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Investigation Data Form 1

The document is an NPS Investigation Form from the Office of the City Prosecutor of Tacloban, detailing a complaint of qualified theft involving complainant Analiza Macanas and respondent Avelina Gadugdug. The theft occurred between February 16 and March 2, 2025, at a specific location in Tacloban City. The form includes sections for investigation data, witness information, and a certification by the complainant regarding the truthfulness of the information provided.

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Zyrhelle Leih Macanas
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40 views1 page

Investigation Data Form 1

The document is an NPS Investigation Form from the Office of the City Prosecutor of Tacloban, detailing a complaint of qualified theft involving complainant Analiza Macanas and respondent Avelina Gadugdug. The theft occurred between February 16 and March 2, 2025, at a specific location in Tacloban City. The form includes sections for investigation data, witness information, and a certification by the complainant regarding the truthfulness of the information provided.

Uploaded by

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

01, s 2009
Republic of the Philippines
Department of Justice
NATIONAL PROSECUTION SERVICE
Office of the City Prosecutor of Tacloban
Tacloban City, Leyte

INVESTIGATION DATA FORM


To be accomplished by the Office:
DATE RECEIVED: ___________________________ NPS DOCKET NO: _____________________________
(stamped and initialed): _____________________VII_-___-_____-_______________________________
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, & Address
Analiza Macanas
Female Avelina Gadugdug
52 Female
Blk 17 Lot 11 and 13 Phase 2, V and G Subdivision, Brgy. Lo-ok, Almeria, Biliran
Tacloban City

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


Qualified Theft – Article 310 of the Revised Penal Malyn B. Gervacio – Tacloban City
Code

DATE & TIME OF COMMISSION PLACE OF COMMISSION


February 16, 2025 – Initial item reported missing Blk 17 Lot 11 and 13 Phase 2, V and G Subdivision,
March 2, 2025 – Discovery of additional missing items Tacloban City
and police report filing

1. Has a similar complaint been filed before any other office?* YES NO X
2. Is this complaint in the nature of a countercharge?* YES NO X If yes, indicate details below
3. Is this complaint related to another case before this office?* YES NO X If yes, indicate details below

I.S. / NPS Docket No: I.S. No. 231547


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.

ANALIZA MACANAS
(Complainant/s)

SUBSCRIBED AND SWORN TO before me this 30th day of ________April_________, 2025 in Tacloban City,
Leyte.

ATTY. BENEDICT BALBERIA


Prosecutor Administering Oath
*1,2,3 and Certification need not to be accomplished for inquest cases.

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