Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
Provincial/City Prosecution Office
of _____________
________________________,
Complainant,
I.S. No. 12345
- versus -

for

________________
AKU SADO,
Respondent.
x - - - - - - - - - - - - - - - - - - - - - - -x

REQUEST FOR PRELIMINARY INVESTIGATION

AND WAIVER OF ARTICLE 25, REVISED PENAL
CODE
I wish to avail myself of my right to a preliminary investigation and, for this purpose, I
hereby voluntarily waive my rights under the provisions of Article 125 of the Revised Penal
Code. Pending the completion of the preliminary investigation proceedings, I agree to
remain under police custody.
26 February 2014
City of Makati.

AKU SADO
Respondent
(Signature of printed name)

Assisted by:

___________________
Counsel/responsible person
(Signature of printed name)