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Republic of the Philippines

REGIONAL TRIAL COURT
7th Judicial Region
Cebu Cit

People of the Philippines! CRI'INAL CA(E NO)

  Plaintiff!

  "#e$sus" *o$ 

 %%%%%%%%%%%%%%&
 %%%%%%%%%%%%%%& +UALI*IE, T-E*T
  Accused&

." " " " " " " " " " " " " " " " " " " " " " " " " " .

JUDICIAL AFFIDAVIT
of %%%%%%%%%% 

I!  _________ ! of legal age! *ilipino! /a$$ied! a business/an! and a

$esident of %%%%%%%%%%%%%%%%%%! and afte$ ha#ing been dul s0o$n to in
acco$dance 0ith la0!
la0! he$eb deposes and states&

PRE*ATOR1 (TATE'ENT

That
That the
the ta2i
ta2ing
ng of / JudiJudici
cial
al Affi
Affida
da#i
#itt 0as
0as ad/i
ad/ini
nist
ste$e
e$ed
d and
and
supe
supe$#
$#is
ised
ed b %%%%
%%%%%%%%%%
%%%%
%%%%
%%%%
%% and
and 0as
0as done
done at his
his La0
La0 Offi
Office
ce at
 %%%%%%%%%%%%%%%!
 %%%%%%%%%%%%%%%! and I a/ full a0a$e and cogni3ant of the 4uestions
as2ed of /e b %%%%%%%%%%%% and / ans0e$s the$eto a$e unde$ oath being
a0a$e that I /a face c$i/inal liabilit fo$ false testi/on o$ pe$5u$& I
li2e0ise $e4uested that the 4uestions as2ed of /e be in English as 0ell as
/ ans0e$s the$eto also in English 0hich I spea2 and unde$stand fo$ cla$it
and that the othe$ info$/ation and6o$ $e4ui$e/ents of (ec& ! A&'& 89":":"
(C as e;plained to /e b the ad/iniste$ing la0e$ a$e contained in /
Judicial Affida#it
Affida#it the $est 0hich $eads! to 0it)

+8) Please state ou$ na/e and othe$ pe$sonal ci$cu/stances<

A8) I a/ %%%%%%%%
%%%%%%%%%%!
%%! /a$$ied!
/a$$ied! a business/an
business/an!! o0ne$
o0ne$ of a t$ading
t$ading
sto$e&

+9) '$& =itness! o

ou sa
said that o
ou a$e an o0ne$ of
of a sto$e! 0he$e is
is
it located<

A9) It is in %%%%%%%%%! (i$&

+) =hat ha
happen at
at a$
a$ound 9)
9)> in
in th
the af
afte$noon on
on *e
*eb$ua$ 9>
9>!
9>8?<

A) ' cellphone and cash 0e$e stolen! (i$&

+@) -o0 did ou 2no0 that it 0as stolen<

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A@) ecause at a$ound 8 oBcloc2 in the afte$noon! 0hen I 0as about

to lea#e the sto$e! the d$a0e$ of / des2 0as pa$tiall opened!
and 0hen I opened it to chec2! / cellphone and the cash I left
inside 0e$e /issing! (i$&

+) And did ou 2no0 the pe$sons 0ho stole ou$ belongings! '$&
=itness<

A) 1es! (i$&

+D) -o0 did ou 2no0 the/<

AD) ecause the a$e / e/ploees in the sto$e! si$&

+7) =hat e#idence6s can ou p$esent to p$o#e this fact<

A7) The #ideo footage of the CCT Ca/e$a installed in / sto$e!

(i$&

+:) ,id ou ta2e a loo2 at the CCT Ca/e$a footage<

A:) 1es! (i$&

+?) =hat did ou do afte$ seeing the footage of the CCT ca/e$a<

A?) I i//ediatel! 0ent to the Ca$bon Police (tation to $epo$t the

/atte$! as e#idence in the Police Repo$t&

+8>) Is the$e anthing else ou /a add to ou$ testi/on<

A8>) That is all fo$ the /eanti/e! (i$&

IN =ITNE(( =-EREO*! I ha#e he$eunto affi;ed / signatu$e this

Dth da of 'a$ch! 9>8? at Cebu Cit! Philippines&

 __________ 
  Affiant

(U(CRIE, AN, (=ORN to befo$e /e this D th  da of 'a$ch!

9>8? at Cebu Cit! Philippines! afte$ I ha#e pe$sonall e;a/ined the affiant
and that I a/ con#inced that he #olunta$il e;ecuted this affida#it and
unde$stood the contents the$eof&

 Nota$ Public6Ad/iniste$ing Office$ 

,oc& No&
Page No&
oo2 No&
(e$ies of 9>8?&
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ATTESTATION

I!  ________________ ! 0ith La0 Office at %%%%%%%%%%%%%! he$eb

attest that I ha#e conducted and supe$#ised the e;a/ination of the abo#e"
na/ed affiant60itness at / office stated abo#e! and fu$the$ decla$ed that)

8& I faithfull $eco$ded o$ caused to be $eco$ded the 4uestions I as2ed

and the co$$esponding ans0e$s the affiant60itness ga#eF and

9&  Neithe$ I no$ an othe$ pe$son then p$esent o$ assisting /e coached
the affiant60itness $ega$ding the latte$Bs ans0e$s&

IN =ITNE(( =-EREO*! I ha#e he$eunto affi;ed / signatu$e this

 %%%% da of %%%%%%% at %%%%%%%%%! Philippines&

Notary Public

,oc& No&
Page No&
oo2 No&
(e$ies of 9>8?&