Escolar Documentos
Profissional Documentos
Cultura Documentos
AFFIDAVIT COMPLAINT
1, MRS. FEBE R. LLESOL , 57 years old, married, Filipino, with residence and postal
address at Block 3, Lot 13, Sitio Manalite, Barangay Sta. Cruz, Antipolo, Rizal, after having
been duly sworn to an oath in accordance with law, do hereby depose and state the following;
to wit:
1. That, on or about 6: 00 0clock in the evening of October 28, 2016 while I was in
front of my house, HERMAN CABANILLA, 60 years old and resident in the same locality while
under influence of liquor and apparently drunk, without any apparent reason, abruptly slapped
me hitting at my LEFT SIDE OF MY FACE, then not contented held my T-Shirt and strongly
dragged me that resulted to the tearing of my T-Shirt causing that my BRA was exposed to be
seen before the public eye which caused me seriously humiliated, embarrassment and
besmirched reputation and inflicted Physical injuries to my body and suffered CONTUSION
ZYGOMATIC AREA LEFT and CONTUSION FOREARM LEFT as evidenced by a Final Medico
Legal Certificate dated November 2, 2016 issued by DR. M. LEDESMA, from City Government
of Antipolo, Rizal Provincial Hospital System Antipolo Annex, Antipolo City, Rizal. (Copy of
which is hereto attached as Exhibit Aand the tore T-Shirt as Exhibit B which form integral
parts hereof );
7. That, I am executing this affidavit complaint for the purpose of attesting the
veracity of the facts herein mentioned.