Republic of the Philippines

REGIONAL TRIAL COURT

____ Judicial Region
Branch ____
Agila City

THE PEOPLE OF THE PHILIPPINES,

Plaintiff,
CRIMINAL CASE NO. ______________
(NPS Docket No. XV-II-INV-20G-021)
-versus- FOR: Violation of _______
Of Republic Act 11188

Accused.
x--------------------------------------------------/

INFORMATION

The undersigned Prosecutor accuses_________, of the crime of

Violation of ___________ of Republic Act No. 11188 committed as
follows:

“That on or about

CONTRARY TO LAW.”

City of Manila for Agila City, ___________2020.

xxxxxxxxxx
Senior Assistant State Prosecutor
Roll of Attorneys No. 00000
IBP Lifetime No. 000000
MCLE Compliance No. VII-00000

CERTIFICATION
 I hereby certify that a preliminary investigation has been conducted in
this case pursuant to Section 3, Rule 112 of the Revised Rules of Criminal
Procedure; that I have personally examined the complainant and his witnesses;
that the accused was informed of the complaint and of the evidence submitted
against him and that he was given the opportunity to submit controverting
evidence; that there is reasonable ground to believe that a crime has been
committed and that the accused is probably guilty thereof. I further certify that
this Information is being filed with the prior authority of the Prosecutor
General.

xxxxxxxxx
Senior Assistant State Prosecutor

SUBSCRIBED AND SWORN to before me this _____day of __________

2020 in the City of Manila.

xxxxxxxxxx
Senior Assistant City Prosecutor

Witness/es:

And others.

Bail Recommended:

APPROVED:

xxxxxxxx
Prosecutor General
Roll No.
MCLE Compliance No.