Republic of the Philippines

Metropolitant Trial Court

______________

People of the Philippines Criminal Case No.

VS

Accused

X------------------------------X

COMPLAINT

The undersigned, chief of police of _________, accuses _______________ in

the municipality of ______________, province of _______________________,
Philippines, the said accused did then and there, willfully, unlawfully, and
feloniously, with malice and aforethought, attacked _______________________
with _______, wounding the latter in the ____________, producing wounds which
are necessarily fatal, thereby causing the immediate death of said _____________.

Contrary to law.

____________, ___________________, 20______

__________________________

Chief of police of_____________

SUBSCRIBED AND SWORN before me this ______________th day of ________

20___________ in the province of ________________

_________________________

JUDGE