Scribd
Upload
254 views

Sample Inv Data Form

This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

Uploaded by

Alexylle Concepcion
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
254 views

Sample Inv Data Form

This document is an investigation data form from the Office of the Provincial Prosecutor in Negros Oriental, Philippines. It provides details of a complaint filed on April 15, 2019 regarding an offense that occurred within the protected area of Balinsasayao Twin Lakes Natural Park. The complaint names one complainant and one respondent, and alleges a violation of Sections 20(b)(d) of RA No. 7586, also known as the National Integrated Protected Areas System Act. The form collects additional information such as witness details and a certification signed by the complainant.

Uploaded by

Alexylle Concepcion
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE PROVINCIAL PROSECUTOR
Province of Negros Oriental
Hall of Justice
Piapi, Dumaguete City

INVESTIGATION DATA FORM

To be accomplished by Office:

DATE RECEIVED: NPS DOCKET NO.:


(stamped and initialed): ___________________ ____________________________________
Time Received: _________________________ Assigned to: __________________________
Receiving Staff: _________________________ Date Assigned: _______________________

To be accomplished by complainant/counsel/law enforce:


(Use back portion if space is not sufficient)

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

_______________________________________________ ______________________________________________

OFFENSE/s COMMITED / LAW/s VIOLATION: WITNESS/es: Name & Address


Sections 20(b)(d) of RA No. 7586 also known as National
_______________________________________________
______________________________________________

DATE & TIME of COMMISION: PLACE of COMMISION:


15 APRIL 2019 AROUND 9:00 o’clock in the morning Within the Protected Area of Balinsasayao Twin Lakes and
Natural Park, Barangay Enrique Villanueva, Sibulan,
Negros Oriental, Philippines

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:
I.S. / NPS Docket No.: _______________________
Handing Prosecutor: ________________________

C E R T I F I C A T I O N*
I CERTIFY, under oath, 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 quasijudicial
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.

______________
(Signature over printed name)

SUBCRIBED AND SWORN TO before me this ____________ day of ___________________ ,20 _______ ,
in ___________________________________________.

_____________________________________
Administering Prosecutor / Office

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy