Investigation Data Form
Investigation Data Form
Investigation Data Form
Department of Justice
National Prosecution Service
Office of the Provincial Prosecutor
________________________________
COMPLAINANT/S: Name, Sex, Age, Address RESPONDENT/S: Name, Sex, Age, Address
1. Has a similar complaint been filed before any other offices? Yes __ No / if yes,
indicate details below
2. Is this complaint in the nature of a counter-charge? Yes___ No / if yes,
Indicate details below
4. Is this complaint related to another case before this office? Yes___ No / if yes,
Indicate details below
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 any claim involving
the same issues in any court, tribunal, or quasi-judicial agency, and that 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.
Peter Conde
(Signature Over Printed Name)
____________________________
Administering Officer