On-Line Incident and Complaint Report Form

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On-Line Incident and Complaint Report

If you wish to report a crime or incident you may use this form. Your report will be immediately forwarded to the proper authorities for action to be taken. Please be sure to fill in all fields completely and accurately. Bantay Turista staff will contact you and will monitor progress of your complaint.

Your first name

Your complete overseas home address and contact telephone number at your country of origin

Nationality

Religion
Your middle name
Your last name
Your email address
Gender    Male    Female
Marital Status Married    Single    Divorced
   
Age Birth date mm/dd/yy Occupation  
   
Employer Place of work

Your contact telephone number while in the Philippines
  Your complete address while in the Philippines
     
Date of arrival in the Philippines
mm/dd/yy
 Time of arrival
In the Philippines
 Flight number or name of vessel
you arrived on.

Nature of complaint
(robbery, mugging, theft, physical injury, swindling, extortion, etc. Please specify)
Where did the incident happen
What date and time did it happen Date Time

Name of Companion when the incident happened (if any)

 Full address and contact number of companion (if any)


Any known details of Suspect            
Name

 Alias
 Age
 Sex
 Build
 Height
 Complexion
Description of suspect
Address of suspect (if known)


Please give brief facts of the incident and carefully describe the modus operandi of the suspect

Have you previously reported this incident to any other agency Yes     no

If Yes, To what Agency
By Whom
Date and Time it was reported Date Time


Do you agree that the above will be reported to the police   Yes   No

By clicking on the Submit button below I certify that all above details are true and correct to the best of my knowledge

  

 
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Disclaimer: This Web site is built, maintained and kept on-line as a service to tourism and tourists in the Philippines. The views published on any part of this Web site are those of the respective individuals or organisations who donate or post the information and not necessarily those of The Bantay Turista Foundation Inc..