AFFIDAVIT OF (Affiant) TAKEN BY (Name of Regional Investigator) REGIONAL INVESTIGATOR

ON (DD-MM-YY) AT (Place where affidavit was taken).

Republic of the Philippines)

(CITY, PROVINCE) ) S.S.

I, ... of legal age, (Civil Status, Adress, Designation, Jail assigned,) do hereby depose and say;

That OOA ...

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I am executing this affidavit to attest the truthfulness of the foregoing facts for the
purpose of proper investigation this (Date) day of (Month, Year) at (Place where affidavit was
taken).

(SIGNATURE OVER PRINTED NAME)

Affiant

SUBSCRIBED AND SWORN TO before me this (Date) day of (Month) 2020 at (Place
where affidavit was taken).

J/INSP ROBERT M ALMONIA

CHIEF, RIPD