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REPUBLIC OF THE PHILIPPINES )

BATANGAS CITY . . . . . . . . . . . . . )S.S.

ATTESTATION

I, _______________________, of legal age, Filipino, married,


with office and professional address at _____________________, after
having been sworn to in accordance with law, hereby depose and state,
That:

1. I am the counsel for the accused _____________;

2. I faithfully recorded the questions propounded upon


______________ the daughter of the accused ______________ and
the answers she gave and reduced the same into a Judicial Affidavit
specifically in relation to the case entitled People of the Philippines,
Plaintiff, versus ___________, Accused, as Criminal Case No. __________
for Violation of B.P. Blg. 22;

3. I, neither any other person present during such endeavor,


coached or influenced _______________ regarding her answers;

4. I hereby attest to the truth of the foregoing statements, in


compliance with law and for whatever legal intents and purposes this may
serve.

IN FAITH WHEREOF, I have hereunto set my hand this ____ day


of June 2017 at Batangas City, Philippines.

____________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ___ day of June 2017


at Batangas City.

DOC. NO. _______;


PAGE NO. _______;
BOOK NO._______;
SERIES OF 2017.

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