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PEDRO SY
- Versus -
JORGE DY
Defendant,
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JUDICIAL AFFIDAVIT
I, PEDRO SY, of legal age, married, and living at Apolinario Heights, Bayugan City plaintiff
in this case, state under oath as follows:
PRELIMINARY STATEMENT
The person examining me is Atty. Rey Yu with address at The examination is being held at the
same address. I am answering his questions fully conscious that I do so under oath and may face
criminal liability for false testimony and perjury.
Direct Examination Questions
A7: No sir.
Q8: Why?
Q9: What is your proof that his punches were the cause of your injuries?
Q12: I am marking this medical report as exhibit A and the bracketed signature above the name
Dr. Mendez to your judicial affidavit. Do you confirm my action?
Q13:Do you have something more to say, to add or to change your answers in this affidavit?
IN WITNESS WHEREOF, I hereunto affix my signature this 2nd day of January 2017
in Bayugan City, Philippines.
PEDRO SY
Affiant
SUBSCRIBED AND SWORN to me before this 2nd day of November 2016 at Baygan
City, Agusan del Norte , Philippines. I hereby certify that I personally examined the affiant; that
he has voluntarily, knowingly and intelligently executed the foregoing and that he fully
understands it contents.
SWORN ATTESTATION
faithfully recorded the questions I asked and the answers he gave; and neither I, nor any other
person then presents coached Mr. Ricardo L. Dalisay regarding his answers.
SUBCRIBED AND SWORN to before me this 1st day of January 2017 at Bayugan City,
Philippines, by affiant above who executed and signed the foregoing Judicial Affidavit in my
presence and I further certify that the affiant has fully understood the contents of his affidavit
and that he executed the same voluntarily and intelligently.
ATTY. Oscar Dy
NOTARY PUBLIC UNTIL August 18, 2018
Doc. No. ____; PTR No. 12345678
Page No. ____; IBP No. 18144; Roll No. 123
Book No. ___; MCLE Compliance No. 1243
Series of 2016 TIN-123-13434-434