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NPS Investigation Data Form

This document is an investigation data form from the National Prosecution Service of the Philippines containing information about an alleged crime. It lists the complainant, respondent, alleged offense of estafa, date and place of commission, and a certification signed by the complainant stating that the information is true and correct and that no similar case has been filed in another court. The form is used to gather initial details about a complaint in order to open an investigation.

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Allan Salve
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668 views

NPS Investigation Data Form

This document is an investigation data form from the National Prosecution Service of the Philippines containing information about an alleged crime. It lists the complainant, respondent, alleged offense of estafa, date and place of commission, and a certification signed by the complainant stating that the information is true and correct and that no similar case has been filed in another court. The form is used to gather initial details about a complaint in order to open an investigation.

Uploaded by

Allan Salve
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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NPS Investigation Form No. 01 s.

2008
Republic of the Philippines
Department of Justice
NATIONAL PROSECUTOR SERVICE
OFFICE OF THE CITY PROSECUTOR
City OF Manila

INVESTIGATION DATA FORM


To be accomplished by the Office:

DATE RECEIVED: NPS DOCKET NO.:


(stamped and initial):_______________________ _____________________________
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
___________________________________

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

ESTAFA under Article 315, No. 2, par. (a),


of the Revised Penal Code

DATE & TIME of COMMISSION: PLACE OF COMMISSION:


_

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 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 and/or is pending, I shall report
that fact to this Honorable Office within five (5) days from knowledge thereof.

(Signature over printed name)


Tel. No.:
SUBSCRIBED AND SWORN TO before me this ________ day of ____________________, 20____, in
_____________________________.
_______________________________
Administering Prosecutor/Officer
*1,2,3 and CERTIFICATION need not be accomplished for inquest files

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