You are on page 1of 3

ACTIVITY NO.

NAME: GAANO REVIE S. DATE: 02-27-21

SUBJECT & SCHEDULE: CDI8 1-2:00 MWF SCORE:

1. Make an Affidavit of Loss and Affidavit of Desistance.

Republic of the Philippines)

City of Baguio…………) s.s.

AFFIDAVIT OF LOSS

I, Gaano Revie Sawadan, of legal age, Filipino, single and a resident of New
Lucban extension rimando road Baguio city, after having sworn in accordance
with law, hereby depose and say:

1. I am the holder of a school identification card issued by Baguio central


university;
2. That I used to put said identification card inside my wallet;
3. That sometimes on February 24, 2021, when I arrived boarding house from
school, I discovered that my school ID was no longer in my wallet where I
used to place it;
4. That despite diligent search and efforts to locate the said identification
card, I could not find the same such that I now believe that school ID card
is now lost beyond recovery;
5. That said ID card was not confiscated by the authorities or used in violation
of the law;
6. That I am executing this affidavit to attest to the truth of the foregoing facts
and to request for a replacement of said school ID card from Baguio central
university.

GAANO REVIE SAWADAN


Affiant
SUBSCRIBED AND SWORN TO before me, a notary public in and for
Baguio city this 25 March 2021. The affiant, whom I identified through the
following competent evidence of identity,: PRC ID card valid from 5/5/2020
to 5/5/2022 issued by professional regulation commission, personally
signed the foregoing instrument before me and avowed under penalty of
law to the whole truth of the contents of said instrument.

IN WITNESS HEREOF, I have here unto set affixed my signature this 25 th


day of March 2021 at Baguio city.

AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES)


City of Tabuk……………………) S. S

I Gaano Revie sawadan, of legal age, single, and a resident purok 4


Pinukpuk Tabuk city Kalinga, after having duly sworn to in accordance with
law hereby depose and state:

1. I am the complaining witness for serious physical injury against


Dawagan Gerald in the case entitled “people of the Philippines versus
Dawagan Gerald”, criminal case No. 88888, Regional trial court, Branch
25, 2nd Judicial Region, Bulanao, Tabuk city, kalinga.
2. After my sober and soul searching assessment and analysis of the
incident, I have realized that because I was not wearing my eyeglasses
and it was dark, I can not point out, without a doubt the accused or any
other person who inflicted haram against me.
3. Since I could not state with certainly and without doubt the liability of
Dawagan Gerald, in fairness to him, I am permanently withdrawing my
complaint against him. I clear him of whatever responsibility or liability
to me.
4. I hereby inform the city prosecutor of Tabuk that I am withdrawing my
complaint for serious physical injuries in criminal case No. 88888
entitled people of the Philippines vs. Dawagan Gerald, RTC, Brach No.25
2nd Judicial Region, Bulanao Tabuk city Kalinga.
5. I likewise request the RTC, Branch No. 25 2nd judicial Region, Bulanao
Tabuk city Kalinga to dismiss with prejudice the said criminal case.

IN WITNESS HEREOF, I hereby set my hand this 24 day of February 2021


at the City of Tabuk.

GAANO REVIE S.

Complaining witness
SUBSCRIBED AND SWORN to before me this 25th day of February 2021 at the city
of Tabuk.

Calatan jomarie

Public prosecutor

You might also like