, at around 7:50 PM outside a convenience store in Barangay Zone 4,
Sta. Cruz, Davao del Sur, have not yet been arrested. The victim, James
Villarin, 27 years old and a delivery rider, stated in his sworn affidavit that two
unidentified men on board a motorcycle approached him and threatened him
with a knife. One of the suspects took his bag containing ₱7,800.00 in cash, a
Tecno mobile phone, and delivery receipts. Alex Ramiro, a tricycle driver who
witnessed the incident, immediately reported it to the police and provided a
sworn statement describing the suspects and their direction of escape. A hot
pursuit operation was conducted immediately after the incident but yielded
negative results. Investigators have reviewed CCTV footage in the area and
are working to identify the suspects through coordination with nearby
barangays and business establishments. Surveillance efforts and interviews
with possible witnesses are ongoing. At this time, the case remains under
investigation. Efforts to locate and apprehend the suspects are continuing.
3. Request acknowledge receipt.
DAVE B. BETONIO
Police Major
6
Republic of the Philippines
National Police Commission
Philippine National Police
STA. CRUZ MUNICIPAL POLICE STATION
Santa Cruz
MEMORANDUM
FOR : The Chief, Investigation Section
FROM : The Officer-on-Case
SUBJECT : Final Investigation Report re: Robbery Incident
Date : June 20, 2025
4. Reference:
a) Police Blotter Entry No. 2025-06-12-004 dated June 12, 2025
b) Spot Report dated June 12, 2025
c) Progress Report dated June 14, 2025
5. At approximately 7:50 PM on June 12, 2025, a robbery took place outside a
convenience store located at Barangay Zone 4, Santa Cruz, Davao del Sur.
The victim, Mr. James Villarin, 27 years old and a delivery rider, reported that
he was approached by two unidentified male suspects riding a motorcycle.
One of the suspects, later identified as Anthony Roque, threatened him with a
balisong knife and forcibly took his bag containing ₱7,800.00 in cash, a Tecno
mobile phone, and several delivery receipts. The incident was witnessed by a
tricycle driver named Mr. Alex Ramiro, who immediately reported the crime to
the Santa Cruz Municipal Police Station.
6. Following the report made by the witness, a hot pursuit operation was
immediately launched by responding police officers. However, the suspects
evaded capture and fled in an unknown direction. Investigators recovered
CCTV footage from nearby establishments and conducted follow-up inquiries.
The footage provided visual confirmation of the events but did not capture any
clear identification of the suspects' faces or the motorcycle’s license plate.
Both Mr. Villarin and Mr. Ramiro provided sworn affidavits detailing the
incident. The stolen items have not been recovered as of the filing of this
report.
7. A spot report was initially submitted to document the incident, and a progress
report followed after further investigative efforts. Investigators conducted
house-to-house interviews in the vicinity, reviewed CCTV footage,
coordinated with barangay officials, and collected all available information.
Despite these actions, the suspects have not been located or identified with
certainty.
8. Considering all available information and actions taken, it is recommended
that the case be placed in the "Pending Further Investigation" status.
Surveillance and intelligence gathering will continue. Reopening of the case
for prosecution shall proceed immediately upon identification or arrest of the
suspects.
9. As of the date of this report, the suspects remain unidentified and at large.
The case is open and under active investigation. The victim and witness have
been advised to contact the police immediately if new information becomes
available.
10. For your information and acknowledge receipt.
DAVE B. BETONIO
Police Major
7
Republic of the Philippines
Santa Cruz, Davao del Sur
X---------------------------------x
AFFIDAVIT OF COMPLAINT
I, James Villarin, Filipino, of legal age, single, and a resident of Sta. Cruz, Davao
del Sur, after being duly sworn in accordance with law, do hereby depose and state:
1. That on June 12, 2025, at around 8:15 PM, I had just exited a convenience
store in Barangay Zone 4, Sta. Cruz when two men riding a motorcycle
stopped beside me;
2. That one of them, later identified as Anthony Roque, pointed a knife at me
and forcibly took my bag, which contained ₱7,800 in cash, a mobile phone,
and delivery receipts;
3. That I feared for my life and complied with the demand;
4. That tricycle driver Alex Ramiro witnessed the incident and immediately
reported it to the police;
5. That the suspects were later arrested near the Sta. Cruz Public Market, and
my bag, money, and other items were recovered from them;
6. That I am executing this affidavit to file a criminal complaint for Robbery under
Article 293 of the Revised Penal Code against Anthony Roque and his
accomplice.
IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of June
2025, in Santa Cruz, Davao del Sur.
James Villarin
Offended Party
SUBSCRIBED AND SWORN to before me this 10th day of June, 2025, at
Santa Cruz, Davao del Sur, Philippines.
HON. MAYA L. CASTRO
Judge
WITNESSES:
PSSg. Jerico L. Tolentino
PCpl. Ronnel D. Mendez
8
Republic of the Philippines
Province of Davao del Sur
Municipality of Santa Cruz
X---------------------------------x
AFFIDAVIT OF WITNESS
I, ALEX RAMIRO, Filipino, of legal age, married, and a tricycle driver residing
in Sta. Cruz, Davao del Sur, after being duly sworn in accordance with law, do
hereby state:
1. That on June 12, 2025, at around 8:15 PM, I was parked near a
convenience store in Barangay Zone 4, Sta. Cruz when I witnessed
two men on a motorcycle stop beside a delivery rider;
2. That one of them pointed a knife at the man, later identified as James
Villarin, and forcibly took his bag;
3. That after the suspects fled, I immediately reported the incident to the
Sta. Cruz Police Station and helped guide them during their hot pursuit
operation;
4. That I saw the police arrest the suspects near the Sta. Cruz Public
Market, and the items stolen from the victim were recovered;
5. That I am executing this affidavit to give a truthful account of what I
witnessed and support the filing of the case.
IN WITNESS WHEREOF, I hereunto affixed my signature this 10th day of
June 2025 at Santa Cruz, Davao del Sur.
Alex Ramiro
Affiant
SUBSCRIBED AND SWORN to before me this 10th day of June 2025 at
Santa Cruz, Davao del Sur, Philippines.
ATTY. MARY GRACE SUIZO
Notary Public
9
Republic of the Philippines
Province of Davao del Sur
Municipality of Santa Cruz
X---------------------------------x
JOINT AFFIDAVIT OF ARREST
We, PCpl. Ronnel D. Mendez and PSSg. Jerico L. Tolentino, both of legal
age, Filipino, and assigned at the Sta. Cruz Municipal Police Station, after having
been duly sworn in accordance with law, hereby depose and state:
1. That on June 12, 2025, at around 8:30 PM, we received a report from tricycle
driver Alex Ramiro about a robbery that had just occurred outside a
convenience store in Barangay Zone 4, Sta. Cruz, Davao del Sur;
2. That the victim, James Villarin, a 27-year-old delivery rider, was robbed at
knifepoint by two male suspects riding a motorcycle. One of the suspects
pointed a knife and took his bag containing ₱7,800, a cellphone, and delivery
documents;
3. That with the assistance of the witness, we conducted a hot pursuit operation
and at around 8:45 PM, we apprehended two male suspects near the Sta.
Cruz Public Market:
4. That one of the suspects was identified as Anthony Roque. Recovered from
their possession were:
● The victim’s bag
● A knife used in the robbery
● ₱7,800 in cash
5. That we informed the suspects of their constitutional rights under the Miranda
Doctrine in a language they clearly understood;
6. That we arrested and brought them to the Sta. Cruz Municipal Police Station
for proper documentation and filing of charges.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this 12th day
of June 2025, at Sta. Cruz, Davao del Sur.
PCpl. Ronnel D. Mendez PSSg. Jerico L. Tolentino
Affiant Affiant
SUBSCRIBED AND SWORN to before me this 12th day of June 2025, at Sta.
Cruz, Davao del Sur.
I HEREBY CERTIFY that I have personally examined the herein affiants and I
am satisfied that they voluntarily executed and understood their given affidavit.
PMS. DAVE B. BETONIO
Administering Officer
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REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
11th Judicial Region
Branch 69, Sta. Cruz
Warrant of Arrest No.89
WARRANT OF ARREST
To. : PMS. Dave B. Betonio, Arrest Warrant Officer
Name of Unit : PNP Santa Cruz Municipal Police Station
Telephone : (082)555-66-77
Address : PNP Santa Cruz Municipal Police Station, Brgy. Zone 3, Santa Cruz
GREETINGS!
YOU ARE COMMANDED to serve the herein Warrant of Arrest to seize and take
into custody the accused person named below:
Name of Subject of Arrest : ANTHONY ROQUE
Home Address : Brgy. Zone I Santa Cruz, Davao del Sur
And bring forth said person before this court the next business day following his
arrest. A RETURN of this warrant shall be promptly made to the Court identifying the
individual seized and arrested.
Issued at Santa Cruz, Davao del Sur, on June 20, 2025.
HON. MAYA L. CASTRO
Presiding Judge
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Curriculum Vitae
Dave B. Betonio
Bitaug Zone IV, Santa Cruz, Davao del Sur
8001, Philippines
Mobile Phone No.: 09944799054
Email: [email protected]
Educational Attainment:
University of Mindanao Digos College (College)
(2023 - 2025)
Santa Cruz National High School (Senior High School)
Humanities and Social Sciences
(2021 – 2023)
Rizal Street, Zone III, Santa Cruz, Davao del Sur
Santa Cruz National High School (Junior High School)
Ciriaco Godoy, Zone III, Santa Cruz, Davao del Sur
(2017 – 2021)
Santa Cruz Central Elementary School (Elementary)
(2011 – 2017)
Honors and Awards:
With Honors
Santa Cruz National High School (Senior High School)
Santa Cruz National High School (Junior High School)
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