NPS Investigation Form No.
01 s 2008
Republic of the Philippines
Department of Justice
NATIONAL PROSECUTION SERVICE
Regional Trial Court of Malolos
City of Malolos, Bulacan
INVESTIGATION DATA FORM
To be accomplished by the Office:
DATE RECEIVED: NPS DOCKET NO:
(Stamped and Initiated)_________________________ __________________________________________
Time Received: _______________________________ Assigned to: ________________________________
Receiving Staff: _______________________________ Date Assigned: _____________________________
To be accomplished by complainant/counsel/law enforcer:
(Use back portion if space is not sufficient)
COMPLAINANT/S: Name, Sex, Age & Address RESPONDENT/S: Name, Sex, Age & Address
VICTIM/S: SUSPECT/s:
Denisse Pineda y Gacutan Angleo Justin Paez y Taon
Female Male
29 yrs old 32 yrs old
Brgy. Pinasling Gerona, Tarlac Brgy. Pinasling Gerona, Tarlac
Contact No.: 09103690348
OFFENSE/S COMMITTED/ LAW/S VIOLATED: WITNESS/ ES NAME / ADDRESS
___________________________________
1. Murder Denisse Pineda y Gacutan
Brgy. Pinasling Gerona, Tarlac
DATE & TIME OF COMMISSION: PLACE OF COMMISSION
OCTOBER 30,2024 Brgy. Pinasling Gerona, Tarlac
1. Has a similar complaint been filed before any other office? YES ____ NO _/__
2. Is this complaint in nature of counter-charge? YES ____ NO _/__
3. Is this complaint related to another case before this office? YES ____ NO _/__
I.S/NPS Docket No. ____________________________
Handling Prosecutor____________________________
CERTIFICATION
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 if I should thereafter learn a similar action has been filed and or is
pending, I should report the fact to this Honorable Office within (5) days from knowledge thereof.
___________________________
(Signature over Printed Name)
SUBSCRIBED AND SWORN TO before me this ___ th day of October 2024 at Prosecutor’s Office, City of
Malolos, Bulacan.
_________________________________
Asst. Provincial Prosecutor
Republic of the Philippines
Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 3
GERONA MUNICIPAL POLICE STATION
San Antonio, Gerona, Tarlac
_______________
The Director
Tarlac Medical Hospital
City of Tarlac , Tarlac
(Attn.: Record Section)
Sir/Madam:
For legal reasons may we request from your good office a copy of Medico-
Legal Result which was conducted to the deceased body of Marcelo Pineda Hidalgo,
male, 35 years old born on November 11, 1989 in Gerona, Tarlac, single,
unemployed and resident of Brgy. Pinasling. Said person was killed on October
30, 2024, at [Link], Gerona, Tarlac.
Furnish as a copy of Medico Legal Result to be use for our investigative
purposes.
Hoping for your utmost consideration regarding this matter.
Pat
Wendel Pogi Duty
Investigator
Republic of the Philippines
Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
(DATE)
The Honorable City Chief Prosecutor
Office of ________ Prosecutor
Justice Hall, _______
(Attn: Duty Inquest Prosecutor)
Greetings :
I have the honor to refer to your Office, the records of investigation relative to the case
of (Murder), committed at about 10:00 PM of October 30,2024 at [Link] Gerons,
Tarlac.
COMPLAINANT :(Denisse C. Pineda, 29, Filipino, Married, [Link], Gerona,
Tarlac)
VICTIM :(Marcelo H. Pineda, 35, Filipino, Married [Link], Gerona,
Tarlac)
SUSPECT (ARRESTED/DETAINED) :(Angelo Justine T. Paez, 32, Filipino, Single, Brgy.
Pinasling, Gerona, Tarlac)
EVIDENCE RECOVERED :
FACTS OF THE CASE:
Investigation disclosed....
ENCLOSURES :
a) Subscribed NPS Investigative Data Form
b) SS of the complainant
c) SS of witness
d) SS of witness
e) Joint Affidavit of Arrest of
f) Medico-Legal Report
g) As stated evidence recovered
g) Death Certificate of the Victim
i) Anatomical Sketch of the Victim
j) Booking and Information of the suspect
k) And others to be presented later.
This case will be presented to you by (Pat Wendel Pogi) of this Office during the
course of inquest proceedings. Further, request furnished this Office copy of resolution of the
case and other proceedings.
For appropriate action and disposition.
PLTCol Tyrone Jade S Corpuz
Chief of Police
