RESISTANCE TO AN AGENT OF AUTHORITY

(Caption and Title)

INFORMATION

The undersigned Assistant City Prosecutor, upon sworn complaint originally filed by the
offended party, accuses _______________________of a violation of Art. 151 of the Revised
Penal Code committed as follows:

That on or about_________________ in the city of_____________ , province

of________________, Philippines, within the jurisdiction of this court, the said accused did then
and there willfully, unlawfully, and feloniously resist ______________ of the Customs Police
Force, duly qualified and appointed as such and while performing his official duties, by then and
there attempting to use personal violence upon the said _______________, when he placed the
accused under arrest.

Contrary to law.

(Venue, date)

Assistant City Prosecutor

Witnesses:

BAIL RECOMMENDED:

Certification