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NPS Investigation Form

This document is an investigation form from the National Prosecution Service of the Philippines containing information about a complaint. It includes the names, ages, and addresses of the complainant and respondent. It also lists the alleged offenses, date and place of commission, and potential witnesses. The complainant certifies that the information is true and correct and that no similar action has been filed in another court or tribunal.

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Candice Pelarion
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612 views1 page

NPS Investigation Form

This document is an investigation form from the National Prosecution Service of the Philippines containing information about a complaint. It includes the names, ages, and addresses of the complainant and respondent. It also lists the alleged offenses, date and place of commission, and potential witnesses. The complainant certifies that the information is true and correct and that no similar action has been filed in another court or tribunal.

Uploaded by

Candice Pelarion
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NPS Investigation Form No. 01 S.

2008

Republic of the Philippines


Department of Justice
National Prosecution Service
OFFICE OF THE PROVINCIAL PROSECUTOR
Province of South Cotabato

INVESTIGATION DATA FROM


(TO BE ACCOMPLISHED BY THE OFFICE)

DATE RECEIVED: (Stamped and initiated) ___________________ NPS DOCKET NO.: _________________
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, and Address: RESPONDENTS/S: Name, Sex, Age and Address
__________________________________________ _______________________________________
__________________________________________ _______________________________________
__________________________________________ _______________________________________
__________________________________________ _______________________________________

OFFENSE/S COMMITTED/ LAW/S VIOLATED: WITNESS/ES: Name and Address


__________________________________________ _______________________________________
__________________________________________ _______________________________________
__________________________________________ _______________________________________
__________________________________________ _______________________________________

DATE AND TIME OF COMMISSION: PLACE OF COMMISSION:


__________________________________________ _______________________________________
__________________________________________ _______________________________________

1. Has a similar complaint been filed before any other Office? YES___ NO___
2. Is this complain 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 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.

___________________________

SUBSCRIBE AND SWORN TO before me this ___________________, in City of Koronadal, South Cotabato.

___________________________
Administering Prosecutor/ Officer

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