Investigation Data Form: Nps Docket No.
Investigation Data Form: Nps Docket No.
Investigation Data Form: Nps Docket No.
Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE PROSECUTOR
MANILA CITY
COMPLAINANT/s: Name, Sex, Age & Address RESPONDENT/s: Name, Sex, Age & Address
____________________________________ _____________________________________
_RAMON G. TALAN___________________ RONALD C. PEREZ_____________________
_____________________________________ _____________________________________
____________________________________ _____________________________________
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
4.
I.S./NPS Docket No. __________________________
Handling Prosecutor:__________________________
C E R T I F I C A T I O N*
I CERTIFY, under oath, that all the information in this sheet is true and correct to the best of my
knowledge and belief, I have not commenced any action r filed any claim involving the same issues in
any court, tribunal, quasi-judicial agency, and that if I should learn that a similar action has been filed
and/or is pending, I shall report that fact to this Honorable Court within five (5) days from knowledge
thereof.
________________________________________
(Signature over Printed Name)