VIOLENCE AGAINST CHILDREN CASE MONITORING SYSTEM (VAC-CMS)

Form 1 (Revised)
1. Unit Reporting: Norala Police Station 3. Investigation/Case No. 2011-114 2.Date Accomplished: February 04, 2012 4.WCPD Officer On Case: PO3 Lorelyn L. Batislaong

A. OFFENSE DATA
5. Time/Day/Month/Year of Commission: 6. Place of Commission: 08:00 oclock in the evening /04 February 12 Brgy. Poblacion, NSC 7. Offense/s Committed: ____Rape ____Physical Injuries(Domestic Violence) Related Crimes: ____Incestuous Rape ____Physical Injuries (other circumstance) ____Unjust Vexation ___Attempted Rape ____Abduction ____Slander/Oral Defamation ____Seduction ____Sexual Harassment ____Parricide/Homicide ____Acts of Lasciviousness ____Illegal Recruitment ____Murder ____Concubinage ____Threats Other: Specify mauling

B. VICTIMS DATA
8. Name : 9.Nickname 10. Age and BAJADOR CHENA MARIE DESCUATAN Date of Birth Family First Middle CHE CHE 15yo/03 DEC. 96 12. Highest Educational Attainment 13. Mental Condition ____Elementary __X_ High School ____College __X__normal ____Post Graduate ___No Formal Education ____Vocational ____retardate 15. Works in ____Government ____Private Firm ____Self-employed 11. Civil Status _x___ single ____widow ____ married ____separated 14. Nationality/ Citizenship __X__Filipino ____Others: specify __X__ unemployed 20. Civil Status ___single ___widow __X_married ___separated

C. OFFENDERS DATA
16. Name PALOMO Family JANET First Middle 17.Nickname 18. Age and NENET Date of Birth 46yo /13march66 19.Sex Female

21. Highest Educational Attainment 22. Nationality 23. Previous Criminal Rec ____Elementary _X __High School ___College _X___Filipino ____Yes if yes; specify ____Post Graduate ____No Formal Education ___Vocational ____Others: specify __X__No _____________ 24. Works in: ____Government ____Private Firm ____Self-employed _X__unemployed 25. Relation to Victim ___ Wife ___Father ___Stepfather ___Live-in partner ___Relative ___Girlfriend ___Employer ___Stranger _X__Neighbor ___Husbands mistress ___Gang/group ___ Friend

D. EVIDENCE DATA
26. Weapons/Means Used ____Firearms ____Bladed Weapon ____Blunt Instrument ____Fist/Kick _X__ Others, pls. Specify: None 27. Motive/Cause ___Sex/Lust ___Passion/Jealousy _X__ Misunderstanding ___Revenge ___Family Trouble ___Poverty ___Others: specify:_________________ 28. Suspect under the Influence of ___Drugs ___Alcohol ___Both ___X_ None 29. Medico Legal Examination ____Not availed _X__ Availed ____Pending

E. CASE DISPOSITION
30. Case ____Filed in Court ____Under Police Investigation ____Referred to DSWD ____ Settled by parties at the PNP 31. Victim in the Custody of ____DSWD ____NGO __X__Un offended family members 32. Suspect ____Arrested ____Warrant Issued ____At Large __X_Referred to Brgy ____ For record purposes ____Other individual ____On Bail

F. INCIDENT BRIEF
33. That on or about 08:00 oclock in the morning of February 03, 2012, Chena Marie Bajador Y Dscuatan, 15 years old, Single, out of School youth and a res Brgy Poblacion of this mplty reported to this station with allegation that she was mauled by her neighbor Janet Palomo , 46 yo, married, house wife and a res of same place . Said case was ref to BJS. Prepared By: PO3 Lorelyn L. Batislaong WCPD Investigator Noted By: PCI GEORGE BINGCO PARCON Chief of Police