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NPS Information Data Form

This 3 sentence summary provides the key details from the NPS Investigation Form No. 01: The form is used to report a complaint to the National Prosecution Service of the Province of Misamis Oriental and collects information about the complainant, respondent, alleged offense, witnesses, date and location of the incident. The complainant certifies that the information provided is true and correct, that no similar action has been filed in another court or agency, and if a similar case is later discovered it will be reported within 5 days.

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Tim Arroyo
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861 views

NPS Information Data Form

This 3 sentence summary provides the key details from the NPS Investigation Form No. 01: The form is used to report a complaint to the National Prosecution Service of the Province of Misamis Oriental and collects information about the complainant, respondent, alleged offense, witnesses, date and location of the incident. The complainant certifies that the information provided is true and correct, that no similar action has been filed in another court or agency, and if a similar case is later discovered it will be reported within 5 days.

Uploaded by

Tim Arroyo
Copyright
© © All Rights Reserved
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
Office of the Provincial Prosecutor
Province of Misamis Oriental

INVESTIGATION DATA FORM


To be accomplished by the Office

DATE RECEIVED: NPS DOCKET NO.: X-05-IN__-


(stamped and initialed): Assigned to:
Time Received: Date Assigned:
Receiving staff:

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 COMITTED/LAW 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___
3. Is this complaint related to another case before this office? Yes___/No___

NPS Docket No.


Handling Prosecutor

CERTIFICATION

I hereby 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 ___ day of ____________ at


Cagayan de Oro City, Philippines.

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