Sample of Affidavit of Witness

Republic of the Philippines )

Malaybalay, City ) s.s.
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AFFIDAVIT OF WITNESS

I, ANGELO FERNANDEZ BALITON Legal Age, Single/Married , resident of

Malaybalay, City, after having sworn in accordance with law, do hereby depose and
state THAT:

01. I was present and personally saw that accused, HUMPHREY DOCDOCIL,
committed the crime of acts of lasciviousness against the victim DANNY LARANIO;

02. (State other circumstances and the relation either to the victim or accused
or both);

03. (State the details of the acts committed by the accused against the victim.

04. (State the acts done by the witness and the reason thereof);

I executed this 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, I hereunto affixed my signature this ___day of

____________ at ____________, _______________.

_______________________________
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.

_____________________
Notary Public