Republic of the Philippines )

____________, ________ ) s.s.

x- - - - - - - - - - - - - - - - - - - - - -x

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