The undersigned, _____________, accuses _____________ of the crime of FALSIFICATION, 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 accused _____________ who is not a passer of any professional board examination administered by the Professional Regulations Commission (PRC), conspiring and conniving with the other accused _____________, who was then and there was a records clerk of the PRC, did there and them, willfully, unlawfully, and feloniously made up and printed a fake PRC License Card bearing the name of the accused _____________ making it appear therein that the latter is a board passer of the Electrical Engineering Board given on _____________ and with a grade of _____________ and that he is a Registered Electrical Engineer, knowing the said accused had neither the legal right or title to the issuance of the said PRC License Card.
Contrary to law.
_____________, Philippines, __Date__.
(Certification of Preliminary Investigation)