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Docket No.
COMPLAINANT/s : Name, Sex, Age & RESPONDENT/s: Name, Sex, Age &
Address
Address
KENNISON NIONES
OFFENSE/s
COMMITTED/LAW/s WITNESS/es: Name & Address
VIOLATED
RAPE in violation of Article 335 of the
Revised Penal Code (RPC), as
amended by Republic Act (R.A.) No.
8353 or the Anti-Rape Law of 1997
PLACE OF COMMISSION
SPOIVJUDITH E. DELOS
SANTOS
Signature over printed name
E.
DELOS
SANTOS
Police Investigator
PAGPAPATUNAY
Ito ay nagpapatunay na aking sinayasat ang nagsasalaysay at ako ay
nakuntento at kumbinsido na siya ay kusang loob na nagsabi ng kanyang
salaysay at naiintidihan ang nilalaman nito.
SPOIVJUDITH
E.
SANTOS
Police Investigator
DELOS
Filed/ Reported
( ) IN PERSON
( ) MSG/LETTER
NATURE OF COMPLAINT
( ) TELEPHONE
( ) OTHERS
RAPE
Name
Complainant/Victim
of AGE
KENNISON NIONES
ADDRESS
33
FEMAL
E
AGE
SEX
ADDRESS
MALE
GENEVIEVE PASTOR
Name of Suspect
SEX
GENEVIEVE PASTOR
Complainant
SUBSCRIBED AND SWORN TO before me this 10 th day of July 2015 at
Santiago City, Philippines
JUDITH E. DELOS SANTOS
Police Senior Inspector