The undersigned, _____________, accuses _____________ of the crime of FRUSTRATED HOMICIDE, 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, armed with a jungle knife, and with evident intent to kill, did then and there willfully, unlawfully, and feloniously assault, attack and wound one _____________ inflicting mortal wounds in different parts of his body, which would have directly caused the death of said _____________, thus performing all acts of execution which would have produced the crime of homicide as a consequence, but nevertheless did not produce the same by reason of caused independent of his will, that is, because of the timely medical assistance rendered on the said _____________.
Contrary to law.
_____________, Philippines, __Date__.
(Certification of Preliminary Investigation)