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Legal Complaint Form Guide

The document is an investigation form submitted to the Department of Justice regarding a complaint filed by Herbert and Jennifer Cojuangco against Dindo and Gerly Mae Delima. The Cojuangcos allege that the Delimas committed 11 counts of estafa by violating the Revised Penal Code between August 2017 and June 2018. The form provides personal details of the complainants and respondents, as well as information on the alleged offenses, dates of commission, place of commission, witnesses, and a certification signed by the complainants.

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Drekyrie Rosenving
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285 views2 pages

Legal Complaint Form Guide

The document is an investigation form submitted to the Department of Justice regarding a complaint filed by Herbert and Jennifer Cojuangco against Dindo and Gerly Mae Delima. The Cojuangcos allege that the Delimas committed 11 counts of estafa by violating the Revised Penal Code between August 2017 and June 2018. The form provides personal details of the complainants and respondents, as well as information on the alleged offenses, dates of commission, place of commission, witnesses, and a certification signed by the complainants.

Uploaded by

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

2008

Republic of the Philippines


Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE CITY PROSECUTOR
Cagayan de Oro City

INVESTIGATION DATA FORM

To be accomplished by the Office:

DATE RECEIVED: NPS NO.: X-06-INV-09____-


0________

(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 &
SPS. HERBERT COJUANGCO & JENNIFER Address
COJUANGCO of legal ages, Filipinos, married to SPS. DINDO DELIMA & GERLY MAE DELIMA,
each other and residents of Block 14, Lot 6, Phase of legal ages, Filipinos, married to each other
II, Oro Habitat, Calaanan, Cagayan de Oro City and residents of Block 49, Lot 17, Lotus St.,
Bloomingdale Subd., Iponan, Cagayan de Oro
City (formerly, residents of Block 17, Lot 19,
Vista Grande Subd., Lumbia Proper, Cagayan de
Oro City and with office at Brownman Indutries
Inc., #168 Gumamela Ext., Carmen, Cagayan de
Oro city)

OFFENSE/s COMMITTED/ LAW/s WITNESS/es: Name & Address


VIOLATED: HERBERT COJUANGCO
Eleven (11) counts of BP 22 and/or ESTAFA JENNIFER COJUANGCO
under Article 315(d) of the Revised Penal Code MARA JUNE E. SADLUCAP
_______________________________________
DATE & TIME of COMMISSION: PLACE of COMMISSION:
August 12, 2017; September 12, 2017; October Cagayan de Oro
12, 2017; November 24, 2017; December 24, City_____________________
2017; January 24, 2018; February 24, 2018; _____________________________________
March 24, 2018; April 24, 2018; May 24, 2018; _
June 24, 2018
______________________________________
1. Has a similar complaint been filed before any YES____ NO _/_
other office?* YES ____ NO _/_If yes, indicate details
2. Is this complaint in the nature of a counter- below
charge?* YES ____ NO _/_ If yes, indicate details
3. Is this complaint related to another case before below:
this office?*
I.S./NPS Docket No.:_______________________
Handling Prosecutor:________________________
C E R T I F I C A T I O N*
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.

HERBERT COJUANGCO JENNIFER COJUANGCO


Affiant/Complainant Affiant/Complainant
Driver’s License K02-17-012788 Driver’s License K02-17-012789

SUBSCRIBED AND SWORN to before me this 11TH day of February 2020 in


Cagayan de Oro City.

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