Scribd
Upload
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
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
You are on page 1/ 1

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

You might also like