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The document is an NPS Investigation Form used by the National Prosecution Service in the Philippines for collecting information regarding complaints and offenses. It includes sections for details about the complainant, respondent, offenses, witnesses, and relevant certifications. Additionally, it contains questions regarding related complaints or cases and requires an oath from the complainant confirming the accuracy of the information provided.

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Maricar Francisco
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9 views2 pages

1 - Idf

The document is an NPS Investigation Form used by the National Prosecution Service in the Philippines for collecting information regarding complaints and offenses. It includes sections for details about the complainant, respondent, offenses, witnesses, and relevant certifications. Additionally, it contains questions regarding related complaints or cases and requires an oath from the complainant confirming the accuracy of the information provided.

Uploaded by

Maricar Francisco
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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NPS Investigation Form No. 01 s.

2008

Republic of the Philippines


Department of Justice
NATIONAL PROSECUTION SERVICE
Patin-ay, Prosperidad,
Agusan del Sur
INVESTIGATION DATA FORM
To be accomplished by the office:
DATE RECIVED: _________________ NPS DOCKET NO:
(Stamped and initialed)_______________________
_______________________________
Time Received: ____________________________ Assigned to:
_________________________________
Receiving Staff:______________________________ 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

OFFENSE/s COMMITTED/ LAW/s VIOLATED: WITNESS/es: Name & Address

DATE & TIME of COMMISSION: PLACE of COMMISSION:

1. Has a similar complaint been filed before any other office?* YES __ NO __
2. Is this complaint in the nature of a counter-charge?* YES __ NO__ If yes, indicate
details below.
3. Is this complaint related to another case before this office?* YES __ NO __ If yes, indicate
details below.
I.S. / NPS Docket No.:___________________________________
Handling Prosecutor:____________________________________

CERTIFICATION*
I CERTIFY, under oath, that all 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 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 ___ day of _____ 2023, in Bayugan
City, Agusan del Sur, Philippines
Administer
ing Prosecutor / Office
*1, 2, 3 and CERTIFICATION need not be accomplished for inquest cases

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