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    Sample Inv Data Form

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    Alexylle Concepcion
    This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

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    Sample Inv Data Form

    Uploaded by

    Alexylle Concepcion
    161 views1 page
    This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

    Original Description:

    FILING OF CRIMINAL COMPLAINT

    Original Title

    SAMPLE INV DATA FORM

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    This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    161 views1 page

    Sample Inv Data Form

    Uploaded by

    Alexylle Concepcion
    This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    Department of Justice
    NATIONAL PROSECUTION SERVICE
    OFFICE OF THE PROVINCIAL PROSECUTOR
    Province of Negros Oriental
    Hall of Justice
    Piapi, Dumaguete City

    INVESTIGATION DATA FORM

    To be accomplished by Office:

    DATE RECEIVED: NPS DOCKET NO.:


    (stamped and initialed): ___________________ ____________________________________
    Time Received: _________________________ Assigned to: __________________________
    Receiving Staff: _________________________ Date Assigned: _______________________

    To be accomplished by complainant/counsel/law enforce:


    (Use back portion if space is not sufficient)

    COMPLAINANT/s: Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age, & Address

    _______________________________________________ ______________________________________________

    OFFENSE/s COMMITED / LAW/s VIOLATION: WITNESS/es: Name & Address


    Sections 20(b)(d) of RA No. 7586 also known as National
    _______________________________________________
    ______________________________________________

    DATE & TIME of COMMISION: PLACE of COMMISION:


    15 APRIL 2019 AROUND 9:00 o’clock in the morning Within the Protected Area of Balinsasayao Twin Lakes and
    Natural Park, Barangay Enrique Villanueva, Sibulan,
    Negros Oriental, Philippines

    1. Has a similar complaint been filed before any other office? * YES ___ NO _×_
    2. Is this complaint in the nature of a counter-charge? * 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. / NPS Docket No.: _______________________
    Handing Prosecutor: ________________________

    C E R T I F I C A T I O N*
    I CERTIFY, under oath, 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 quasijudicial
    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)

    SUBCRIBED AND SWORN TO before me this ____________ day of ___________________ ,20 _______ ,
    in ___________________________________________.

    _____________________________________
    Administering Prosecutor / Office

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