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INVESTIGATION-DATA-FORM

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AGUSTIN, LYANNE D.
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7 views

INVESTIGATION-DATA-FORM

Uploaded by

AGUSTIN, LYANNE D.
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NATIONAL PROSECUTION SERVICE

OFFICE OF THE CITY PROSECUTOR


PASIG CITY

INVESTIGATION DATA FORM

NPS DOCKET NO:


756438564
(Stamped and initiated)__________________________________________________________________
12:43PM
Time Received: _____________________________ Assigned to: _________________________
PETER SANDIGAN
JOHN LARS E. BONY
Receiving Staff:_____________________________ Date OCTOBER 24,
Assigned: _____________________
To be accomplished by complainant/counsel/law enforcer:
(Use back portion if space is not sufficient)

COMPLAINANTS/Arresting: Name, Sex, Age & RESPONDENT/s: Name, Sex, Age &Address
Address

NAME: DANICA RIZALTE NAME: ALVIN BENJAMIN


SEX: FEMALE SEX: MALE
AGE: 21 AGE: 32
ADDRESS: BLOCK 7 LOT 23 ADDRESS: BLOCK 37 LOT 2
BARANGAY PASONG TAMO BARANGAY HAGONOY TAGUIG
BAGUMBAYAN TAGUIG CITY CITY

OFFENSES/COMMITTED/LAW/s VIOLATED: Witness/Arresting Officer: Name & Address


NAME: PCPL. JAMES CORTEZ
Two counts of murder under SEX: MALE
hsisnsbbsbsnsnsbsbnsb Article 248 AGE: 25
. ADDRESS: BLOCK 6 LOT 18 GATE
3 BONIFACIO TAGUIG CITY
DATE & TIME OF COMMISSION: PLACE OF COMMISSION:
OCTOBER 9, 2024 TAGUIG CITY

1. Has a similar complaint been filed before any other office?* YES ___ / NO ___
2. Is this complaint in the nature of a counter-charge?* / If yes, Indicate details below:
YES ___ NO ___
/ If yes, indicate the detail below
3. Is this complaint related to another case before this office?* YES ___ NO ___

5748347685
I.S./NPS Docket No: _____________
JAMES RABADEO
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 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.

(Signatures over printed names)

SUBSCRIBED AND SWORN TO before me this 23


____day of 06
_________, 24
20____________,
TAGUIG CITY
in__________________

PSMS RANCHO DULNUAN


__________________________
Administering Office

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