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Investigation Data Form

The document is an investigation data form from the National Prosecution Service regarding a complaint of grave threats made by Ermanio Kabangtong against Amando Dulay, occurring on September 7, 2023, in Laoang, Northern Samar. The complaint details the confrontation where Kabangtong threatened Dulay and attempted to pour boiling water on him. The case has been referred to the Assistant Provincial Prosecutor for appropriate legal action.

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0% found this document useful (0 votes)
32 views2 pages

Investigation Data Form

The document is an investigation data form from the National Prosecution Service regarding a complaint of grave threats made by Ermanio Kabangtong against Amando Dulay, occurring on September 7, 2023, in Laoang, Northern Samar. The complaint details the confrontation where Kabangtong threatened Dulay and attempted to pour boiling water on him. The case has been referred to the Assistant Provincial Prosecutor for appropriate legal action.

Uploaded by

Klyde Estrellado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Department of Justice

NATIONAL PROSECUTION SERVICE


Office of the Prosecutor
Bulwagan ng Katarungan
Laoang, Northern Samar

INVESTIGATION DATA FORM

To be accomplished by the office

DATE RECEIVED: September 16, 2023 NPS DOCKET NO.: 009-123

Time Received: 8:00 AM Assigned to PSSg Bienvenido E. Limpoco


Receiving Staff: PSSg Lenald Moclon III
Date Assigned: September 16, 2023

COMPLAINT/s: Name, Sex, Age, & Address RESPONDENT/s: Name, Sex, Age &
Address

Ermanio Kabangtong, 57 years old,


married, farmer and resident of Purok 4, Amando Dullay, 66 yrs old, farmer,
Brgy. Little Venice, Laoang, Northern married, and resident of Purok 4, Brgy
Samar. Little Venice, Laoang, Northern Samar.

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

Grave Threats with Condition


Under the Revised Penal Code and/or Cheska Dulay, 26 years old, married,
such other offence as the facts may and resident Purok 4 Brgy Little Venice,
warrant and as may be found by this Laoang, Northern Samar.
Honorable Office.

DATE & TIME of COMMISSION: PLACE OF COMMISSION:

6 September 2023 at around 6:00 o’clock At purok 4 Brgy. Little Venice, Laoang,
in the morning. Northern Samar.

1. Has a similar complaint been filed before any other YES _____ NO _____

2. Is this complaint in the nature of a counter charger? YES _____ NO _____


If yes, indicate details below
3. Is this complaint related to another case before this YES_____ NO_____
office?

If yes, indicate details below

I.S./NPS Docket No.: 009-123

Handling Prosecutor: PSSg Bienvernido E. Limposo III


Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
LAOANG MUNICIPAL POLICE STATION
Laoang, Northern Samar

HON. LEO C. FRANCISCO


Asst. Provincial Prosecutor
Office of the Prosecutor
Laoang, Northern Samar

SIR:
Respectfully referred tp your good office for appropriate legal action relative to
cae of GRAVE THREATS WITH CONDITION, to with

ACCUSED/RESPONDER/S: 1. Ermanio Kabagtong of legal age, married, farmer, and


resident of Brgy Little Venice, Laoang Northern Samar;

COMPLAINT: People of the Philippines/ Amado Dulay, resident of Brgy Little Venice,
Laoang, Northern Samar.
WITNESS/ES
1. Cheska Dulay/ Purok 4, Brgy. Little Venice, Laong N. Samar
DATE/TIME/PLACE OF OCCURANCE:
September 7, 2023 at about 6:00 o’clock in the morning, at Purok 4, Brgy,
_________________, Laoang, Northern Samar.
EVIDENCES/EXHIBITS:
1. Judicial Medico Legal Report of the Complaintant dated September 7,2023,
marked as Exhibit A;
2. Picture of the suspect with a long bolo behind him; marked as Exhibit B;
3. Another Medico Legal Report of the Complaint dated September 11, 2023,
marked as Exhibit “C”,
4. Police Excerpt Blotter, marked as Exhibit “D”,
5. Judicial Affidavit of the Complainant, marked as Exhibit “E”,
6. Judicial Affidavit of the Witness, marked as Exhibit “F”,
7. Others as needs may arise.
FACTS OF CASE:
That more or less 6:00 AM of September 7, 2023, at Purok 4, Brgy Little Venice,
Laoang Northern Samar, while the herein complainant was just fixing their fence at the
backyard, aforesaid suspect who was his neighbor, directly confronted him with some
remarks, to quote in vernacular words,” Papatayon ko gud ikaw in igpadayon mo eton
duon ng aim pag inupay saim kudal!” (meaning: I will really kill you if you continue fixing
your fence!). That moment later, said suspect confronted the complainant again and
then subsequently poured a boiling water towards the face of the complainant using a
dishing basin “palanggana”, luckily, the complainant turend his back but still he got hit
on some parts of his body. The suspect finally went inside their house but was kept on
uttering the remarks, to quote in vernacular, “Papatayon ko gud ikaw pag andam la!
(meaning: I will really kill you just be prepared!).

On the account of the foregoing, a charge for GRAVE THREATS WITH


CONDITION against thee suspect will be brought to the attention of a Prosecutor for
proper disposition and recommendation.

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