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I.S. Form 1

This document is an investigation data form from the National Prosecution Service of Paranaque City, Philippines. It collects information about a complaint including the complainant, respondent, alleged offenses, witnesses, date and place of incident. The complainant must certify that they have not previously filed a similar complaint, that this is not a counter-affidavit, and that it is not related to another case before the office.

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1K views1 page

I.S. Form 1

This document is an investigation data form from the National Prosecution Service of Paranaque City, Philippines. It collects information about a complaint including the complainant, respondent, alleged offenses, witnesses, date and place of incident. The complainant must certify that they have not previously filed a similar complaint, that this is not a counter-affidavit, and that it is not related to another case before the office.

Uploaded by

romeo n bartolome
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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Republic of the Philippines

Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
PARAÑAQUE CITY

INVESTIGATION DATA FORM


To be accomplished by the Office

DATE RECEIVED: NPS DOCKET NO:


(Stamped and initiated): ________________ ________________________
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: WITNESSE/ES: Name & Address

__________________________________ _________________________________
____________________________________________ __________________________________

DATED & 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-affidavit? YES_________ NO________
3. Is this complaint related to another case before this Office? YES ________ NO_________
If yes, indicate details below:
I.S. No. ________________________________
Handling Prosecutor:_____________________

CERTIFICATION

I CERTIFY under oath, that all information on this sheet are true and correct to the best of
my knowledge and belief, that I have not commended any action or filed any claim involving the
same issues in any court, tribunal, or quasi-judicial agency, and that I should thereafter learn that
a similar action has been filed and /or is pending. I shall report that face to this Honorable Office
within five (5) days from knowledge thereof.

__________________________
(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this ________ day of __________________


2018, in Caloocan City.

______________________________________
Administering Prosecutor/Officer

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