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Investigation Data Form - Manila

This document is an investigation data form from the Philippine Department of Justice regarding a case of alleged perjury. It provides key details about the complaint including the complainant, respondent, alleged offense, date and location of incident, and witness. Ramon Talan has filed a complaint against Ronald Perez for perjury under the Revised Penal Code for false statements made on March 7, 2016 in Quezon City. The witness listed is Joselito Villa of Marikina City. The complainant certified the information is true to the best of their knowledge.

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Jane Hazel Guiriba
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1K views

Investigation Data Form - Manila

This document is an investigation data form from the Philippine Department of Justice regarding a case of alleged perjury. It provides key details about the complaint including the complainant, respondent, alleged offense, date and location of incident, and witness. Ramon Talan has filed a complaint against Ronald Perez for perjury under the Revised Penal Code for false statements made on March 7, 2016 in Quezon City. The witness listed is Joselito Villa of Marikina City. The complainant certified the information is true to the best of their knowledge.

Uploaded by

Jane Hazel Guiriba
Copyright
© © All Rights Reserved
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 PROSECUTOR
MANILA CITY

INVESTIGATION DATA FORM


To be accomplished by the Office:

NPS DOCKET NO.:

DATE RECEIVED:

(Stamped and Initialed) ___________________


Time Received: ________________________
Receiving Staff: ________________________

XV-07-INV

Assigned to: __________________________


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


_____________________________________

_RAMON G. TALAN___________________

RONALD C. PEREZ_____________________

_____________________________________

_____________________________________

____________________________________

_____________________________________

OFFENSE/s COMMITTED/ LAW/s VIOLATED:

WITNESS/es: Name& Address

_____________________________________

_JOSELITO P. VILLA- at No. 592 J.P.

Rizal __PERJURY under Art. 183______________

Street, Brgy.

Concepcion, Marikina City


__of the Revised Penal Code_____________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

DATE & TIME OF COMMISSION:

PLACE OF COMMISSION:

______March 7, 2016___________________

____Quezon City______________________

_____________________________________

_____________________________________

1. Has a similar complaint been filed before any other office?*


2. Is this complaint in the nature of a counter- charge?*
3. Is this complaint related to another case before this office?*
4.

YES____
YES____
YES____

NO____
NO____ If yes, indicate details below
NO____ if yes, indicate details below

I.S./NPS Docket No. __________________________


Handling Prosecutor:__________________________

C E R T I F I C A T I O N*
I CERTIFY, under oath, that all the information in this sheet is true and correct to the best of my
knowledge and belief, I have not commenced any action r filed any claim involving the same issues in
any court, tribunal, quasi-judicial agency, and that if I should learn that a similar action has been filed
and/or is pending, I shall report that fact to this Honorable Court within five (5) days from knowledge
thereof.
________________________________________
(Signature over Printed Name)
SUBSCRIBED AND SWORN TO before me this ____________ day of ____________, 20___,
in _________________________________________.

Administering Prosecutor/ Officer

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