REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

FIFTH JUDICIAL REGION
BRANCH 10
LEGAZPI CITY

PEOPLE OF THE PHILIPPINES

Criminal Case No: 1234
-versus- For:RAPE (Article 266-A, paragraph 1(b)
of The Revised Penal Code, as amended)
CARDO DALISAY,
Accused.
X----------------------X

INFORMATION

The undersigned City Prosecutor accuses CARDO DALISAY, a resident of

Legazpi City, Albay, Philippines of the crime of RAPE, defined and penalized
under Article 266-A, par. 1(a), of the Revised Penal Code, as amended,
committed as follows:
That on or about the 1st day of January 2019, in the City of Legazpi,
Philippines, and within the jurisdiction of this Honorable Court, the above-
named accused, did then and there, willfully, unlawfully and feloniously raped
the person of Catherina Gray, by inserting his penis into the complainant’s
vagina, with the use of force and threat.
That the said victim suffered actual and moral damages in the amount as
maybe rewarded by the Honorable Court under the provisions of the New Civil
Code of the Philippines.

CONTRARY TO LAW.
Legazpi City, Philippines, ____________________.

ATTY. KATE CINDY D. RODRIGUEZ

Associate City Prosecutor
Roll No. 23456
MCLE Compliance No. KC-12345
BAIL RECOMMENDED:
(PhP 100,000)
 CERTIFICATION

I hereby certify that a preliminary investigation has been conducted in

this case, the witnesses having been examined under oath; that on the basis of
the sworn statement and other evidence submitted before, there is reasonable
ground to believe that the offense charged

Legazpi City, Philippines, ____________________.

ATTY. KATE CINDY D. RODRIGUEZ

Associate City Prosecutor
Roll No. 23456
MCLE Compliance No. KC-12345

Subscribed and sworn to before me this _________________________, in the City of

Legazpi, Philippines.

CITY PROSECUTOR

WITNESSES:
a. Catherina Gray – private complainant
b. Dr. Vecky Ballo – NBI Medico-Legal Officer

Note: Accused Cardo Dalisay is a resident of ____(and other circumstances)