Republic of the Philippines) City of Iloilo ) S.S x-------------------------------x AFFIDAVIT OF DESISTANCE I, ___________________________, of legal age, Filipino, single/married and with address at ____________________, under oath, depose and state, that – 1. I am one of the private complainants in Criminal Case No. __________________ entitled People of the ____________________________ for Large Scale Illegal Recruitment; and the private complainant in Criminal Case No. _________________ entitled 2. After due circumspection and a careful recollection of the surrounding circumstances of the above-mentioned cases, I am no longer interested in pursuing the said cases considering that _________________________________________________________________ _________________________________________________________________ _____________________________________________________________. 3. I shall hold the National Bureau of Investigation (NBI), Office of the City/Provincial Prosecutor of Iloilo as well as the court FREE FROM ANY LIABILITY in connection with the abovementioned incident due to my Affidavit of Desistance and Quitclaim. 4. I am executing this Affidavit of Desistance to attest to the truth of foregoing facts and hereby waive/quitclaim any and all of my claims pertaining to the incident subject of the abovementioned case now and thereafter, be it civil/criminal/administrative in nature. 5. The foregoing statement have fully been read by me and/ or read/translated to me both in Ilonggo dialect and English which I understand and that the same is true and correct to the best of my knowledge. IN WITNESS WHEREOF, I have hereunto set my ______________________ at Iloilo City, Philippines.
hand
this
_____________________ Affiant ID No. __________________
Witness: 1._____________________________ 2._____________________________
SUBSCRIBED AND SWORN to before me, this _______________________ by the affiant who is personally known to me and who has satisfactorily proven to me his/her identity through his/her identification card, and that he/she is the same person who appeared and signed the foregoing Affidavit in my presence within my jurisdiction, and who avowed to the truth of its contents under the penalty of law. CERTIFICATION. I hereby certify that pursuant to P.D. 911, I have personally examined the affiant and that I am satisfied that he/she voluntarily executed this affidavit and understood the same.
Doc. No. Page No. Book No. Series of
____; ____; ____; 2018.