FALSIFICATION OF A COMMERCIAL DOCUMENT

(Caption and Title)

INFORMATION

The undersigned Assistant City Prosecutor, upon sworn complaint originally filed by
the offended party, accuses______________ of the crime of falsification of a
commercial document, committed as follows:

That on or about and during the period comprised between ______________

and__________________ in the city of____________ , province of
_______________ ,' Philippines, within the jurisdiction of this court, the said accused,
taking advantage of his position as _________________ of the________________, a
banking corporation legally established in said ____________ , with the intent to
defraud the said bank, falsified a commercial document, namely, the General Ledger
of said bank, opening and causing to be opened therein an account (current) in the
name of one_________________ , and entering and causing to be entered in the credit
column of the current account of said________________ false or falsified items, to
wit:____________________ , when in truth and in fact, as the said accused well
knew, the said _______________________had not opened any current account no he
made any deposit of any kind with the bank, the said accused having in said manner
made untruthful statements in a narration of facts; that the said entries in the account
of said__________________ having been falsified in the manner stated, the said
accused then withdrew said amount on different dates by means of checks of said
____________________also falsified, the number and amounts of same being as
follows, to wit: ____________________ which said accused willfully, unlawfully,
and feloniously appropriated and converted to his own personal use and benefit, to the
damage and prejudice of the said bank in the total sum of_________________ ,
Philippine currency.

Contrary to law.

(Venue, date)

Assistant City Prosecutor

Witnesses:

BAIL RECOMMENDED:

Certification