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Form No. 15--Information for Serious Physical Injuries

(Information for Serious Physical Injuries)



The undersigned, _____________, accuses _____________ of the crime of SERIOUS 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 _____________ with a baseball bat, resulting to injuries to the latter rendering him in capacitated for labor for a period of more than thirty (30) days.

Contrary to law.

_____________, Philippines, __Date__.




(Certification of Preliminary Investigation)

____________________ ______





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