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Investigation Data Form Masusi

Emily Jumagdao Jaclop filed a complaint against Myrna Metante Jumagdao, Ana Razel Jumagdao Berdaje, and Angelina Metante Jumagdao for cyber libel in relation to Republic Act 10175. The alleged incident occurred in February 2023 in Mariveles, Bataan. Witnesses to the incident include Ulpiano Pion Jumagdao and Vilma Jumagdao Singhbhal. Emily certified under oath that the information provided is true and correct.

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Jerson Madrona
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101 views1 page

Investigation Data Form Masusi

Emily Jumagdao Jaclop filed a complaint against Myrna Metante Jumagdao, Ana Razel Jumagdao Berdaje, and Angelina Metante Jumagdao for cyber libel in relation to Republic Act 10175. The alleged incident occurred in February 2023 in Mariveles, Bataan. Witnesses to the incident include Ulpiano Pion Jumagdao and Vilma Jumagdao Singhbhal. Emily certified under oath that the information provided is true and correct.

Uploaded by

Jerson Madrona
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 of the Provincial Prosecutor
Province of Bataan
INVESTIGATION DATA FORM
To be accomplished by the Office

DATE RECEIVED : NPS DOCKET No. : XV-05-INV-


(Stamped and initialed) :
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
EMILY JUMAGDAO JACLOP MYRNA METANTE JUMAGDAO
B31 Bayview Village Housing Batangas 2 ANA RAZEL JUMAGDAO BERDAJE
Mariveles Bataan ANGELINA METANTE JUMAGDAO
B01 Bayview Village Housing Batangas 2
Mariveles Bataan

LAW’S VIOLATED: WITNESSES: Name & Address


CYBER LIBEL IN REL. TO R.A. 10175 ULPIANO PION JUMAGDAO
VILMA JUMAGDAO SINGHBAL

DATE & TIME of COMMISSION: PLACE of COMMISSION:


February 2023 Mariveles Bataan

1. Has a similar complaint been filed before any other office: Yes___ No /
2. Is this complaint in the nature of a counter-Affidavit? 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. 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 ability 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 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.

EMILY JUMAGDAO JACLOP __


(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this _________ day of _____________________


20___, at _________ City, Philippines.

_________________________________________
Assistant Provincial Prosecutor

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