REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF JUSTICE
NATIONAL BUREAU OF INVESTIGATION
MEDICO LEGAL SECTION

CERTIFICATE OF POST MORTEM EXAMINATION

THIS IS TO CERTIFY that the undersigned performed a postmortem examination of a body of

a person identified as that of _______________________________, age_____, sex______,
occupation____________________________, citizenship_________________, resident
of_________________________________________, height_________, weight______, done on this
day of _____________________________________________________
at__________________________________________, that said decedent died or was found dead
at____________________________________________ on ______________________________
allegedly as a result of_______________________________ at____________________________ on
_____________________________.

The above information were given by_______________________________________,

address____________________________.

The cause of death to the best of my knowledge

is_________________________________________________________________________________
___________________________________________________________________________________
_____________.

JULIE SALVADOR M.D.

Medico Legal