Ibp Investigation Data Form
Ibp Investigation Data Form
lOMoARcPSD|74452
To be accomplished by Complainant/s/Counsel
(second part)
COMPLAINANT/S: COUNSEL:
NAME: DINA C. PARIÑAS NAME: ATTY. ELMER G. TRAIN
ADDRESS, EMAIL: [email protected] ADDRESS,EMAIL:[email protected]
CONTACT NO: 09207132424 CONTACT NO: 09178210668
RESPONDENT/S:
2. If yes, please state the case title, name of office, agency, court
or tribunal, judicial or quasi-judicial, and the status of the
case.
OCP-QUEZON CITY
XV-03-INV-2IL-07161
FOR PRELIMINARY INVESTIGATION
1
lOMoARcPSD|7445239
CERTIFICATION
I HEREBY CERTIFY, under oath, that all the information in this document are true and
correct to the best of my own knowledge and belief, that (if applicable, except for [state case
title, number, pending before any office, agency, court or tribunal ), I have not commenced any
action or filed any claim involving the same issues in any office/agency/court/tribunal, judicial or
quasi-judicial, 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.
DINA C. PARIÑAS
(Signature over printed name)