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Republic of The Philippines Department of Justice National Prosecution Service Office of The City Prosecutor Passi City, Iloilo

The document is an investigation data form from the National Prosecution Service of the Philippines regarding a complaint filed by Joselito Mondejar for the offense of Rape with Homicide against respondent Jose Broniola. The incident occurred on February 28, 2000, in Sitio Kabanatian, Brgy. Tumanding, Arakan, Cotabato. The complainant certifies the truth of the information provided and has not filed a similar action elsewhere.

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50 views1 page

Republic of The Philippines Department of Justice National Prosecution Service Office of The City Prosecutor Passi City, Iloilo

The document is an investigation data form from the National Prosecution Service of the Philippines regarding a complaint filed by Joselito Mondejar for the offense of Rape with Homicide against respondent Jose Broniola. The incident occurred on February 28, 2000, in Sitio Kabanatian, Brgy. Tumanding, Arakan, Cotabato. The complainant certifies the truth of the information provided and has not filed a similar action elsewhere.

Uploaded by

joshua
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

Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
OFFICE OF THE CITY PROSECUTOR
Passi City ,Iloilo

INVESTIGATION DATA FORM

DATE RECEIVED: NPS DOCKET NO:


(Stamped and Initialed}:
Time Received : Assigned To :
COMPLAINANT/s : Name, Sex, Age & Address RESPONDENTS/s Name, Sex, Age & Address
Joselito Mondejar ,male,45yrs old, Sitio Kabanatian 1. Jose Broniola Alias Asot 50 Sitio Kabanatian
Brgy. Tumanding, Arakan , otabato Brgy. Tumanding, Arakan, Cotabato

OFFENSE/s COMMITTED/LAW/s VIOLATED: WITNESS/es Name and Address:

Rape with Homicide


DATE & TIME of COMMISSION: PLACE of COMMISSION:
February 28,2000 Sitio Kabanatian Brgy Tumanding , Arakan,
Cotobato
______________________________________________________________________________________
1. Has similar complaint been filed before any other office? YES _____ NO _ /__
2. Is this similar complaint in nature of counter-charge? YES _____ NO __/__
3. Is this complaint related to another case before this office? YES _____ NO _/___
I.S. / NPS Docket 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 belief, that I have not commenced any action or filed 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.

JOSELITO MONDEJAR
Complainant

SUBSCRIBED AND SWORN to before me this __th day of February 2000, Philippines.

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