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  • Investigation Data Form: To Be Accomplished by The Office

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    Mabini Municipal Police Station
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    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

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    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

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    19 views1 page

    Investigation Data Form: To Be Accomplished by The Office

    Uploaded by

    Mabini Municipal Police Station
    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

    Copyright:

    © All Rights Reserved
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    of 1

    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

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