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To Be Accomplished by The Office

This investigation data form provides details of a complaint filed with the National Prosecution Service in Malolos City, Philippines. The complainant, GVR from Metro Manila, alleges the crimes of syndicated estafa, qualified theft, and unjust vexation were committed by five named respondents around March 9, 2014 in Bulacan. GVR claims the respondents are illegally possessing equipment found inside a project site in Bulacan. The form records witness information and certification by GVR that this is the only complaint filed regarding these issues.

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128 views1 page

To Be Accomplished by The Office

This investigation data form provides details of a complaint filed with the National Prosecution Service in Malolos City, Philippines. The complainant, GVR from Metro Manila, alleges the crimes of syndicated estafa, qualified theft, and unjust vexation were committed by five named respondents around March 9, 2014 in Bulacan. GVR claims the respondents are illegally possessing equipment found inside a project site in Bulacan. The form records witness information and certification by GVR that this is the only complaint filed regarding these issues.

Uploaded by

Deurod Inovejas
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 PROSECTION SERVICE
OFFICE OF THE CITY PROSECUTOR
MALOLOS CITY

INVESTIGATION DATA FORM


To be accomplished by the Office:

DATE RECEIVED: ____________________ NPS Docket No.: _______________ ________


Time Received: ________________________ Assigned to: ______________________________
Receiving Staff: ________________________ Date Assigned: ____________________________

COMPLAINANT/S: Name, Sex, Age & Address RESPONDENT/S: Name, Sex, Age & Address
GVR, Male, , Metro Manila, Philippines. Engr. __________, Male, 51yr. old, address at ______,
Bulacan, Metro Manila
Engr. ____________, Male, address at ______, Bulacan
Engr. _____________, Male address at ______, Bulacan
Architect _______________, Female, address at ______,
Bulacan
John and Jane Does, all others who are illegally possessing
our equipment, found inside the project site of ______,
Bulacan
Contact No.: Contact No.:
OFFENSE/S COMMITED / LAW/S VIOLATED: WITNESS/ES: Name & Address
 Syndicated Estafa, GVR
 Qualified Theft Philippines.
 Unjust Vexation

DATE & TIME OF COMMISSION: PLACE OF COMMISSION:


Around March 09, 2014 Bulacan

1. Has a similar complaint been filed before any other office? YES __s NO __ _
2. Is this complaint in the nature of a counter-charge? YES _____ NO  s
3. Is this complaint related to another case before this office? YES __ NO ___
I.S. / NPS Docket No.: ________________________
Handling Prosecutor: ________________________

CERTIFI CATION

I/WE certify, under oath, that all the information on this sheet are true and correct to the best of MY/OUR
knowledge and belief, that I/WE 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/WE should thereafter learn that a similar action has been filed and/or
is pending, I/WE shall report that fact to this Honorable Office within five (5) days from knowledge thereof.

______________________
(Signature over printed name)

SUBSCRIBED AND SWORN to before me this __ day of ________ 2021 at ___________, Philippines. Further certify that
I have examined the affiants/complainants and that I am satisfied that they voluntarily executed and understood their Affidavit/Letter
Complaint.

________________________________
Administering Prosecutor / Officer

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