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Annex “F”:

Sample of JUDICIAL AFFIDAVIT in ENGLISH

NOTE: This only serves as a guide and questioning may not be limited only to
elicit voluntary information found herein.

JUDICIAL AFFIDAVIT

I, Carmina Carominas, 20 years old, born on January 1 1998, single


employed as Bank Clerk at Banco De Oro, after having been duly sworn to in
accordance with law, hereby depose and state:

PRELIMINARY STATEMENT

That in accordance with A.M. No. 12-8-8-SC, which prescribes the use of
judicial affidavits to serve as the direct examination testimony of the witness, on the
basis of which the adverse party may conduct their cross-examination on such a
witness, I hereby execute this judicial affidavit in a question and answer format;

That conformably with section 3 (b) of the said A.M. No. 12-8-8-SC, I also
state that it was Mr. Juan Dela Cruz, investigator of Police Station 6 of Angeles who
conducted the examination of the undersigned affiant;

That conformably also with section 3 (c) thereof, I hereby state under the
pain of perjury that in answering the questions asked of me, as appearing herein
below, I am fully conscious that I did so under oath, and that I may face criminal
liabilities for false testimony or perjury;

AND UNDER OATH, AVERS THE FOLLOWING:

[knowledge/information
about illegal drug network]
1. Q : What is your relation with Ms. Carunungan?
A : She is my workmate at Banco De Oro. My sister Celeste Caraminas
and I also loaned from her.

2. Q : How much did you loan from Ms. Carunungan?


A : 500,000 Pesos, sir.

3. Q : How did you secure this debt? Did you mortgage?


A : I did not have anything to secure it with. My sister and I made a
postdated check.

4. Q : Only to secure the loan?


A : Yes. It was only for security of the loan. We did not intend to swindle
Ms. Carunungan as she alleges.

5. Q : Did you not have a promissory note for the loan?


A : Yes, sir. We made the promissory note at the same time as the check.

6. Q : If you had a promissory note, then why issue the check at all?
A : Ms. Caranungan told us to issue the check.

7. Q : Did you not refuse?


A : We did. However, she insisted on us issuing the postdated check.

8. Q : Would you not have issued the check had it not for her insistence?
A : No, sir. Ms. Carunungan persuaded us to issue the check.

9. Q : What do you say in defense of the estafa case against you?


A : The postdated check was issued only as payment for a debt that
already existed. It was not made to swindle Ms. Carunungan.

10. Q : For the meantime, I don’t have further questions, do you have any
statements to add or take away on this affidavit?
A : I don’t have sir for the meantime.

11. Q : Were you threatened, promised or bribed to do this confession?


A : No sir. I made it voluntarily with my own free will.

12. Q : Are you willing to sign this affidavit consisting of two (2) pages, to
certify that all the statements you made are true.
A : Yes sir.
---------END OF STATEMENT----------

IN WITNESS WHEREOF, I hereunto set my hand below this 3rd day of April,
2018 at Angeles City, Pampanga.

CARMINA CAROMINAS
Affiant
SUBSCRIBED AND SWORN to before me this 3rd day of April, 2018 at
Angeles City, Pampanga. Further, I certify that I personally examined the herein
affiant that he voluntarily executed and fully understood his statements.

PEDRO DELA CRUZ


Administering Officer
ATTESTATION

I, Juan Dela Cruz, investigator of Station 6, Angeles City, Pampanga, on my


oath as the Investigator-on-Case (IOC), hereby depose and states:

That I have personally conducted the foregoing examination to the witness-


affiant Carmina Carominas at Station 6, Angeles City, Pampanga;

That I have faithfully recorded and translated into English language the
questions asked of him/her and the corresponding answers that he/she gave in
response to the questions asked;

Neither I nor any other person/s coached this witness-affiant regarding the
answers given by her.

IN WITNESS WHEREOF, I hereunto set my hand below this 2nd day of April,
2018 at Angeles City, Pampanga.

JUAN DELA CRUZ


Investigator

SUBSCRIBED AND SWORN to before me this 2nd day of April, 2018 at


Angeles City, Pampanga. Further, I certify that I personally examined the herein
affiant that he voluntarily executed and fully understood his statements.

PEDRO DELA CRUZ


Administering Officer

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