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Republic of the Philippines }

Province of Camarines Sur }


Municipality of Ocampo } s.s.

AFFIDAVIT
I, ELRIC ESTA VILLENO, Filipino, of legal age, and a resident of Zone 6,
Brgy. Salvacion, Ocampo, Camarines Sur, do hereby, under oath, states that:

1. I am an active member of the Philippine National Police (PNP) with the


rank of Patrolman and currently stationed and assigned at the 502nd
Maneuver Company Patrol Base at Sitio Mararag, Brgy. San Jose, Libon,
Albay;

2. As an active member of the PNP, I was issued a service firearm by the


latter with serial number 92704 (Brand: Taurus TS9);

3. At about 1:00 o'clock in the afternoon of 9 June 2019, while I was


unloading my service firearm as is routine for every police officer to do
so every after end of duty, the said gun suddenly fired and accidentally
shot my left leg just above the knee causing the same to be severely
injured and which eventually got me rushed to the NICC Doctor's
Hospital in Naga City for immediate medical attention;

4. I hereby state under oath, that what happened was mere accident and
not intended by me nor by anyone;

5. This affidavit is being executed to attest to the truth of the foregoing


and for any legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


______ day of _______________ 2019 at _______________, Philippines.

ELRIC ESTA VILLENO


Affiant
ID No. __________

SUBSCRIBED AND SWORN to before me, this ______ day of


_______________ 2018 at _______________, Philippines, by affiant who exhibited
to me his ID indicated below his signature as competent proof of identity to my
entire and full satisfaction.

NOTARY PUBLIC

Doc. No. _____


Page No. _____
Book No. _____
Series of 2019

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