Republic of the Philippines )

Province of Palawan )S.S.

City of Puerto Princesa )

JOINT AFFIDAVIT OF ARREST

We, the UNDERSIGNED Police Officers, both members of the Philippine National
Police, presently assigned at the __________________________, _________,
_____________, do hereby depose and state THAT:

1. We are among the members of the ___________________________________ who

conducted entrapment operations at _______________________ located along
________________________________, _______________;

2. Said operation stemmed from the complaint of _____________ for violation of

______________________________________ which was referred to our office by the
______________________________ against _____________________, (age), (civil status),
(nationality) and residing at No. __________________________, __________________;

3. On the complaint dated _______________, (state the act and the crime committed).

4. Upon receipt of their said complaint, our office planned out an entrapment
operation against the suspect. At about ______________ of ______________, the undersigned
together with the complainant proceeded at the pre-arranged pay off
_________________________ located along ____________________________, __________
to give the money being asked by the respondent;

5. Upon arrival thereat, complainants waited for the suspect to arrive while we the
undersigned seated near the table of the complainants. At about ________, suspect arrived and
approached the complainants and after few conversation, complainants handed over the
marked money to the suspect that minutes of prompted the undersigned to immediately effect
arrest;

6. Seized and recovered in the possession and control of the arrested person were
the following, to wit:

a.) Marked Money, (state the denomination and serial numbers);

b.) (Name of documents promised);

c.) (type of CP and SIM Card); and

d.) Other evidence confiscated;

7. Suspect together with the seized and recovered evidence was brought to the
___________________________________, ____________, ___________ for booking and
proper disposition. Likewise, the arrested person was apprised of their rights as provided for
under the Constitution of the Philippines.

8. The report of the PNP Crime Laboratory Group Physical Identification Report No.
___________ dated __________, revealed that suspect ______________________ was
POSITIVE for the presence of Bright Yellow Ultraviolet Fluorescent powder on both palm and
right dorsal portion of the hands.

We executed this joint affidavit to attest the truthfulness of the foregoing facts and to
support the filing of Criminal Cases against _______________________________ for violations
of ________________________.

AFFIANTS SAYETH NAUGHT.

 IN WITNESS WHEREOF, we hereunto affixed our signature this ___day of
____________ at ____________, _______________.

______________________ _______________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______ at

_______________. I HEREBY CERTIFY that I have personally examined the herein affiants
and I am satisfied that they voluntarily executed and understood their given affidavit.

_____________________

Administering Officer