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  • Investigation Data Form

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    Jermone Muarip
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    Investigation Data Form for Filing Criminal Complaint before the Prosecutor Office

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    INVESTIGATION DATA FORM

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    Investigation Data Form for Filing Criminal Complaint before the Prosecutor Office

    Copyright:

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

    Investigation Data Form

    Uploaded by

    Jermone Muarip
    Investigation Data Form for Filing Criminal Complaint before the Prosecutor Office

    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 CITY PROSECUTOR
    Bacoor City, Cavite

    INVESTIGATION DATA FORM

    NPS DOCKET NO.: IV- -INV- ________________ RECEIVED BY: ___________________________


    ASSIGNED TO: _____________________________ DATE AND TIME RECEIVED: ________________
    DATE ASSIGNED: ___________________________

    Complainant/s: (and/or LEAs) Name, Sex, Age & Address Respondent/s (and/or Suspect/s) Name, Sex, Age & Address

    OFFENSE/LAW VIOLATED: DATE & TIME of COMMISSION


    Sec 4 (c ) 4 Cyber Libel of RA 10175 otherwise known AUGUST 14, 2023 / 04:00 PM
    as the “Cybercrime Prevention Act of 2012.”, article 364 of the
    RPC Intriguing Against Honor, and Article 287 of the RPC
    Unjust Vexation, both in relation to Ra 10175.

    PLACE OF COMMISSION
    Bacoor City, Cavite

    List of attached supporting documents/evidence: (use separate/additional sheet, if needed)


    1. Complaint Affidavit “A”
    2. Affidavit of witness/s “B”
    3. Extraction of Evidence “C”
    4. Screenshots of alleged videos “D”
    5. Save Videos Copy (Flashdrive) “E”

    ATTESTATION
    1. Has a similar complaint been filed before another office? Yes XX No
    2. Is this complaint in the nature of counter-charge? Yes XX No
    If yes, indicate details
    3. Is this complaint related to another case before this office Yes XX No
    Or any other office? If yes, indicate details

    CERTIFICATION
    I/WE CERTIFY, under oath, that all information on this sheet are true and correct to the best of my/our knowledge
    and belief; that I/We, our unit/division, (or other LEAs/complainant) have not commenced any action or filed any complaint
    involving the same issues in any Court, Prosecution Office, tribunal, or other quasi-judicial agency, and that if I/We should
    thereafter learn that a similar action/complaint has been filed and/or is pending, I/We shall report the same to this Honorable
    Office within twenty-four (24) hours from knowledge thereof.

    Name and Signature of Complainant/s and/or LEAs

    SUBSCRIBED AND SWORN to before me this _____ day of _______________________, at City of Bacoor, Cavite.

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