Professional Documents
Culture Documents
Investigation DATA FORM
Investigation DATA FORM
01 s 2008
COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
Contact Number
_______________________________________ _______________________________________
_______________________________________ _______________________________________
1. Has a similar complaint been filed any other Office? YES____ NO __
2. Is this Complaint in the nature of a counter-charge? YES ___ NO ___
3. In this complaint related to another case before this Office? YES ___ NO___
I.S./NPS Docket No. __________________
Handling Prosecutor: _________________
CERTIFICATION
I CERTIFY, under oath, that all Information on this sheet are true and correct to the best of our 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 knowledge thereof.
____________________________
(Signature over Printed Name)
SUBSCRIBED AND SWORN TO before me this ____ day of _____________ in Makati City,
________________________________
Administering Prosecutor/Office
COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
Contact Number
_______________________________________ _______________________________________
_______________________________________ _______________________________________
1. Has a similar complaint been filed any other Office? YES____ NO __
2. Is this Complaint in the nature of a counter-charge? YES ___ NO ___
3. In this complaint related to another case before this Office? YES ___ NO___
I.S./NPS Docket No. __________________
Handling Prosecutor: _________________
CERTIFICATION
I CERTIFY, under oath, that all Information on this sheet are true and correct to the best of our 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 knowledge thereof.
____________________________
(Signature over Printed Name)
SUBSCRIBED AND SWORN TO before me this ____ day of _____________ in Makati City,
________________________________
Administering Prosecutor/Office
COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
CERTIFICATION
I CERTIFY, under oath, that all Information on this sheet are true and correct to the best of our 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 except for Perjury case filed at Office of the City Prosecutor in Pasay City, 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 knowledge thereof.
SUBSCRIBED AND SWORN TO before me this ____ day of _____________ in City of Manila.
________________________________
Administering Prosecutor/Office
COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
CERTIFICATION
I CERTIFY, under oath, that all 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 knowledge thereof.
____________________________
(Signature over Printed Name)
SUBSCRIBED AND SWORN TO before me this ____ day of _____________ in Valenzuela City.
________________________________
Administering Prosecutor/Office
1,2,3 and CERTIFICATION need not be accomplished for Inquest cases