REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

NATIONAL CAPITAL REGION
BRANCH 266, PASIG CITY

PEOPLE OF THE PHILIPPINES

Plaintiff.

- versus - CRIM CASES NO.

137105-07-TG
FOR: RAPE
JASON ZAMORA
Accused.
x---------------------------------------------------x

PEOPLE OF THE PHILIPPINES

Plaintiff.

- versus - CRIM CASE NO.

137105-07-TG
FOR: RAPE
KENNETH MANLANGIT
Accused.
x---------------------------------------------------x

JUDICIAL AFFIDAVIT

I, BEVERLY A. AZUCENA, Filipino, of legal age, married/married and with

address at ________________________________________, after having been

duly sworn in accordance with law, do hereby depose and state that:

QUESTION No. 1 (“Q1”): What is your current profession?

Answer (“A”):

Q2: Where did you go for medical school?

A:

Q3: How long have you been practicing your profession?

A:

Q4: Where are you presently employed?

A:

Q5: What position do you currently hold?

A:

Q6: What are the principal functions and duties of your position?
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A:

Q7: Have you examined rape victims or persons alleging to be rape victims

before?

A:

Q8: Have you been qualified to testify as expert in the past?

A:

Q9: Where are you currently assigned?

A:

Q10: Where were you assigned on April of 2008?

A:

Q11: What position did you hold then?

A:

Q12: What were the principal functions and duties of that position?

A: (Prepare Clinical Abstract/Medical Certificate?)

Q13: I have here a 3-page Medical Certificate dated April 14, 2008 from the

National Center for Mental Health, was this one of those Clinical Abstracts you

have prepared?

A:

Q14: If I show you such a document will you be able to identify it?

A:

Q15: I am showing to you the document entitled Clinical Abstract, is this

familiar?

A:

Q16: At the bottom left hand side of the third page, there appears to be a name,

Beverly A. Azucena, M.D.,FPPA. Is this your name?

A:

Q17: At the bottom left hand side of the third page, there appears to be a

signature above the name Beverly A. Azucena, M.D.,FPPA. Is this your

signature?
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A:

Q18: Who is the other signatory Ms. Alma Maunahan-Roxas?

A:

Q19: What is your relation to her?

A:

Q20: What is your relation to the Patient?

A:

Q21: What is the purpose of the document you prepared?

A:

Q22: What is the procedure in preparing the document?

A:

Q23: May you please explain to the court your findings as it appears in that

report?

A: (She is mildly mentally retarded and that she has to undergo special

training… etc)

Q24: What are your basis for these findings?

A: (Why was she found mildly mentally retarded as well as the purpose for

the training etc.)

Q25: Based on the findings as to the mental and psychological exams, what

was your diagnosis?

A: (Based on the mental, psychological exams, she is mentally retarded…..

Q26: Based on the other findings as to the physical and psychological

examinations, what was your diagnosis?

A: (based on the physical report, she was Sexually Abused)

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In witness whereof, I have hereunto set my hand this ____ day of June
2011 in ____________________.

BEVERLY A. AZUCENA
Affiant

Subscribed and sworn to before me this ___ day of June 2011 in

____________________ with the affiant exhibiting to me her Identification Card
No. ____________________ issued on ____________________ by
____________________.

Doc. No. __________ ;

Page No. __________ ;
Book No. __________;
Series of __________