Republic of the Philippines
National Police Commission
Philippine National Police
INDANG MUNICIPAL POLICE STATION
Municipal Building, San Gregorio Street,
Indang,Cavite
+63 (46) 460 4827
COMPLAINT SHEET
Complaint No. Date: May 27, 2023
1. REPORTED THRU: 2. Previously Reported to other agency:
[ ☑️] In Person [ ] Yes [ ☑️] No
[ ] Telephone If yes;
[ ] Other a. To what agency
_____________________________
b. BY whom
__________________________________
c. Date/time
__________________________________
3. Nature of Complaint/Info 4. Place of Occurrence/Incident 5. Date/time
Carnapping Incident (Motorcycle) Barangay Kayquit Indang, MAY 27, 2023,
Cavite 3:00 PM
6. Name of Complainant/Informer 7. Address 8. Tel No.
09484230004
KYLE NUESTRO #259 San Miguel St.
Poblacion II, Indang Cavite
9. Name(s) of Victim(s) 10. Age 11.Sex 12. Address 13. Tel No.
KYLE NUESTRO 22 M #259 San Miguel St. 09484230004
Poblacion II, Indang
Cavite
14. Name(s) of Suspect(s) 15. Alias 16.Sex 17.Age 18. Address
MARCO PINAGSAMPAY “BENTONG” M 28 #01 DE OCAMPO ST.
JOHN MADLANGBAYA “JUAN” M 26 BRGY KAYQUIT,
INDANG CAVITE
19. Name(s) of Witness(es) 20. Address 21. Tel No.
NENITA PINAGLABA
#03 DE OCAMPO ST. BRGY 09755267238
KAYQUIT, INDANG CAVITE
22. Brief facts/narrative of complaint (Use back page, if necessary)
At about 3:00 in the afternoon, when I was about to go home, I noticed that my
motorcycle Honda Click 125 (2019), black in color, with MV File No. 1380-1173732 was
missing. Upon checking on the CCTV Camera in front of the parking space owned by
Nenita Pinaglaba, the carnappers were recognized by the owner of the eatery and
positively identified the suspects. Immediately, I reported to this station for legal
action.
23. Remarks of the receiving officer (especially if reporter refused to be identified):
a. Dialect (Accent): TAGALOG
b. Female/Male: MALE
c. Possible Age: 22 YEARS OLD
d. Possible place where the caller is: BRGY. KAYQUIT, INDANG CAVITE
e. Intoxicated or not: NEGATIVE
f. Others:: _________________________________________________________
24. I certify that the details of the 25. SUBSCRIBED AND SWORN to before me
complaint/info stated above are true and this 27th day of May 2023 at Indang
correct to the best of my knowledge. Municipal Police Station
KYLE NUESTRO
Printed Name & Signature of Complainant/Informer
26. Date/Time/Complaint/Info Received 27. Printed name/Signature of Receiving
Officer
MAY 27, 2023, 3:18 PM
PATROLMAN JUAN MIGUEL
28. Assigned to: 29. Noted by:
PSSg AIZELLE OLIMBERIO OFFICER IN CHARGE
CONFIDENTIAL