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Memo for Preliminary Investigation

PNP legal form for preliminary investigation memo

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Republic of the Philippines
OFFICE OF THE CITY PROSECUTOR
Manila
Related to:
I.S No.
Prosecutor

________________
________________
_________________

I.S. No.
Prosecutor
Date Filed

__________________
__________________
__________________

MEMO OF PRELIMINARY INVESTIGATION

COMPLAINANT/S:
RESPONDENT/S
1.______________________________ 1. _________________________________
Address: _______________________ Address: ____________________________
2. _____________________________ 2. __________________________________
_____________________________
__________________________________
3. _____________________________ 3. __________________________________
_____________________________
__________________________________
CHARGE:
4. __________________________________
____________________________________________________________________
Place of Commission
5. ___________________________________
______________________________________________________________________
______________________________________________________________________
Date ________________ Time ________________(Use back hereof for add, accused)
Witness:
Name ________________________
Address ____________________________
_____________________________
____________________________________
_____________________________
____________________________________
NOTE:1. Has a similar complaint been filed before any other office? (YES OR NO)
2. Is this complaint in the manner of a counter-affidavit? ________(YES OR NO)
3. Are all the above information true and correct _____________(YES OR NO)
THE ABOVE SHOULD BE FILLED UP BY COMPLAINANT OR COUNSEL
Investigation on ___________________ Postpone to ________________________
On relation of________________________
________________________________
(Signature of complainant or counsel)

TAKE NOTE: Sufficient copies of the affidavit
*********************************************
Of complainant and witnesses and other
Supporting document should be submitted.

ACTION TAKEN:
________________________________
Investigation Prosecutor

IMPORTANT!
A complainant shall be required to file his complaint in the form of an affidavit to
which must be appended affidavit of witnesses, annexes and other supporting
documents. The statements of the complainant and his witnesses, shall be, far as
practicable, be sworn to before the investigating Prosecutor. If sworn before any Officer
authorized to administer oaths, the administering Officer shall CERTIFY THAT HE HAS
PERSONALLY EXAMINED THE AFFIANT AND THAT HE VOLUNTARILY EXECUTED
AND UNDERSTOOD HIS AFFIDAVIT.
Late resolution given to Stenographer

____________________________

______________________________
Investigating Prosecutor

_____________________________
Stenographer
 
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