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Investigation Data Form

nps data form

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crmgstramirez2013
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17 views

Investigation Data Form

nps data form

Uploaded by

crmgstramirez2013
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 PROVINCIAL PROSECUTOR
City of Tagbilaran

INVESTIGATION DATA FORM

DATE RECEIVED: NPS DOCKET NO.:


(Stamped and initialed):___________ Assigned to: ___________
Time Received: _________________ Date Assigned: _________
Receiving Staff:_________________

COMPLAINANT/S: RESPONDENT/S:
Name, Sex, Age and Address Name, Sex, Age and Address
PMAJ REY OLAR, male, of legal age ELIZAR BARBERO, legal age,
Loon Police Station single and a resident of Ubujan,
09985986428 Loon, Bohol

WITNESS/ES:
LAWS/S VIOLATED: Name and Address
ATTEMPTED HOMICIDE
1. Pat Jayson Ontong, legal age, married and a
resident of Bahi, Loon, Bohol;
2.Pat Mark Bernales, legal age, married and a
resident of Candaigan, Loon, Bohol;

DATE AND TIME OF COMMISSION: PLACE OF COMMISSION:

February 1, 2024 @ 10:00 a.m. more or less Ubujan, Loon, Bohol

1. Has a similar complaint been filed before any other office? YES_________ NO____X_______
2. Is this complaint in the nature of a counter-affidavit? YES_________ NO____X_______
If yes, indicate details below.
3. Is this complaint related to another case before this office? YES_________ NO ___X________
If yes, indicate details below.
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.

PSSg Jackson A Guadalquiver


Investigator on Case

SUBSCRIBED AND SWORN TO before me this 2nd day of February 2024 in the City of
Tagbilaran, Philippines.

________________________________
Administering Prosecutor/Officer

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