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Investigation Data Form

This document is an investigation data form from the Office of the City Prosecutor in Cebu, Philippines. It provides information about a complaint filed, including the complainant and respondent's names and addresses, the laws violated, date and place of the alleged incident, and a certification by the complainant that the information is true and no similar case has been filed elsewhere.

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Agnes
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2K views1 page

Investigation Data Form

This document is an investigation data form from the Office of the City Prosecutor in Cebu, Philippines. It provides information about a complaint filed, including the complainant and respondent's names and addresses, the laws violated, date and place of the alleged incident, and a certification by the complainant that the information is true and no similar case has been filed elsewhere.

Uploaded by

Agnes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
City of Cebu

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: NPS DOCKET NO.: _________________________


(stamped and initialed): ________________ Assigned to: ________________________________
Time Received: ______________________ Date Assigned: ______________________________

To be accomplished by complainant/counsel/law enforcer:


(Use back portion if space is not sufficient)

COMPLAINANT/S: Name, Sex, Age & Address RESPONDENT/S: Name, Sex, Age & Address

LAW/S VIOLATED: WITNESS/ES: Name, Age & Address

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

1. Has a similar complaint been filed before any other office? YES NO x
2. Is this complainant in the nature of a counter-affidavit? YES NO x
If yes, indicate details below.
3. Is this complaint related to another case before this office? YES NO x
If yes, indicate details below.

NPS Docket No.:


Handling Prosecutor:

CERTIFICATION

I CERTIFY, under oath, that all the information on this sheet are true and correct to the best of my
knowledge and belief, that I have not commenced any action or filed any claim involving the same issues in any
court, tribunal, or quasi-judicial agency, and that if I should thereafter learn that a similar action has been filed
and/or is pending, I shall report that fact to this Honorable Office within five (5) days from knowledge thereof.

(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this__________________ in Cebu City, Philippines.

___________________________________
Administering Prosecutor / Officer

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