Request for Preliminary Investigation Sample

Republic of the Philippines

Department of Justice

 NATIONAL PROSECUTION SERVICE

Provincial/City Prosecution Office 

of _____________

________________________,
                                   Complainant,

                                                                                                             I.S. No. 12345        
                - versus -                                                                                             for                                                                                                                                        ________________

AKU SADO,  

                                    Respondent.

x - - - - - - - - - - - - - - - - - - - - - - -x

REQUEST FOR PRELIMINARY INVESTIGATION AND WAIVER OF ARTICLE 25, REVISED PENAL CODE

         

      I wish to avail myself of my right to a preliminary investigation and, for this purpose, I hereby voluntarily waive my rights under the provisions of Article 125 of the Revised Penal Code. Pending the completion of the preliminary investigation proceedings, I agree to remain under police custody. 

          26 February 2014
          City of Makati.

AKU SADO
Respondent
(Signature of printed name)


Assisted by:

___________________
Counsel/responsible person
(Signature of printed name)