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INVESTIGATION DATA FORM - Sample

This document is an investigation data form from the Office of the Provincial Prosecutor in Cavite Province, Philippines. It requests information about a complaint including the complainant's name and address, respondent's name and address, laws violated, witnesses, date and place of incident. The complainant certifies that the information is true and correct and that no similar case has been filed in another court or tribunal.

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Croissant07
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91 views1 page

INVESTIGATION DATA FORM - Sample

This document is an investigation data form from the Office of the Provincial Prosecutor in Cavite Province, Philippines. It requests information about a complaint including the complainant's name and address, respondent's name and address, laws violated, witnesses, date and place of incident. The complainant certifies that the information is true and correct and that no similar case has been filed in another court or tribunal.

Uploaded by

Croissant07
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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Republic of the Philippines

Department of Justice
National Prosecution Service
OFFICE OF THE PROVINCIAL PROSECUTOR
Province of Cavite
______________

INVESTIGATION DATA FORM


(To be accomplished by the Office)
DATE RECEIVED: NPS DOCKET NO:
(stamped and initiated):__________________ IV-03-INV______________________________
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

LAW/S VIOLATED: WITNESS/ES:Name&Address

DATE & TIME of COMMISSION PLACE OF COMMISSION

1. Has a similar complaint been filed before any office? YES ___ NO ____
2. Is this complaint in the nature of counter charge? YES ___ NO____
3. Is this complaint related to another case before this office? YES ___ NO___ if yes indicate details below:
IS 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, 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 _____________, __________________.

________________________________________
Prosecutor Administering Oath

*1,2,3, and Certification need not be accomplished for inquest cases

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