Annex “F”:

Sample of JUDICIAL AFFIDAVIT in ENGLISH

NOTE: This only serves as a guide and questioning may not be limited only to
elicit voluntary information found herein.

JUDICIAL AFFIDAVIT

I, ____________________________, _______ years old, born on

__________, (single/married) employed as _______________ at
_____________________, after having been duly sworn to in accordance with law,
hereby depose and state:

PRELIMINARY STATEMENT

That in accordance with A.M. No. 12-8-8-SC, which prescribes the use of
judicial affidavits to serve as the direct examination testimony of the witness, on the
basis of which the adverse party may conduct their cross-examination on such a
witness, I hereby execute this judicial affidavit in a question and answer format;

That conformably with section 3 (b) of the said A.M. No. 12-8-8-SC, I also
state that it was _________________, investigator of ______________________
who conducted the examination of the undersigned affiant;

That conformably also with section 3 (c) thereof, I hereby state under the
pain of perjury that in answering the questions asked of me, as appearing herein
below, I am fully conscious that I did so under oath, and that I may face criminal
liabilities for false testimony or perjury;

AND UNDER OATH, AVERS THE FOLLOWING:

[knowledge/information
about shooting incident]

1. Q : What are the reasons why you are voluntarily came to this Office?
A : Because I was mandated by my conscience and i want to do the right
thing, i want to testify about a shooting incident that i witnessed.

2. Q : If that is the case, can you tell us all your knowledge/information about
the shooting incident?
A : Yes sir,on my way home the day of Oct. 21, 2022 around 1pm i saw a
2 men seems like having a heated argument and suddenly one of them
draw a gun from his sling bag and shot the other man several times.

3. Q : Did you know who did the shooting?

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 A : the victim and the shooter, I don't know them personally, were not
related at all, but i do recognize them because we were residing at the same
area and i could positively identify the shooter.

4. Q : How far are you from the shooting incident you witnessed?
A : Sir, im probably just a 10 meters away from them but I'm hiding in a
corner that time, and there were no other people passing by that time.

5. Q : Did they saw you? or the shooter aware of your presence?

A : I doubt, No sir, it happens so. fast i didn't witness the whole scenario
before the shooting, the moment i saw them having a heated argument I didn't
pursue walking instead i hid in a corner then the shooting transpire. The
shooter then just ran off.
.

6. Q : How many shot did the shooter fired?

A : I aware of the gun he's using but I'm not an expert i knew it was a 45
caliber pistol, that day he spent the whole mag of 7 rounds.

7. Q : What did you do after you just witnessed a shooting incident?

A : That day also im traumatized, and i want to keep it myself what i saw
because of the fear, but after several days i could not hold it, my conscience
is urging me, and i want to do the same thing right thing.

8. Q : Are you willing to help us find and bring the shooter to justice?
A : Yes. I am willing to help in and i will testify against the shooter..

9. Q : For the meantime, I don’t have further questions, do you have any
statements to add or take away on this affidavit?
A : I don’t have sir for the meantime.

10. Q : Were you threatened, promised or bribed to do this confession?

A : No sir. I made it voluntarily with my own free will.

11. Q : Are you willing to sign this affidavit consisting of six (6) pages, to
certify that all the statements you made are true.
A : Yes sir.
---------END OF STATEMENT----------

IN WITNESS WHEREOF, I hereunto set my hand below this _______ day of

______, 2016 at ________________________.

________________________
Affiant

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 SUBSCRIBED AND SWORN to before me this ____ day of ___________,
2016 at ___________________________. Further, I certify that I personally
examined the herein affiant that he voluntarily executed and fully understood his
statements.

________________________
Administering Officer

ATTESTATION

I, ________________________, investigator of ____(Police Station)____,

____(Location)_____________, on my oath as the Investigator-on-Case (IOC),
hereby depose and states:

That I have personally conducted the foregoing examination to the witness-

affiant ____________________ at ____(Police Station)____,
____(Location)_____________;

That I have faithfully recorded and translated into English language the
questions asked of him/her and the corresponding answers that he/she gave in
response to the questions asked;

Neither I nor any other person/s coached this witness-affiant regarding the
answers given by her.

IN WITNESS WHEREOF, I hereunto set my hand below this _______ day of

______, 2016 at ________________________.

________________________
Investigator

SUBSCRIBED AND SWORN to before me this ____ day of ___________,

2016 at ___________________________. Further, I certify that I personally
examined the herein affiant that he voluntarily executed and fully understood his
statements.

________________________
Administering Officer

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