REPUBLIC OF THE PHILIPPINES

[Region]
REGIONAL TRIAL COURT
[City], [Branch No.]

[NAME] __________,
Plaintiff,
Civil Case No. ___________
- versus - For:

[NAME] __________,
Defendant.
x ----------------------------------- x

JUDICIAL AFFIDAVIT OF [NAME OF WITNESs/AFFIANT]

(in lieu of direct examination)

PURPOSE

The testimony of the witness is being offered to prove:

1. [state factual matter to be established]

2. [state factual matter to be established]
3. Other matters necessary to establish the allegations in the Complaint
Affidavit.

I, [NAME], [CITIZENSHIP], [CIVIL STATUS], of legal age, with residence at [ADDRESS],

after having been duly sworn in accordance with law, hereby depose and state:

PRELIMINARY STATEMENT

The person examining me is Atty. ______[NAME]_____, of [Law firm], with address

at ______[ADDRESS]______ . The examination is being held at the same address.

I am answering his questions fully conscious that I do so under oath and may face
criminal liability for false testimony and perjury.

AFFIDAVIT PROPER

[PLACE HERE THE QUESTIONS AND ANSWERS]

Q1:
A:

Q2:
A:

Q3:
A:

Q4:
A:

Q5:
A:

Further affiant sayeth naught.

[CITY] ___________ ; [DATE] ___________________.

 Signature
Name of Witness

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this

day of [MONTH AND YEAR], affiant exhibiting before me his Government Issued ID no.
_______________ issued on [DATE]__________________ at [PLACE OF ISSUANCE].

[SIGNATURE]
[NAME]
Notary Public
Until [DATE]
PTR No. ______________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of __________ .

EXHIBITS ATTACHED TO THE JUDICIAL AFFIDAVIT

Exh. “A” ---

Exh. “B” ---
Exh. “C” ---

V. SWORN ATTESTATION OF THE LAWYER WHO CONDUCTED OR SUPERVISED

THE EXAMINATION OF THE WITNESS.

The undersigned ATTY.______________________, of legal age, and with law office

address at_______________________________________, under oath, deposes and states
that:

1. He/She is the Legal Counsel for the _______________in the above-entitled case;

2. He/She faithfully recorded or caused to be recorded the questions asked and the
corresponding answers given by the the above-named witness;

3. Neither he/she nor any other person then present or assisting him coached the
witness regarding the latter's answers; and

4. He/She conducted the examination of the witness at_____[ADDRESS]_____.

Further affiant sayeth naught.

[CITY] ___________ ; [DATE] ___________________.

[SIGNATURE]
[NAME OF COUNSEL]
Counsel for _____________
[ADDRESS]
IBP Lifetime No. ________; [CITY] _____________
PTR No. ____________; [DATE], [CITY]
Roll of Attorney No. _______________________
MCLE Compliance No. ___________________

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this

day of [MONTH AND YEAR], affiant exhibiting before me his Government Issued ID no.
_______________ issued on [DATE]__________________ at [PLACE OF ISSUANCE].
 [SIGNATURE]
[NAME]
Notary Public
Until [DATE]
PTR No. ______________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of __________ .

PROOF OF SERVICE

[USE THE FOLLOWING IF SERVICE IS MADE PERSONALLY]

Copy furnished through personal service:

[Name of Counsel] __________________

Counsel for the Plaintiff/Respondent
[Firm Name] _______________
[Address] ________________

AFFIDAVIT

Republic of the Philippines )

City of _______________ ) s.s.

I, [Name] _____ , of legal age and having been duly sworn, depose and state that:

I am the messenger of [Name of Counsel or Law Firm] with office address at

[Address] __________________, counsel on record for __________ in the case entitled
_____ [Case Title] ___, Civil Case No ________, G.R. No. ______, and as such messenger,
I served upon the counsel of adverse party and other parties, the petition (or motion
or other pleading) filed in said case as follows:

___[Name of Counsel or Law Firm]__, counsel of record for __ [Respondent] ___,

by personal service by delivering personally copy of said the petition (or motion or
other pleading) upon said lawyer, who acknowledged receipt thereof [or who
acknowledged the same though his receiving secretary] as shown by his signature or
initials on said pleading, this __ [Date]__, 20___.

Note: if no person is found in his office, or if his office is not known, or he has no
office, then service is made by leaving a copy, between the hours of eight in the morning
and six in the evening, at the party’s or counsel’s residence, if known, with a person of
sufficient age and discretion then residing therein.

TO THE TRUTH OF THE FOREGOING, I have signed this Affidavit on [DATE], in

the City of [CITY], Philippines.

[Signature]
[Name] _________________
Affiant

[USE THE FOLLOWING IF SERVICE IS NOT MADE PERSONALLY]

Copy furnished through registered mail:

[Name of Counsel] __________________

Counsel for the Respondent/Plaintiff
[Firm Name] _______________
[Address] ________________
Registry Receipt No. ________
Post Office ________________
Date _____________________

EXPLANATION

The foregoing Judicial Affidavit and its attachment were served on [Name of
Counsel] ________________ by registered mail instead of personal service as counsel for
Respondent for the reason that [state reason] ___________________.

[Signature]
[Name] _________________

AFFIDAVIT

Republic of the Philippines )

City of _______________ ) s.s.

I, [Name] _____ , a messenger of [Name of Counsel], with office address at

[Address] __________________, after being duly sworn, deposes and states:

That on [Date] ______________________, I served a copy of the following

pleadings/papers by registered mail in accordance with Section 10, Rule 13 of the
Rules of Court:

Nature of Pleading/Paper
[STATE PLEADING/PAPER SENT]
________________________

in Case No. [CASE NUMBER] _________________ entitled [TITLE OF CASE]

____________________ by depositing a copy in the post office in a sealed envelope,
plainly addressed to [NAME OF PARTY/ATTORNEY] _______________ at _______________
with postage fully paid, as evidenced by Registry Receipt No. _____________________
attached and with instructions to the post master to return the mail to sender after
ten (10) days if undelivered.

TO THE TRUTH OF THE FOREGOING, I have signed this Affidavit on [DATE]

________________, in the City of [CITY] _____________, Philippines.

[Signature]
[Name] _________________
Affiant

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this

_______ day of [Month], 20____, affiant exhibiting before me his Government Issued ID
No. _______________ issued on [Date]__________________ at [Place of
Issuance]_____________________.

[Signature]
[Name] _________________
Notary Public
Until [Date]__________________
PTR No. [Number] ____________
Issued at [Place]______________
On [Date] ___________________

Doc. No.
Page No.
Book No.
Series of 20 _____.