REPUBLIC OF THE PHILIPPINES)

______________________ ) S.S
PROVINCE OF PAMPANGA )

AFFIDAVIT OF VOLUNTARY SURRENDER

I, JOHN REIAH MANANSALA GONZALES, of legal age, single, Filipino,

and resident of San Isidro, Minalin, Pampanga, after having been sworn in
accordance with the law, do hereby depose and say:

1. That I am the accused in Violation of Provincial Ordinance No. 756 in

relation to R.A 11332 with Criminal Case No. 21-117, now pending
before the 3rd Municipal Circuit Trial Court of Sto. Tomas and Minalin,
Pampanga;

2. That the bail recommended for the provisional liberty is in the amount
of Three Thousand Pesos (P 3,000.00) as fixed by Honorable Court;

3. That I voluntarily submit myself on the jurisdiction of the Honorable

Court by filing the cash bond in the amount of Three Thousand Pesos
(P 3,000.00) thus for all legal intents and purposes, I hereby manifest
my voluntary surrender hereof;

4. That I am executing this Affidavit for the information of the proper

authorities, and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set our hands this __ day of

____________________ in _______________________, Pampanga.

JOHN REIAH MANANSALA GONZALES

Affiant
Brgy. ID No. 0443

SUBSCRIBED AND SWORN TO before me this ___ day of

______________________ at ______________________, Pampanga.

Doc. No _______
Page No._______
Book No.______
Series of 2022.
REPUBLIC OF THE PHILIPPINES)
______________________ ) S.S
PROVINCE OF PAMPANGA )

AFFIDAVIT OF VOLUNTARY SURRENDER

I, ARVIN ROMAN CANO, of legal age, married, Filipino, and resident of

San Isidro, Minalin, Pampanga, after having been sworn in accordance with the
law, do hereby depose and say:

5. That I am the accused in Violation of Section 9, paragraph (e) of R.A.

No. 11332 with Criminal Case No. 20-130, now pending before the 3rd
Municipal Circuit Trial Court of Sto. Tomas and Minalin, Pampanga;

6. That the bail recommended for the provisional liberty is in the amount
of Three Thousand Pesos (P 3,000.00) as fixed by Honorable Court;

7. That I voluntarily submit myself on the jurisdiction of the Honorable

Court by filing the cash bond in the amount of Three Thousand Pesos
(P 3,000.00) thus for all legal intents and purposes, I hereby manifest
my voluntary surrender hereof;

8. That I am executing this Affidavit for the information of the proper

authorities, and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set our hands this __ day of

____________________ in _______________________________, Philippines.

ARVIN ROMAN CANO

Affiant
Philhealth ID No. 07-025957889-0

SUBSCRIBED AND SWORN TO before me this ___ day of

______________________ at ______________________________, Pampanga.

Doc. No _______
Page No._______
Book No.______
Series of 2022.