Witness

REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

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

AFFIDAVIT OF WITNESS


I, ___________________, of legal age, Filipino, (single/married/widow) and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state:

  1. That I was present and personally saw that accused, __________, committed the crime of _______________________ against the victim __________________;

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

  3. That ___________________________ (State the details of the acts committed by the accused against the victim);

  4. That ___________________________ (State the acts done by the witness and the reason thereof);

  5. That I executed this affidavit to attest the truthfulness of the foregoing facts and to support the filing of criminal case against ____________________ for violation of ________________________.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.

___________________________________

Affiant

SUBSCRIBED AND SWORN TO before me this _____ day of _________ at ________________ affiant exhibited to his/her competent evidence of identity by way of _________________ issued on __________________ in _______________, Philippines.


Notary Public

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;