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Investigation Data Form

This document is an investigation data form from the National Prosecution Service of the Department of Justice in Baguio City, Philippines. It provides details of a homicide case, including the complainant and respondent's names and addresses, the alleged offense of homicide, date and location of the incident, and witnesses. The complainant certified that the information is true and correct and that no similar case has been filed in another court or agency.

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207 views1 page

Investigation Data Form

This document is an investigation data form from the National Prosecution Service of the Department of Justice in Baguio City, Philippines. It provides details of a homicide case, including the complainant and respondent's names and addresses, the alleged offense of homicide, date and location of the incident, and witnesses. The complainant certified that the information is true and correct and that no similar case has been filed in another court or agency.

Uploaded by

nildin dana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE IOF THE PROVINCIAL/ CITY PROSECUTOR
Baguio City

INVESTIGATION DATA FORM


To be accomplished by the Office:

DATE RECEIVED: NPS DOCKET NO.:

(Stamped and initiated): .


Time Received: Assigned to:
Receiving Staff: Date Assigned:

To be accomplished by complainant/ counsel/ law enforcer:


(Use back portion if space is not sufficient)

COMPLAINANT/S:Name, Sex, Age & Address RESPONDENT/S:Name, Sex, Age & Address

Judy Anne E. Esteban, female, 32 years old Juan Dela A. Cruz, male, 36 years old,
Resident of Brgy., Tuel, Tublay, Benguet Resident of Brgy., Tuel, Tublay, Benguet

OFFENSE/S COMMITTED: WITNESS/S: Name & Address

HOMICIDE Carla L. Santos resident of 92 T.Alonzo St.


Baguio City and PO1 Jeriko Ong resident of

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

At or about 10:30 PM of December 28, 2019 Sunnyside Building, T. Alonzo Street, Baguio
City

1. Has a similar complaint been filed before any other office? YES NO x
2. Is this complaint in the nature of a counter- charge? YES NO x
3. Is this complaint related to another case before this office? YES NO x

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 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 a similar
action has been filed and/or pending, I shall report that facts to this Honorable Office within five (5)
days from knowledge thereof.

(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this day of 20


In .

Administering Prosecution Officer

*1,2,3 and CERTIFICATION need not be accomplished for inquest case.

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