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Investigation Data Form

This document is an investigation data form from the National Prosecution Service in Taguig City, Philippines. It collects information about a complaint including the complainant and respondent's names and addresses, the laws violated, witnesses, date and place of the alleged incident. The complainant certifies that the information is true and correct and that they have not filed any similar claims in other courts. They also agree to inform the office if a related case is filed elsewhere.

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Maria Lea Bernadeth Otico
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3K views

Investigation Data Form

This document is an investigation data form from the National Prosecution Service in Taguig City, Philippines. It collects information about a complaint including the complainant and respondent's names and addresses, the laws violated, witnesses, date and place of the alleged incident. The complainant certifies that the information is true and correct and that they have not filed any similar claims in other courts. They also agree to inform the office if a related case is filed elsewhere.

Uploaded by

Maria Lea Bernadeth Otico
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 City Prosecutor
Taguig

INVESTIGATION DATA FORM


To be accomplished by the Office

DATE RECEIVED : NPS DOCKET NO :


Time Received : Assigned to :
Receiving Staff : Date Assigned :

To be accomplished by complainant/counsel/law enforcer

COMPLAINANTS: Names, Sex, Age & Address RESPONDENT/S: Name, Sex, Age & Address

LAW/S VIOLATED: WITNESSES: Name & Address

DATE AND TIME OF COMMISSION PLACE OF COMMISSION

1. Has a similar a similar complaint been filed before any other office: YES ___ NO ___
2. Is this complaint in the nature of a counter-affidavit?* YES ___ NO ___
3. Is this complaint related to another case before this office?* YES ___ NO ___
I.S. 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 _____ day of ________, 2019 in Taguig City.

DOH-PM-NPS02-001.FO1
Revision 1

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