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Information for Slight Physical Injuries

The undersigned, _____________, accuses _____________ of the crime of SLIGHT
PHYSICAL INJURIES, committed as follows, to wit:
That on or about _____________, at about _________ (a.m./p.m.), in the City/Municipality of
_____________, Province of _____________ and within the jurisdiction of this Honorable
Court, the said accused did there and then willfully, unlawfully and feloniously, and without
justifiable cause therefor, attack, assault, and beat one _____________, punching him on the
face, thereby inflicting on the latter physical injuries, which have required and will require
medical attention for a period of one to nine days, and have incapacitated and will incapacitate
him from labor for the same period of time.
Contrary to law.
_____________, Philippines, __Date__.
(Certification of Preliminary Investigation)