NPS INQ Form No. 04, s.

2008

Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
______________________________________
__________________________________

__________________________
__________________________,
Complainant/s,
-versus- NPS. Doc No. ________________
For:__________________________
_________________________
________________________
_________________________ ,
Respondent/s,

REQUEST FOR PRELIMINARY INVESTIGATION

AND WAIVER OF ARTICLE 123 of the REVISED PENAL CODE
( Where Arrest was Properly Effected)

With that assistance of counsel of my choice, I wish to avail 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.

____________________________, Philippines
(Place)

____________________________
(Date)

______________________
Respondent
(Signature over Printed name)

Assisted by:
________________________
Counsel
(Signature over Printed name)