Republic of the Philippines

Department of Justice
National Prosecutor Service
OFFICE OF THE CITY PROSECUTOR
Trece Martires City, Cavite

INVESTIGATION DATA FORM

DATE RECEIVED NPS DOCKET NO:

|(Stamped and initialed):____________________ ______________________________
Time Received :____________________________ Assigned to:____________________
Received Staff:_____________________________ Date Assigned:__________________

COMPLAINANT/S: Name. Sex, Age & Address RESPONDENTS: Name, Sex, Age & Address
CELESTINO C. ANACION,MALE, 67Y/O JOSEPH M. BERNABE and
# 700 CUNNINGHAM ST. , MOONWALK, PHASE 2, JENNIFER L. BERNABE
PARANAQUE CITY. BLK. 23, LOT 33, ABEL NOSCE ST., BF
RESORT VILLAGE, LAS PINAS CITY

LAW/S VIOLATED: WITNESS/ES: Name & Address

ESTAFA, ART. 315, RPC

FALSIFICATION OF PUBLIC DOCUMENTS,
ART. 172, RPC

DATE &TIME OF COMISSION PLACE OF COMISSION:

MARCH 19, 2019 TRECE MARTIRES CITY, CAVITE

1. has a similar complaint been filed before any office? NO.

2. is this complaint in the nature of counter affidavit? NO.
3. Is this complaint related to another cases before this office? NO.

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 belief, that I have not commenced any action nor 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.

CELESTINO C. ANACION
(Signature over printed Name)

SUBSCRIBED AND SWORN to before me this _________________________, in Trece

Martires City, Cavite.

_________________________________________________
(PROSECUTOR ADMINISTERING OATH)