NPS investigation Form No. 1.

2008

Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
City Prosecutors Office
City of Quezon City
INVESTIGATION DATA FORM
To be accomplished by the Office:

DATE RECEIVED: NPS DOCKET NO:

(Stamped and initialed):______________________ ____________________________________

Time Received:_____________________________ Assigned to: ____________________________________
Receiving Staff:_____________________________ Date Assigned:___________________________________
To be accomplished by complainant/counsel/law enforcer:
(Use back portion if space is not sufficient)

COMPLAINANT/s: Name, Sex, Age and Address
Florida Cascaño Y Aguion,
victim’s aunt, 46 years old (DOB April 25,
1971), Female, Filipino, live-in-partner of
suspect, street sweeper, native of Northern
Samar and presently residing at #150 Area
A-3 Talanay, Brgy. Batasan Hills, Quezon
City.
RESPONDENT/s: Name, Sex, Age and Address
SUSPECT: Partick Artajo Y Caballero, male,
Filipino, 36 years old, (DOB: December 10,
1980), with live-in partner, taxi driver, native
of Butuan and presently residing at #150
Area A-3 Talanay, Brgy. Batasan Hills,
Quezon City
(UNDER CUSTODY)

OFFENSE/s COMMITTED / LAW/s VIOLATED: WITNESS/es: Name, sex, age, and address
Violation of Acts of Lasciviousness in
relation to R.A. 7610

DATE & TIME of COMMISSION: PLACE of COMMISSION:

On or about OA 7:00 AM of June 16, 2017 Inside their house located at #150 Area A-3 Talanay,
Brgy. Batasan Hills, Quezon City

1. Has a similar complaint been filed before any other office?* YES _______ NO _X
2. Is this complaint in the nature of counter-charge?* YES _______ NO _X
3. Is this complaint related to another case before this office?* YES _______ NO _X

I.S./NPS Docket No:__________________________________

Handling Prosecutor:__________________________________
C E R T I F I C A T I O N*

I CERTIFY, under oath, that all the information on this sheet are true ad 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 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.

_____________________________________
(Signature over printed name)

SUBSCRIBED AND SWORN TO before me this ________day of ______________, 2016, in _______________.

_____________________________________
Administering Prosecutor / Officer
* 1,2,3 and CERTIFICATION need not be accomplished for inquest cases.