Scribd
Upload
226 views1 page

Investigation Data Form: To Be Accomplished by The Office

1) This is an investigation data form from the National Prosecution Service of the Office of the Provincial Prosecutor in Pallocan, Batangas City. It contains information about a complaint that was received, including the complainant's name and address and respondent's name and address. 2) The form also lists the law violated, any witnesses, and date and place of the alleged incident. Additional questions are asked about similar previous complaints or related cases. 3) At the end, the complainant certifies that the information is true and correct to the best of their knowledge under oath, and that they have not filed any similar actions in other courts. The form is then

Uploaded by

Mabini Municipal Police Station
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
226 views1 page

Investigation Data Form: To Be Accomplished by The Office

1) This is an investigation data form from the National Prosecution Service of the Office of the Provincial Prosecutor in Pallocan, Batangas City. It contains information about a complaint that was received, including the complainant's name and address and respondent's name and address. 2) The form also lists the law violated, any witnesses, and date and place of the alleged incident. Additional questions are asked about similar previous complaints or related cases. 3) At the end, the complainant certifies that the information is true and correct to the best of their knowledge under oath, and that they have not filed any similar actions in other courts. The form is then

Uploaded by

Mabini Municipal Police Station
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

INQ Investigation Form No. 01, s.

2008

Republic of the Philippines


National Prosecution Service
Office of the Provincial Prosecutor
Hall of Justice, Pallocan, Batangas City

INVESTIGATION DATA FORM

To be accomplished by the Office


DATE RECEIVED:_______________________________ INQ DOCKET NO:_________________________

(Stamped and initiated):_______________________ __________________________________________


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 RESPONDENTS/S: Name, Sex, Age &Address

LAW VIOLATED: WITNESS/ES: Name & Address

DATE & TIME of COMMISSION: PLACE of COMMISSION:

1. Has a similar complaint filed before any other office? YES_____ NO_______
2. Is this complaint in the nature of a counter-affidavit? YES_____ NO_______ If yes, indicate details below
3. Is this complaint related to another case before this office? YES____ NO______ 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.

(Signature over printed name) (Guardian)

SUBCRIBED AND SWORN TO before me this _______ day of __________________, 20_______,


In____________________________________.

______________________________
Prosecutor Administering Oath

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

You might also like