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Form No. 16--Information for Slight Physical Injuries

(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)


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