REPUBLIC OF THE PHILIPPINES

Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
Manila
INVESTIGATION DATA FORM
(Form No. 1 Series of 2022)

NPS Docket No. XV-07 __________________

To be accomplished by the Docket Section:
DATE/TIME RECEIVED (STAMPED AND INITIATED) ________________________________________

RECEIVING STAFF (Complete Name and Signature) _________________________________________

ASSIGNED TO: __________________________________ ROOM NO. ______________________

DIVISION: _______________________________________

To be accomplished by the complainant / counsel / law enforcer:

COMPLAINANT/s: Name , Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
(with zip codes) (with zip codes)

Joann Bumanglag y Par, 49 yrs old, female,
married, school faculty ; and
Joanna Mari Bumanglag y Par, 15 yrs old, female,
Single, student and both presently residing at
Lot 10, Blk 10, Phase F Francisco Homes Brgy Narra
San Jose Del Monte, Bulacan/2106 G Kahilom 2,
Pandacan, Manila
Cellphone No. 09984596453
Zipcode: 3023/1011
S1: Carlos Joshua Par y Trillanes, 20 yrs old,
Male, single and presently residing at 2110-D
Kahilom 2, Pandacan, Manila;
S2: Ryan Militante y Elep, 21 yrs old,
Male, single and residing at 2124-D Kahilom 2,
Pandacan, Manila
S3:Denmark Rivera y Par@ Macmac, legal age,
Male, single and residing at 2124-D Kahilom 2,
Pandacan, Manila
S4: Rey Moreno y Cayabyab, 23yrs old, male,
Single and residing at 2600 Jesus St., Pandacan
Manila
Zipcode: 1011

CRIME/S/ OFENSE/S VIOLATED: WITNESSES: (Name, Sex, Age, and Address with
Zipcode)

RA 8353 (Anti-Rape Law) in rel to N/A___________________

RA 7610

DATE & TIME OF COMMISSION: PLACE WHERE CRIME WAS COMMITTED:

Since December 31, 2019 to March 2022 Inside 2106 G Kahilom 2, Pandacan,
Manila; and 2124 D Kahilom 2, Pandacan,
Manila,

MUST BE ANSWERED:

IS THIS COMPLAINT IN THE NATURE OF COUNTER-CHARGE? ( ) YES (X) NO

HAVE YOU EVER FILED A RELATED CASE WITH THIS OFFICE? ( ) YES (X) NO

If yes, please indicate the details: NPS Docket No. ____________________________

 NAME OF PARTIES: ________________________________________

HANDLING PROSECUTOR: __________________________________

CERTIFICATION

I certify under oath, that all the information on this instrument is 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 similar
action has been filed and/or pending. I shall report the fact to this Honorable Office within five (5) days
from knowledge thereof.

Joann Bumanglag y Par

Signature over printed name

SUBSCRIBED AND SWORN TO before me this ___ day of ________ 2022 in Manila City and
I have explained to the declarant the import ò the Certification.

Administering Officer/Prosecutor
(Signature over printed Name)