Professional Documents
Culture Documents
Ss Jelly Ann
Ss Jelly Ann
Wakas na salaysay
COMPLAINANT/S: Name, Sex, age & Address RESPONDENT/S: Name, Sex, age & Address
“Violation of RA 9262”
(Physical Abuse)
October 29, 2018 ooa 02:00pm Brgy. Palico 2, Imus City, Cavite
1. Has a similar complaint been filed before any office? YES___ NO___if yes, indicate details below
2. Is this complaint in the nature of counter-affidavit? YES___ NO___if yes, indicate details below
3. Is this complaint related to other cases before this office? YES___ NO___if yes, indicate details below
I.S. 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 behalf, that I have not commenced any claim involving the
same issues in any court, tribunal, or quasi-judicial agency, and that if I should thereafter
learn that 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.
________________________________
(Prosecutor Administering Oath)
P*1,2,3 and Certification need not be accomplished for inquest cases
Republika ng Pilipinas )
Lalawigan ng Cavite )S.S.
Lungsod ng Imus )
x-------------------------------/
Na, bandang alas 05:00 ng hapon ng Oktubre 29, 2018 nang magtungo sa
aming himpilan ang isang babae at humihingi ng tulong hinggil sa ginawang pananakit
di-umano ng kanyang kapatid sa kinakasama nito at sa panggugulo nito sa loob ng
kanilang bahay at sa pagbabanta sa buhay ng kanilang ina;
Na, upang patotohanan ang report ay agad kong pinasundo sa aking bantay
Bayan ang biktima na si Jelly Ann Faith Mendina y Papa sa kanilang bahay upang
hingin ang kanyang pahayag hinggil sa ginawang pananakit di-umano sa kanya ng
kanyang kinakasama;
Na, mula kay Jelly Ann Faith Mendina y Papa ay nalaman ko ang buod ng
pangyayari at ang kanyang intensyon na mapahuli at maipakulong ang kinakasama
niyang si Joseph Marmol y Pelayo dahil sa ginawa nitong pananakit sa kanya;
Na, aking ginawa ang salaysay na ito ng kusang loob at walang sino man ang
tumakot o pumilit sa akin at bilang patunay, ako ay lalagda sa ibabaw ng aking
pangalan.
Wakas ng salaysay.
Dear Sir/Maam
May we have the honor to refer to your kind Office for inquest proceedings a Violation of
RA 9262 (Physical Abuse) wherein victim identified as one Jelly Ann Faith Mendina y Papa, 28
yrs old, female, w/ live-in partner, born on July 27, 1990 in Imus and a resident of 0134 Peter
St., Viña Village, Poblacion 4D, Imus City, Cavite.
SUSPECT: Joseph Marmol y Pelayo, 24 years old, male, w/ live-in partner, born on July 5,
1994 in Imus and a resident of #86 Palico 2, Imus City, Cavite. (Arrested)
ENCLOSURES:
1. SS of Complainants
2. SS of Arresting Officer
3. Medico Legal Certificate of victim
4. Mug shot of the suspect
5. Booking sheet of the suspect
6. Others
FACTS:
That at about 02:00 in the afternoon of October 29, 2018 a Violation of RA 9262
(Physical Abuse) transpired at Palico 2, Imus City, Cavite. Investigation conducted
disclosed that the victim had an argument with the suspect which rooted from jealousy
and misunderstanding and later on resulted to physical assault to the victim.
Accordingly, the suspect was accusing the victim of having an affair with another man
and he was forcing her to leave their house. Right when the victim was about to leave,
the suspect chased her and started beating and physically assaulting her. The suspect
punched the victim on the trunk, slapped her face, dragged her back inside their house
through pulling her hair, and tearing her shirt apart to prevent her from leaving their
house. Suspect’s sister sought help from the Barangay Official which resulted to the
arrest of the suspect. Same was brought to this station for proper disposition.
Respectfully yours,
Merlita B. Comia
Police Officer 2
Duty WCPD
Noted by:
DEXTER M. CAPUA
Police Senior Inspector
Inves PCO