Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE CITY PROSECUTOR
CITY OF CABUYAO

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: ___________________ NPS DOCKET NO. ___________________

(Stamped and initialed):_________________

Time Received: ______________________ Assigned to: _________________________

Receiving Staff: ______________________ Date Assigned: _______________________

To be accomplished by complainant/counsel / law enforcer:

(Used back portion if space is not sufficient)

COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s Name, Sex, Age & Address

JUANCHO DINULOS y SORIANO, male, 58yo LUCIA T. GUMIRAN (female) &

Block 6, Lot 1, Cabuyao Central Subd., DANTE C. GUMIRAN (male),
Brgy. Pulo, City of Cabuyao, Laguna St. Paul St & St. Dominic St., Canossa
Brgy. Pansol, City of Calamba, Laguna
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________

OFFENSE/s COMMITED/LAW/s/VIOLATED: WITNESS/es Name & address

Falsification of Public Documents
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

October 13, 2020 Block 3, Lot 4, Cabuyao Central, Brgy Pulo,
October 13, 2020 City of Cabuyao, Laguna
____________________________________ ____________________________________
1. Has a similar complaint been filed before any other office? YES ____ NO_____
2. Is this complaint in the nature of a counter-charge? YES ____ NO_____ If yes, indicate
details below
3. Is this complaint related to another case before this office? YES ____ NO_____ If yes, indicate
details below
I.S./NPS Docket No.___________________________________
Handling
Prosecutor:___________________________________

CERTIFICATION

I CERTIFY, under oath, that all the information on this sheet are true and correct to the best of
my knowledge and belief, that we 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 from knowledge thereof.

_______________________________
JUANCHO DINULOS y SORIANO
(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this- ___ th day of October 2020, in City of
Cabuyao, Laguna.

_______________________________________
 Republic of the Philippines
Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE CITY PROSECUTOR
CITY OF CABUYAO

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: ___________________ NPS DOCKET NO. ___________________

(Stamped and initialed):_________________

Time Received: ______________________ Assigned to: _________________________

Receiving Staff: ______________________ Date Assigned: _______________________

To be accomplished by complainant/counsel / law enforcer:

(Used back portion if space is not sufficient)

COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s Name, Sex, Age & Address

RAMIL MENDREZ y CANILLO, male, MARVIN NAZARIO y SALAS, male,

Block 26, Lot 149, Phase 6, Southville, Makati Medical Center,
Brgy. Niugan, City of Cabuyao, Laguna Makati City
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________

OFFENSE/s COMMITED/LAW/s/VIOLATED: WITNESS/es Name & address

Violation of BP 22
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

Nov. 13, 2018 Southville 1, Brgy Niugan,
Nov. 17, 2018 City of Cabuyao, Laguna
Nov. 20, 2018
Sept. 16, 2020

1. Has a similar complaint been filed before any other office? YES ____ NO_____
2. Is this complaint in the nature of a counter-charge? YES ____ NO_____ If yes, indicate
details below
3. Is this complaint related to another case before this office? YES ____ NO_____ If yes, indicate
details below
I.S./NPS Docket No.___________________________________
Handling
Prosecutor:___________________________________

CERTIFICATION

I CERTIFY, under oath, that all the information on this sheet are true and correct to the best of
my knowledge and belief, that we 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 from knowledge thereof.

_______________________________
RAMIL MENDREZ y CANILLO
(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this- ___ th day of November, 2020, in City of
Cabuyao, Laguna.

_______________________________________
 Republic of the Philippines
Department of Justice
NATIONAL PROSECUITION SERVICE
OFFICE OF THE CITY PROSECUTOR
CITY OF CABUYAO

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: ___________________ NPS DOCKET NO. ___________________

(Stamped and initialed):_________________

Time Received: ______________________ Assigned to: _________________________

Receiving Staff: ______________________ Date Assigned: _______________________

To be accomplished by complainant/counsel / law enforcer:

(Used back portion if space is not sufficient)

COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s Name, Sex, Age & Address

FELICISMA AGUIRRE y ALIPARO, female, 84yo, ARNOLD D. HERNANDEZ, male,

& HILARIO AGUIRRE y ALIPARO, male, 56 yo, Purok 1, Brgy. Butong, Cabuyao City, Laguna
Purok 1, Brgy. Butong, Cabuyao City, Laguna ESPERANZA BATINO y ALIPARO,
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna
FLORENTINA BARORO y ALIPARO,
Purok 1, Brgy. Marinig, Cabuyao City,
Laguna
EULALIA AGUILAR y ALIPARO,
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna
LUCIA DEMATA y ALIPARO,
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna
DANIEL N. ALIPARO,
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna
SOTERA MANCILLA y ALIPARO,
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna
MARIO ALIPARO
Purok 6, Brgy. Bigaa, Cabuyao City, Laguna

OFFENSE/s COMMITED/LAW/s/VIOLATED: WITNESS/es Name & address

Falsification of Public Document _______________________________________

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

March 5, 2020 Cabuyao, City, Laguna

1. Has a similar complaint been filed before any other office? YES ____ NO_____
2. Is this complaint in the nature of a counter-charge? YES ____ NO_____ If yes, indicate
details below
3. Is this complaint related to another case before this office? YES ____ NO_____ If yes, indicate
details below
I.S./NPS Docket No.___________________________________
Handling
Prosecutor:___________________________________

CERTIFICATION

We CERTIFY, under oath, that all the information on this sheet are true and correct to the best of
our knowledge and belief, that we have not commenced any action or filed any claim involving the same
issues in any court, tribunal, or quasi-judicial agency and that if we should thereafter learn that a similar
action has been filed and/or is pending, we shall report that fact to this Honorable Office within five (5)
days from knowledge thereof.

FELICISMA AGUIRRE y ALIPARO HILARIO AGUIRRE y ALIPARO

(Signature over printed name) (Signature over printed name)

SUBSCRIBED AND SWORN TO before me this- _____ day of _______________ 2020, in City
of Cabuyao, Laguna.
 _______________________________________

Republic of the Philippines

Department of Justice
NATIONAL PROSECUITION SERVICE
OFFICE OF THE CITY PROSECUTOR
CITY OF CABUYAO

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: ___________________ NPS DOCKET NO. ___________________

(Stamped and initialed):_________________

Time Received: ______________________ Assigned to: _________________________

Receiving Staff: ______________________ Date Assigned: _______________________

To be accomplished by complainant/counsel / law enforcer:

(Used back portion if space is not sufficient)

COMPLAINANT/s Name, Sex, Age & Address RESPONDENT/s Name, Sex, Age & Address

FELICISMA AGUIRRE y ALIPARO, female, & ESPERANZA A. BATINO, female,

HILARIO AGUIRRE y ALIPARO, male Purok 1, Brgy. Butong, Cabuyao City, Laguna
Purok 1, Brgy. Butong, Cabuyao City, Laguna
____________________________________

OFFENSE/s COMMITED/LAW/s/VIOLATED: WITNESS/es Name & address

Falsification of Public Documents _______________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:

March 5, 2020 Cabuyao, City, Laguna
____________________________________ ____________________________________
____________________________________ ____________________________________

1. Has a similar complaint been filed before any other office? YES ____ NO_____
2. Is this complaint in the nature of a counter-charge? YES ____ NO_____ If yes, indicate
details below
3. Is this complaint related to another case before this office? YES ____ NO_____ If yes, indicate
details below
I.S./NPS Docket No.___________________________________
Handling
Prosecutor:___________________________________

CERTIFICATION

We CERTIFY, under oath, that all the information on this sheet are true and correct to the best of
our knowledge and belief, that we have not commenced any action or filed any claim involving the same
issues in any court, tribunal, or quasi-judicial agency and that if we should thereafter learn that a similar
action has been filed and/or is pending, we shall report that fact to this Honorable Office within five (5)
days from knowledge thereof.

FELICISMA AGUIRRE y ALIPARO HILARIO AGUIRRE y ALIPARO

(Signature over printed name) (Signature over printed name)

SUBSCRIBED AND SWORN TO before me this- _____ day of _______________ 2020, in City
of Cabuyao, Laguna.
_______________________________________