The undersigned, _____________, accuses _____________ of the crime of ACTS OF LASCIVIOUSNESS, 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 then and there willfully, unlawfully, and feloniously embrace the undersigned, when the latter was about to enter a public toilet, holding her breasts and taking liberties upon her person by force and against the will of the undersigned.
Contrary to law.
_____________, Philippines, __Date__.