Investigation Data Form Masusi
Investigation Data Form Masusi
Investigation Data Form Masusi
Department of Justice
National Prosecution Service
Office of the Provincial Prosecutor
Province of Bataan
INVESTIGATION DATA FORM
To be accomplished by the Office
COMPLAINANT/S: Name, Sex, age & address RESPONDENT/S: Name, Sex, Age, & Address
EMILY JUMAGDAO JACLOP MYRNA METANTE JUMAGDAO
B31 Bayview Village Housing Batangas 2 ANA RAZEL JUMAGDAO BERDAJE
Mariveles Bataan ANGELINA METANTE JUMAGDAO
B01 Bayview Village Housing Batangas 2
Mariveles Bataan
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 / 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. No. : ________________________
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 ability 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.
_________________________________________
Assistant Provincial Prosecutor