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GEOFFREY CERENO

BS-CRIMINOLOGY 3

TECHNICAL
ENGLISH
2

SUBJECT TEACHER: Mrs. Ronica Mainit-Parayno.


1. AFFIDAVIT OF ARREST
Republic of the Philippines
Mangaldan s.s.
x-------------------------------------------x
I, SPO1 Cardo Dalisay, member of the Philippine National Police, presently assigned at
the Mangaldan Police Station, do hereby depose and state THAT:
1. That on about 10:30 o’clock in the evening November 22, 2022, I, 1st affiant received
a report thru a phone call from Juanita de buko, food vendor of Kasupukan,
Mangaldan, that alleged robbery in progress at cconut Store.
2. That immediately after receiving a report, I proceeded in the reported place and that
thereat, I saw a person of Juanita de Buko, kulas, and ketnew.
3. That upon interview on Juanita de buko, she alleges that Kulas, committed robbery
in the Coconut Store and the store of Ketnew.
4. That we invited Kulas to go with us in the Police Station to clarify things which he
readily acceded.
5. That we informed Kulas that he is being held for allegedly committing acts of threat
of violence and apprised him of his Constitutional Rights as stated in the Miranda
Doctrine. We then brought and endorsed the case for proper investigation.
6. . IN TRUTH TO THESE WE HEREUNTO affixed our signatures below to the
truthfulness of the foregoing.

SPO1 Cardo Dalisay


Affiant
SUBSCRIBED AND SWORN to before me this 6 day of Friday at Mangaldan, Philippines.
Jai Asuncio
Police Inspector
Oath Administering Officer
2. AFFIDAVIT OF COMPLAINT

REPUBLIC THE PHILIPPINES


PANGASINAN TRIAL COURT
FIRST JUDICIAL REGION
MANGALDAN
BRANCH 1
Insiong gwapo
Complainant,
-versus-
Nanbutaw ya punti
Respondent
Criminal Case No. 111 For: Assault
x--------------------------------------x
COMPLAINT AFFIDAVIT
I, Insiong Gwapo, of legal age, and a resident of #69 Salaan Mangaldan, Pangasinan,
after having duly sworn to in accordance with law hereby depose and state:
I am the complaining witness for Assault against Nanbutaw ya Punti in the case entitled
“People of the Philippines versus Nanbutaw ya punti”, Criminal Case No. 6969, Pangasinan Trial
Court, Batch No. 35, City of Mangaldan.
That I am formally charging Nanbutaw ya Punti of the crime Assault against him.
CONTRARY TO LAW
Mangaldan, Philippines, December 1, 2022.
Marian Jill
Complainant
SUBSCRIBED and SWORN to before me, the undersigned prosecutor, this 5th day of December,
2021 in the Pangasinan, Philippines. I hereby certify that I have personally examined the above-
named affiant and that I am satisfied that the foregoing statements were given by him
voluntarily and of his own free will.
Atty. Joven Abril
Assistant City Prosecutor
AFFIDAVIT OF DESISTANCE
Republic of the Philippines
Mangaldan s.s.
x-------------------------------------------x
I, Insiong Gwapo, of legal age, single and a resident of #69 Minahal Mangaldan,
Pangasinan, after having duly sworn to in accordance with law hereby depose and state:
1. . I am the complaining witness for Assault against Nanbutaw ya Punti in the case
entitled “People of the Philippines versus Nanbutaw ya Punti”, Criminal Case No.
6969, Pangasinan Trial Court, Batch No. 35, City of Mangaldan.
2. After clearing my mind and assessing and analysing the incident, I have realized that
because I was intoxicated from drinking, and it was dark, so, I cannot point out
clearly, without a doubt the accused or any other person/s who inflicted harm
against me.
3. Since I could not state with certainty and without a doubt the liability of Nanbutaw
ya Punti, in fairness to him, I am permanently withdrawing my complaint against
him. I clear him of whatever responsibility or liability to me.
4. I hereby inform the City Prosecutor of Manila that I am withdrawing my complaint
for Serious Physical Injuries in Criminal Case No. 6969 entitled “People of the
Philippines versus Nanbutaw ya punti’, Pangasinan Trial Court, Branch No. 35, City of
Mangaldan.
5. I like wise request the Pangasinan Trial Court, Branch No, 35, City of Mangaldan to
dismiss with prejudice the said criminal case.
IN WITNESS WHEREOF, I hereby set hand this 1 day of December 2022 at the Town of
Mangaldan.
Marian Jill
Complaining Witness
3. AFFIDAVIT OF WITNESS
Republic of the Philippines }
Province of Pangasinan } S.S.
City of Mangaldan }
X---------------------------------X

AFFIDAVIT OF WITNESS
I, Tristan Arcega, 20 years old, single, student and a resident of Salaan, Mangaldan,
Pangasinan. After having been duly sworn to in accordance with law do hereby deposed and
say;

That on or about 10 July 2022 while we stayed in “River Analacan” at Mangadan


Pangasinan when Mr. Kulas slapped to the head portion of Mr. Albert without any
reason and words but unfortunately he saw the strike of Mr. Kulas and then protect himself
through his defense tactic and a few second Mr. Albert run away to the said placed. Then
after the incident, Mr. Kulas directly went to the Tebag Court. As I observed of Mr.Albert, he
was Drunk since he came from Bar Haus at the Lights avenue Mangaldan.

IN WITNESS WHEREOF I hereby set our hand this 15th day of July 2022 at Pangasinan City,
Philippines.

Mark Domingo
Affiant

SUBSCRIBED AND SWORN to before me this 27th day of July 2022, at Pangasinan City,
Philippines. I HEREBY CERTIFY that I have personally examined the above- named affiant
and that I am convinced that the affiant personally and voluntarily executed this
instrument and fully understood the same as well as the legal consequences thereto.
4.
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch 1
Mangaldan
PEOPLE OF THE PHILIPPINES
Plaintiff,
-versus-
RAMIL CARBONEL,
Accused.
Criminal Case No. 111 for, Homicide
X--------------------------------------x
INFORMATION
The undersigned Assistant City Prosecutor hereby accuses RAMIL CARBONEL of the
crime of Homicide committed as follows:
That on or about September 15, 2019, Mangaldan within the jurisdiction of this
court, the said accused, armed with the bladed weapon, with intent to kill, did then and there
unlawfully and feloniously attack, assault and stab one, thereby inflicting upon him a fatal
wound which directly caused to his death, contrary to law. Mangaldan, Philippines, January 6,
2022.
Atty. Ernesto Malicdem
Private Prosecutor

WITNESSES:
AWIT DELA CUADRA
BODAK ROLDAN
JP VELASQUEZ
CERTIFICATION
I Hereby that a preliminary investigation was conducted in the above-entitled case, and
there is prima facie evidence that the crime Homicide has been committed and that the
accused is probably guilty thereof.
Atty. Gerald Soriano
Private Prosecutor

INQUEST FORM
Republic of the Philippines
PHILIPPINE NATIONAL POLICE
Headquarter
District I
Bari, Mangaldan Pangasinan
September 15, 2019
The Honorable City Prosecutor
Pangasinan
Thirdy Ravena
Inquest Prosecutor
Sir:
I have the honor to send you herewith a case of HOMICIDE (DOA) for inquest only,
wherein the victim was one BOSS EPE, 21 years old, single, jobless, and lastly resident at No. 35
ST.Salaan Mangaldan, Pangasinan. The accused is
Kulas Carbonel , 24 years old, single, farmer, native of Mangaldan
and residing at No. 69 Salaan, Mangaldan, Pangasinan.
(UNDER ARREST)
ENCLOSURES:
1. Crime report dated Sep. 15, 2019;
2. Booking sheet and arrest report of accused;
3. Sworn statement of Geo lang, father of deceased;
4. Sworn statement of witness, Bob Mharley;
5. Death certificate of deceased and
6. Necropsy report from the Medico-Legal Office
WITNESSES:
1. Rjay Imuan No. 69 Mangaldan, Pangasinan
2. Rjay Carbonel No. 68., Mangaldan, Pangasinan
3. Dennis Castro No. 59., Mangaldan, Pangasinan
4. Ranny Abril c/o Medico-Legal Office, Mangaldan
5. Basa Tibunsayc/o R1, Dagupan
6. SPO3 Cardo Dalisay SIG, CISC, PNP, Bari, Mangaldan, Pangasinan
FACTS OF THE CASE:
Investigation disclosed that the victim and the suspect were long-time friends. On
September 15, 2019, at around 6:00 pm, two men together with several others had a drinking
spree inside the house of the victim. After consuming several bottles of beer, a heated
altercation ensued between one of the victim’s guests and the suspect which eventually led to
a fistfight. The victim intervened but was stabbed by the suspect. The victim was conveyed to
the R1 in Dagupan, but was pronounced DOA by the attending SOD. The suspect, who was
apprehended by the responding officers, was turned over to this office for investigation. On the
account of the foregoing, the suspect was placed under arrest and the charge of HOMICIDE
against him will be brought to the attention of an inquest fiscal for proper disposition and
recommendation. This case will be brought to you by SPO3 Cardo Dalisay of this command.
Very Respectfully,
Itok Abrazaldo
Chief Inspector, PNP Investigation
Chief
RECOMMENDATION:
Mama Juan Latata
Inquest Prosecutor

5.
REPUBLIC THE PHILIPPINES
PANGASINAN TRIAL COURT
FIRST JUDICIAL REGION
MANGALDAN
BRANCH 1
Aling Marites
Complainant
-versus-
Mang Tomas Criminal Case No. 111 For: Rape
Respondents
x--------------------------------------x
COMPLAINT AFFIDAVIT
I, Aling Marites, 30 of age, married, and resident of Gilid, Mangaldan, after having been
duly sworn to according to law depose and say:
THAT I am legally married, I build a house for our permanent residence and as our
conjugal home in Gilid, Mangaldan and furnished it with all the comforts well within my means;
At the start of our marriage, I was led to believe by my husband of her total concern,
love and devotion to me valid in turn I lavished him with all the material comfort at my
command. As a token of my love and unfailing trust, we went sightseeing and on second
honeymoon to Japan only last month.
But month after our honeymoon, something changes to him as he becomes more and
more aggressive in our lovemaking at night. He feels like he is now a different person, not the
old gentle, caring, and loving husband. Now, he became aggressive and violent to me.
Whenever I came home, he will start to force me to make love to him and does not even
bother even if I am tire from work. He’s just like satisfying his lust and only wants pleasure and
not caring even if he is hurting me.
I am formally charging my husband, Mang Tomas of the crime rape.
CONTRARY TO LAW
Mangaldan, Philippines, December 5, 2021
Aling Marites
Complainant
SUBSCRIBED and SWORN to before me, the undersigned prosecutor, this December 5, 2021 in
Mangaldan, Philippines. I hereby certify that I have personally examined the above-named
affiant and that I am satisfied that the foregoing statements were given by him voluntarily and
of his own free will.
Atty. Handy Cruz
Assistant City Prosecutor

DEPOSITION OF WITNESS
REPUBLIC THE PHILIPPINES
PANGASINAN TRIAL COURT
FIRST JUDICIAL REGION
MANGALDAN
BRANCH 1
PEOPLE OF THE PHILIPPINES SEARCH WARRANT NO. 111
Plaintiff
-versus-
Mang Tomas
Respondent
x------------------------------------------x
DEPOSITION OF WITNESS
We, Bunso Marites, Ate Marites after having been duly sworn to testifies, as follow:
Q – What is your name and other personal circumstances?
A - We are Ate Marites and Bunso Marites both of legal ages, and (civil status) and presently
assigned with the Complainant.
Q – Do you know the application for Search Warrant
A – Yes
Q – Do you know the premises of Rape
A – Yes
Q – Do you have personal knowledge that in said premises the following properties are being
kept being used for intended to be used without proper documents, to with the complainant?
A – Yes
Q – Do you know who is the persons who have or have control of him above-described
properties?
A – Yes
Q – How did you know that the said properties are kept in his/her premises which are subject of
the offense?
A – we conducted discreet surveillance and it was confirmed that Mang Tomas is keeping Aling
Marites in his/her premises/residence.
Ate Marites
Affiant
Bunso Marites
Affiant
SUBSCRIBED AND SWORN to before me this 5th day of December 2021 at Mangaldan, Branch 1.
Cristy Fry
Judge

6.
REPUBLIC OF THE PHILIPPINES
MUNICIPAL TRIAL COURT
BRANCH 1
MANGALDAN
BOY SABONG
Plaintiff
-versus-
SUGA ROL
Defendant
CIVIL CASE NO. 111
FOR: COLLECTION OF SUM OF
MONEY & ATTY’S FEE
SUMMONS
TO:
You are hereby informed that the Rules on Summary Procedure shall apply in the above-
entitled case. Thus, you are hereby required to answer the complaint duly served upon you
within TEN (10) DAYS FROM SERVICE thereof. Should you fail to answer the complaint within
the reglementary period stated herein, the Court will enter judgment against you by default
and grant the demand or relief applied for in said complaint.
Witness the Honorable Nicojo Gwapito, Presiding Judge of this court, this 5th day of
December, 2021.
Mang Tomas
Clerk of Court

7.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
PEOPLE OF PHILIPPINES CRIM CASE: 111
Plaintiff
-versus-
SIRA ULO
Accused for Theft
x--------------------------------------x
SUBPOENA
TO:
GREETINGS:
You are hereby commanded to appear before this Court of the 5th of December 2021 at
8:00 in the Morning then and here to testify in the above-entitled case (s).
Fail not, under the penalty of the law.
WITNESS the HON Nicojo Gwapito, Judge of this Court, this 5th day of December 2021.
Banana
Branch Clerk of Court
Served by: Mr Bean

REPUBLIC OF THE PHILIPPINES


REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
CRIMINAL CASE NO. 111
PEOPLE OF THE PHILIPPINES WARRANT OF ARREST
Complainant,
-versus-
SIRA ULO
Accused.
TO ANY OFFICER OF THE LAW:
You are hereby commanded to arrest SIRA ULO who is to be found at Brgy. Man Yakol,
Mangaldan, Pangasinan or anywhere in the Philippines and who have been accused before this
court with the crime of RAPE and deliver them for forthwith to the nearest police station or jail.
You are enjoined to execute this warrant of arrest within TEN (10) days receipt hereof.
Within ten (10) days after the expiration of such period, you are directed to make report
thereon to this court and in case of your failure to execute the same, to state the reason
therefore.
There was NO BAIL RECOMMENDED for the provisional liberty of the accused in this
case. Mangaldan, Philippines, this 5th day of December, 2021.
Ketchup
Judge

SEARCH WARRANT
LETTERHEAD
People of the Philippines
Versus
A.B., Accused
Criminal Case No. 111
FOR CRIME OF RAPE
The undersigned BB Binibini after having been duly sworn, states:
1. That Sira Ulo, who may be found at Brgy. Man Yakol, Mangaldan is in possession or
has his/her control Bladed tools used for the crime of RAPE which he/she is keeping
and concealing in premises above described.
2. That a search should be issued to enable any agent of the law to take possession and
v=bring to this court, the following described property.
Wherefore, the undersigned prays this honorable court to issue a search warrant
authorizing any agent of the Law to search the premises above described and to seize and
surrender to this Honorable Court the personal property mentioned above to be dealt with as
the law directs.
Mangaldan, Philippines
December, 2021
Oriles
Applicant

8.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
Criminal Case No. 111For: Frustrated
Homicide
PEOPLE OF THE PHILIPPINES
Plaintiff
-versus-
SAA PAGONG
Accused,
x-----------------------x
NOTICE OF APPEAL
COMES NOW, accused SAA PAGONG, by counsel, and unto this Honorable Court, most
respectfully gives notice that he is appealing to the Regional Trial Court, both question of fact
and law, the decision dated 5th December 2021.
Respectfully submitted this 15th day of December 2021.
Mangaldan, Philippines.
ATTY. MYN CHY IGNACIO
COUNCEL FOR ACCUSED
10F Pumapalag Bldg., Y Road, Pangasinan
PTR NO. 11111;12/05/2021; Pangasinan
IBP No: 11111;12/05/2021; Pangasinan
Roll No.: 11111;12/05/2021; Pangasinan
MCLE Compliance No. IV-0008758/10-18-12
Copy Furnished:
Pros. XX
Office of the Prosecutor
Atty. YY
Room 3B. 5F Pumapalag Bldg. Pangasinan

B. LEGAL FORMS PORTFOLIO

AFFIDAVIT OF DESISTANCE
This refers to the complainant, who executes an affidavit of desistance, when he/she no longer
wishes to pursue a case against an accused or defendant in a court case. The complainant
states that he/she didn’t really intend to institute the case he/she is no longer interested in
testifying or prosecuting.
Examples:
1. AFFIDAVIT OF DESISTANCE
REPUBLIC OF THE PHILIPPINES)
CITY OF MANILA ) S.S
I, Juan de la Cruz, of legal age, single and a resident of # 123 Main St., Malate,
Manila, after having duly sworn to in accordance with law hereby depose and state:
1. I am the complaining witness for Serious Physical Injuries against Jesus Santos in the case
entitled “People of the Philippines versus Jesus Santos”, Criminal Case No. 12345, Metropolitan
Trial Court, Batch No. 11, City of Manila.
2. After my sober and soul-searching assessment and analysis of the incident, I have realized
that because I was not wearing my eyeglasses and it was dark, I cannot point out, without a
doubt the accused or any other person/s who inflicted harm against me.
3. Since I could not state with certainty and without a doubt the liability of Jesus Santos, in
fairness to him, I am permanently withdrawing my complaint against him. I clear him of
whatever responsibility or liability to me.
4.I hereby inform the City Prosecutor of Manila that I am withdrawing my complaint for Serious
Physical Injuries in Criminal Case No. 12345 entitled “People of the Philippines versus Jesus
Santos’, Metropolitan Trial Court, Branch No. 11, City of Manila.
5. I like wise request the Metropolitan Trial Court, Branch No, 11, City of Manila to dismiss with
prejudice the said criminal case. IN WITNESS WHEREOF, I hereby set hand this __day of
September 20__ at the City of Manila.
Juan de la Cruz
Complaining Witness

2. AFFIDAVIT OF DESISTANCE
Republic of the Philippines
Mangaldan s.s.
x-------------------------------------------x
I, Viktor Magtanggol, of legal age, single and a resident of #96 Kidlat Mangaldan,
Pangasinan, after having duly sworn to in accordance with law hereby depose and state:
1. . I am the complaining witness for Assault against Totong Pilayot in the case entitled
“People of the Philippines versus Totong Pilayot”, Criminal Case No. 6969,
Pangasinan Trial Court, Batch No. 35, City of Mangaldan.
2. After clearing my mind and assessing and analysing the incident, I have realized that
because I was intoxicated from drinking, and it was dark, so, I cannot point out
clearly, without a doubt the accused or any other person/s who inflicted harm
against me.
3. Since I could not state with certainty and without a doubt the liability of Totong
Pilayot, in fairness to him, I am permanently withdrawing my complaint against him.
I clear him of whatever responsibility or liability to me.
4. I hereby inform the City Prosecutor of Manila that I am withdrawing my complaint
for Serious Physical Injuries in Criminal Case No. 6969 entitled “People of the
Philippines versus Totong Pilayot’, Pangasinan Trial Court, Branch No. 35, City of
Mangaldan.
5. I like wise request the Pangasinan Trial Court, Branch No, 35, City of Mangaldan to
dismiss with prejudice the said criminal case.
IN WITNESS WHEREOF, I hereby set hand this 5 day of December 2021 at the Town of
Mangaldan.
Viktor Magtanggol
Complaining Witness
3. AFFIDAVIT OF DESISTANCE
Republic of the Philippines
Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
Makati City
AFFIDAVIT OF DESISTANCE
  WE, FERDINAND M. CASTRO and ROWENA A. CASTRO, Filipinos, of legal ages, husband and
wife, respectively, and residents of 106 Sisa Street, Sampaloc, Manila after having been duly
sworn to in accordance with law, depose and state:
1. We are the private complainant in a criminal case for Reckless Imprudence Resulting to
Damage to Property against Joel O. Castillo docketed as IS No. XV-05-INV-10G-01000 before the
Office of the City Prosecutor, Makati City
2.  In this regard, the accused has already paid the damage to our vehicle;
3. In view of the payment by the accused and considering that Rowena A. Castro was not
injured, we would like to manifest that we now completely and absolutely exonerate the
accused from any liability in connection with the above-mentioned criminal case and that we
are no longer interested, and we hereby desist, in prosecuting the said criminal case;
4. As such, we respectfully pray that the aforementioned case against Joel O. Castillo be
withdrawn and/or dismissed.
IN WITNESS WHEREOF, we have hereunto set our hands this ___________________ in
_______________, Philippines.
FERDINAND M. CASTRO
Affiant ROWENA A. CASTRO
Philippine Passport  No. _____ Affiant
Issued at: ________________
Philippine Passport  No. _____
Issued on: ________________
Issued at: ________________
 Issued on: _______________

 SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiants exhibiting to me their valid proofs of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.

AFFIDAVIT OF ARREST
This refers to a statement given under oath and penalty under perjury. It states about facts and
circumstances about the arrest, the information which led to the arrest, and the observation
made before and after the arrest. This is filled out by the arresting officers.
Examples:
1.
Republic of the Philippines )
MAKATI CITY ) s.s.
x-------------------------------------------x
AFFIDAVIT OF ARREST
We, SPO1 Antonio Rodriguez and PO2 Manuel Santos, both members of the
Philippine National Police, presently assigned at the Makati City Police Station, do hereby
depose and state THAT:
01.That on or about 11 o’clock in the evening April 25, 2008, I, 2nd affiant received a report
thru a phone call from Jose Garcia, security guard of Fiamma Bar in Jupiter St., Makati City, that
an alleged trouble in progress at Fiamma Bar.
02.That immediately after receiving the report, we proceeded in the reported place and that
thereat, we saw the persons of Juan de la Cruz, Patricia Martinez and Jose Garcia.
03.That upon interview on Patricia Martinez – she alleges that Juan de la Cruz committed and
act of lasciviousness with Patricia Martinez, by touching her breast and left thigh.
04. That we invited Juan de la Cruz to go with us in the Police Station to clarify things which he
readily acceded.
05.That we informed Juan de la Cruz that he is being held for allegedly committing acts of
lasciviousness and apprised him of his Constitutional
Rights as stated in the Miranda Doctrine. We then brought and endorsed the case for proper
investigation.
06. IN TRUTH TO THESE WE HEREUNTO affixed our signatures below to the truthfulness of the
foregoing.
SPO1 Antonio Rodriguez
1st Affiant
PO2 Manuel Santos
2nd Affiant
SUBSCRIBED AND SWORN to before me this __day of ______ at Makati
City, Philippines.
RODRIGO PEREZ Police Inspector Oath Administering Officer
2. Republic of the Philippines
Mangaldan s.s.
x-------------------------------------------x
I, SPO1 Cardo Masamangdamo, member of the Philippine National Police, presently
assigned at the Mangaldan Police Station, do hereby depose and state THAT:
7. That on about 10:30 o’clock in the evening November 6, 2021, I, 1 st affiant received a
report thru a phone call from Juanita de Banana, food vendor of Kapuntian,
Mangaldan, that alleged robbery in progress at Maruya Store.
8. That immediately after receiving a report, I proceeded in the reported place and that
thereat, I saw a person of Juanita de Banana, Gagamboy, and Captain Barbel.
9. That upon interview on Juanita de Banana, she alleges that Gagamboy committed
robbery in the Maruya Store and the store of Captain Barbel.
10. That we invited Gagamboy to go with us in the Police Station to clarify things which
he readily acceded.
11. That we informed Gagamboy that he is being held for allegedly committing acts of
threat of violence and apprised him of his Constitutional Rights as stated in the
Miranda Doctrine. We then brought and endorsed the case for proper investigation.
12. . IN TRUTH TO THESE WE HEREUNTO affixed our signatures below to the
truthfulness of the foregoing.

SPO1 Cardo Masamangdamo


Affiant
SUBSCRIBED AND SWORN to before me this 6 day of Friday at Mangaldan, Philippines.
Ex Mo Sya
Police Inspector
Oath Administering Officer

3.
Republic of the Philippines
Province of Oriental Negros
S.S.Dumaguete City )
x- - - - - - - - - - - - - - - - - - - - /
JOINT AFFIDAVIT OF ARREST
We, SPOII EVERY M. ROM and PO3 JON PANE, both of legal ages,single and residents
of Bindoy, Negros Oriental, Philippines, having been dulysworn do solemnly state: 
That we are members of the Philippine National Police assigned at thePNP Office in
_________. We were both on duty in said Police station on January16, 2013 from 800h –
2000h. 
That at about 0815h while we were on duty, a habal-habal driver in theperson of Junjun
Blanco arrived and reported that while he was driving his motorcycle at a road in Sitio AAA,
BBB, Negros Oriental, he was flagged downby a suspicious person who was carrying a bag
which he believed contained a firearm.
We subsequently responded to such report and immediately went to the place
indicated and upon arriving thereat we inquired from a bystander about the presence of
any suspicious looking person. We were then informed that
thesaid person has already left following the trail leading to Barangay CCC. Thereupon, we purs
ued the suspect and in fact, caught up with him afterwalking for about two kilometers. Then
and there we saw the suspect slinginghis firearm and also carried a back pack. 
That at about ten (10) meters we ordered him to stop and at the sametime informed
said person of our authority as police officers and told him toraise his hands and which he did.
We then approached him and confiscated from him
the firearm and inquired from him whether he has authority topossess the same. Said person
could not give any license to possess. We then effected an arrest and read to him his
constitutional rights. Upon inquiry on his identity, said person revealed his name as PEDRO
JUAN “Bj”, 31 years old, married and a resident of Barangay DDD of EEE, Negros
Occidental.After duly marking the confiscated firearm and one empty magazinethereof, we
brought said Pedro Juan alias “BJ” to the Police station of _____, Negros Oriental. 
That this affidavit is executed to attest to the truth of all the foregoingand to support
the filing of a formal charge/s in court against said person.
IN WITNESS WHEREOF,
We hereunto set our hands this 16th day of January 2013 at Dumaguete City, Philippines.
SPOII EVERY M. ROM PO3 JON PANE
Affiants
SUBSCRIBED AND SWORN
to before me this 16 the day of January 2013at Dumaguete City, Philippines and further certify
that I have examined the affiants and that I am satisfied that they fully understood the contents
thereof.
 PEDRO D. LUNA 
4th Assist. Provincial Prosecutor

AFFIDAVIT OF WITNESS
It is a legal and binding document of written testimony of a witness as a way of evidence to
presented to the court. It is usually filled out by a lawyer, and then filed as part of the case. The
affidavit has to be in paragraph form, and each paragraph covers one specific topic. The full
name of the person making the statement has to be included, as does the name of one who
affirms the statement. This kind of affidavit can also be used to record the testimony of an
expert witness in certain cases. This affidavit has to be truthful and just give facts, not personal
feelings or opinions.
Examples:
1.
Republic of the Philippines )
__________,___________) s.s
x------------------------------------------x
AFFIDAVIT OF WITNESS
I __________________, age, civil status, resident of hereby depose and state
THAT:
01.I was present and personally saw that accused, _________, committed
the crime of _______________ against the victim_____________;
02. (State other circumstances and the relation either to the victim or
accused or both);
03. (State the details of the acts committed by the accused against the
victim).
04. (State the acts done by the witness and the reason thereof);
I executed affidavit to attest the truthfulness of the foregoing facts and to
support the filing of Criminal Cases against _________________for violations of
________.
AFFIANTS SAYETH NAUGHT.
6
Serafica Street, Mangaldan, Pangasinan 2432
IN WITNESS WHEREOF, I hereunto affixed my signature this __day of _____ at
_______, _____________.
_____________________
Affiant
SUBSCRIBED AND SWORN to before me this __ day of _________ at
_________. I HEREBY CERTIFY that I have personally examined the herein affiants
and I am satisfied that they voluntarily executed and understood their given
affidavit.
____________________
Notary Public

2.
Republic of the Philippines }
Province of Bukidnon } S.S
City of Valencia
x---------------------------------x
AFFIDAVIT OF WITNESS
I, JERAMEL LIANGCO Y LUMAHANG, 25 years old, single, student and
resident of Purok – 11 Poblacion, Valencia City, Bukidnon. After having been duly
sworn to in accordance with the law do hereby despised and say;
That on or about 2230H of 06 September 2010 while we stayed in “balotan”
at Plaza Rizal along the Sayre Highway when Mr. Geronda slapped to the head
portion of Mr. Casumpang without any reason and words and unfortunately he saw
the strike of Mr Geronda and then protect himself through his defense tactic and a
few second Mr. Geronda run away to the said place. Then after the incident, Mr
Casumpang directly to the Church. As I observed of Mr. Geronda, He was drunk
since he came from Bar Haus at the front of Plaza Rizal.
IN WITNESS WHEREOF I hereby set our hand this 25th day of September 2010
at Valencia City, Philippines.
JERAMEL LIANGCO LUMAHANG
Affiant
SUBSCRIBED AND SWORN to before me this 25th day of September 2010, at
Valencia City, Philippines. I HEREBY that I have personally examined the abovenamed affiant
and that I am convinced that the affiant personally and voluntarily
executed this instrument and fully understood the same as well as the legal
consequences thereto.
_________________________
Notary Public
3.
Republic of the Philippines
Mangaldan s.s.
x-------------------------------------------x
I, Lastik Man, 27, single, resident of Gomagoma, Mangaldan, Pangasinan is hereby depose and
state THAT:
1. I was present and personally saw that accused, Boy Rugby, committed the crime of
Theft against the victim Madam Sabong;
2. Madam Sabong was sitting in the plaza of Mangaldan, while I saw Boy Rugby in the
plaza’s playground looking towards Madam Sabong;
3. While Madam Sabong was talking to another person on phone, Boy Rugby started
walking silently towards Madam Sabong’s bag in the table beside her and took her
wallet and cellphone;
4. I, as a witness shouted to Madam Sabong to warn her about the processing crime of
theft.
I executed affidavit to attest the truthfulness of the foregoing facts and to support the filing of
Criminal Cases against Boy Rugby for violations of Theft.
AFFIANTS SAYETH NAUGHT.

INQUEST FORM
Department of Justice issued Department Circular No. 61 on the New Rules of Inquest. Below
are some captions on the Rules related to inquest. Inquest is an informal and summary
investigation conducted by a public prosecutor in criminal case involving persons arrested and
detained without the benefit of a warrant of arrest, issued by the court for the purpose of
determining whether or not the said persons should remain under custody and correspondingly
be charged in court.
Examples:
1.
Republic of the Philippines
PHILIPPINE NATIONAL POLICE
Headquarters
(Group/District/ or Unit)
Camp Crame, Quezon City)
Date: ___________
The Honorable City Prosecutor
Manila
(Attn: Inquest Prosecutor)
Sir:
8
Serafica Street, Mangaldan, Pangasinan 2432
I have the honor to send you herewith a case of HOMICIDE (DOA) for inquest
only, wherein the victim was one MARIANO CORPUZ Y SOLON, 27 years old,
single, jobless, and lastly resident at No. 234 Miguelin St., Sampaloc, Manila. The
accused is
ROMAN CRUZ Y PLAZA, 25 years old, single, vendor, native of Cebu City
and residing at No. 208 Algeciras St., Sampaloc, Manila.
(UNDER ARREST)
ENCLOSURES:
1. Crime report dated No. 20, 1993;
2. Booking sheet and arrest report of accused;
3. Sworn statement of Ray Cruz, father of deceased;
4. Sworn statement of witness, Luis Villa;
5. Death certificate of deceased and
6. Necropsy report from the Medico-Legal Office
WITNESSES:
1. Ray Cruz No. 238 Miguelin St., Sampaloc, Manila
2. Daryl Ortega No. 349 Algeciras St., Sampaloc, Manila
3. Luis Villa No. 372 Algeciras St., Sampaloc, Manila
4. Dr. Mercy Rado c/o Medico-Legal Office, Manila
5. Dr. Ruel Belmonte c/o JRRMH, Manila
6. SPO2 James Ortiz SIG, CISC, PNP, Camp crame, Quezon City
FACTS OF THE CASE:
Investigation disclosed that the victim and the suspect were long-time
friends. On Nov. 20, 1992, at around 7:30pm, two men together with several others
had a drinking spree inside the house of the victim. After consuming several bottles
of beer, a heated altercation ensued between one of the victim’s guests and the
suspect which eventually led to a fistfight. The victim intervened but was stabbed
by the suspect. The victim was conveyed to the JRRMH in Manila, but was
pronounced DOA by the attending SOD. The suspect, who was apprehended by the
responding officers, was turned over to this office for investigation.
On the account of the foregoing, the suspect was placed under arrest and
the charge of HOMICIDE against him will be brought to the attention of an inquest
fiscal for proper disposition and recommendation.
This case will be brought to you by SPO2 James T. Ortiz of this command.
Very Respectfully,
MICHAEL D. DASIGAO
Chief Inspector, PNP Investigation Chief
RECOMMENDATION:
_________________________
(Inquest Prosecutor)

2.
Republic of the Philippines
PHILIPPINE NATIONAL POLICE
Headquarter
District I
Camp Potan, Mangaldan
December 5, 2021
The Honorable City Prosecutor
Pangasinan
Sally Ampatuan
Inquest Prosecutor
Sir:
I have the honor to send you herewith a case of HOMICIDE (DOA) for inquest only,
wherein the victim was one BOY TIKBALANG, 28 years old, single, jobless, and lastly resident at
No. 609 Kawayanan St., Mangaldan, Pangasinan. The accused is
PEDRO PENDUKO, 24 years old, single, farmer, native of Mangaldan
and residing at No. 96 Pumapaslang St., Mangaldan, Pangasinan.
(UNDER ARREST)
ENCLOSURES:
7. Crime report dated No. 5, 2021;
8. Booking sheet and arrest report of accused;
9. Sworn statement of BOY PANIKI, father of deceased;
10. Sworn statement of witness, ISANG MATA;
11. Death certificate of deceased and
12. Necropsy report from the Medico-Legal Office
WITNESSES:
7. BOY PANIKI No. 605 Kawayanan St., Mangaldan, Pangasinan
8. BOY CHANAK No. 601 Kawayanan St., Mangaldan, Pangasinan
9. ISANG MATA No. 599 Kawayanan St., Mangaldan, Pangasinan
10. Dr. Mang Kepweng c/o Medico-Legal Office, Mangaldan
11. Dr. Boy Abunda c/o R1, Dagupan
12. SPO3 Boy Kidlat SIG, CISC, PNP, Camp Potan, Mangaldan
FACTS OF THE CASE:
Investigation disclosed that the victim and the suspect were long-time friends. On
December 5, 2021, at around 7:30pm, two men together with several others had a drinking
spree inside the house of the victim. After consuming several bottles of beer, a heated
altercation ensued between one of the victim’s guests and the suspect which eventually led to
a fistfight. The victim intervened but was stabbed by the suspect. The victim was conveyed to
the R1 in Dagupan, but was pronounced DOA by the attending SOD. The suspect, who was
apprehended by the responding officers, was turned over to this office for investigation. On the
account of the foregoing, the suspect was placed under arrest and the charge of HOMICIDE
against him will be brought to the attention of an inquest fiscal for proper disposition and
recommendation. This case will be brought to you by SPO3 Boy Kidlat of this command.
Very Respectfully,
OPTIMUM PRIDE
Chief Inspector, PNP Investigation
Chief
RECOMMENDATION:
Digna Mahal
Inquest Prosecuto
3.
Republic of the Philippines
Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
(DATE)
The Honorable City Chief Prosecutor
Office of ________ Prosecutor
Justice Hall, _______
(Attn: Duty Inquest Prosecutor)
Greetings!
I have the honor to refer to your Office, the records of investigation relative to the case of
(crime), committed at about ______ of ________ at ______________.
COMPLAINANT : (Name, age, nationality, civil status and current address)
VICTIM : (Name, age, nationality, civil status and current address)
SUSPECT (ARRESTED/DETAINED):
(Name, age, nationality, civil status and current address)
EVIDENCE RECOVERED:
FACTS OF THE CASE:
Investigation disclosed....
ENCLOSURES:
a) Subscribed NPS Investigative Data Form
b) SS of the complainant
c) SS of witness
d) SS of witness
e) Joint Affidavit of Arrest of
f) Medico-Legal Report
g) As stated evidence recovered
g) Death Certificate of the Victim
i) Anatomical Sketch of the Victim
j) Booking and Information of the suspect
k) And others to be presented later.
This case will be presented to you by (Name of Investigator-on-Case) of this Office during the
course of inquest proceedings. Further, request furnished this Office copy of resolution of the
case and other proceedings.
For appropriate action and disposition.
___________________________
Chief of Police
COMPLAINT AFFIDAVIT
Complaints is a sworn written statement charging a person with an offense, subscribed by the
offended party, any peace officer, or other public officer charged with the enforcement of the
law violated (Rules of Court).
Examples:
1.
REPUBLIC THE PHILIPPINES
METROPOLITAN TRIAL COURT
NINTH JUDICIAL REGION
DIPOLOG CITY
BRANCH 6
Bernard Prado
Complainant,
-versus- Criminal Case No. 25831
For: Adultery
Clarissa Prado and Mario Larino,
Respondents,
x--------------------------------------x
COMPLAINT AFFIDAVIT
I, BERNARD PRADO, of age, married, and resident of Estaka, Dipolog City,
after having been duly sworn to according to law depose an say:
THAT I am legally married, I build a house for our permanent residence and as our
conjugal home in Estaka, Dipolog City and furnished it with all the comforts well
within my means;
At the start of our marriage, I was led to believe by my wife of her total
concern, love and devotion to me valid in turn I lavished her with all the material
comfort at my command. As a token of my love and unfailing trust, we went
sightseeing and on second honeymoon to Singapore only last month.
Sometimes during the last week of January 2015, while I went on my normal
work routine, my son Rocco took me inside in confidence and told me that he has
some very delicate matters to take up with which may be misinterpreted by me or
may be taken by him in a wrong light; however, he said that his valid dignity of the family is at
mistake and I have to know it whatever be the consequence. After I gave him, the go signals, he
narrated that my wife Clarissa Mayor has been unfaithful to me having illicit relationship with
other another ma. He informed me that our maid Maria Santos had been aware of the
relationship and the man usually went to my house and even slept there whenever I was in
Cebu. I got angry and so I suggested to think of a plan so we can catch my wife red-handed.
We agreed to put our plan of action in operation of February 13, 2015 since I will be
leaving for Cebu in the morning on that day. I thought of removing a glass of the jealousy so the
inside of the bedroom can be seen from the outside. Having completed the plans, I told my wife
that I will be leaving for Cebu on that day. I instructed my son Rocco to inform me immediately
of the result of the plan.
That I am formally charging my wife, Clarissa Mayor and Mario Larino of the
crime of Adultery against them.
CONTRARY TO LAW.
City of Dipolog, Philippines, April 8, 2016.
Bernard Prado
Complainant
SUBSCRIBED and SWORN to before me, the undersigned prosecutor, this 8th day of April, 2016
in the City of Manila, Philippines. I hereby certify that I have personally examined the above-
named affiant and that I am satisfied that the foregoing statements were given by him
voluntarily and of his own free will.
Atty. Michael B. Pangan
Assistant City Prosecutor
2. AFFIDAVIT OF COMPLAINT
REPUBLIC THE PHILIPPINES
PANGASINAN TRIAL COURT
FIRST JUDICIAL REGION
MANGALDAN
BRANCH 1
Viktor Magtanggol
Complainant,
-versus-
Totong Pilayot
Respondent
Criminal Case No. 111 For: Assault
x--------------------------------------x
COMPLAINT AFFIDAVIT
I, Viktor Magtanggol, of legal age, and a resident of #96 Kidlat Mangaldan, Pangasinan,
after having duly sworn to in accordance with law hereby depose and state:
I am the complaining witness for Assault against Totong Pilayot in the case entitled
“People of the Philippines versus Totong Pilayot”, Criminal Case No. 6969, Pangasinan Trial
Court, Batch No. 35, City of Mangaldan.
That I am formally charging Totong Pilayot of the crime Assault against him.
CONTRARY TO LAW
Mangaldan, Philippines, December 5, 2021.
Viktor Magtanggol
Complainant
SUBSCRIBED and SWORN to before me, the undersigned prosecutor, this 5th day of December,
2021 in the Pangasinan, Philippines. I hereby certify that I have personally examined the above-
named affiant and that I am satisfied that the foregoing statements were given by him
voluntarily and of his own free will.
Atty. HASAYA SYA
3.
Sample of Complaint
Republic of the Philippines
Metropolitan Trial Court
____________
People of the Philippines Criminal Case No.
vs
Accused
x--------------------------------x
COMPLAINT
The undersigned, Chief of Police of ___________________, accuses
_______________In the municipality of ____________________, province of
_____________________________,Philippines, the said accused did then and there, willfully,
unlawfully, and feloniously, with malice and aforethought, attacked
_______________________ with ________, wounding the latter in the _______________,
producing wounds which are necessarily fatal, thereby causing the immediate death of said
_____________________________.
Contrary to law.
____________, __________________________, 20___.

____________________________
Chief of Police of ______________
SUBSCRIBED AND SWORN before me this _____________th day of ____________
20___________ in the province of ________________________.

________________________
JUDGE

INFORMATION
This is an accusation in writing charging a person with an offense, subscribed by the prosecutor
and filed with the court (Rules of Court). After the filing of the Affidavit of Complaint, the
process of preliminary investigation commences. Preliminary investigation is an inquiry or
proceeding to determine whether there is sufficient ground to engender a well-founded belief
that a crime has been committed and the respondent is probably guilty thereof, and should be
held for trial.
Examples:
1.
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch 147
Makati City
PEOPLE OF THE PHILIPPINES
Plaintiff,
-versus- Criminal Case No. 123456
For
AKU SADO, Homicide
Accused.
X--------------------------------------x
INFORMATION
The undersigned Assistant City Prosecutor hereby accuses AKU SADO of
the crime of Homicide committed as follows:
That on or about August 12, 2013, Makati City within the jurisdiction of this
court, the said accused, armed with the bladed weapon, with intent to kill, did then
and there unlawfully and feloniously attack, assault and stab one VIC TIMA, thereby
inflicting upon him a fatal wound which directly caused to his death, contrary to
law.
Makati, Philippines, August 22,2013.
ATTY. BEN TONG
Private Prosecutor
WITNESSES:
MARIA MAKILING JUAN TAMAD
CERTIFICATION
I Hereby that a preliminary investigation was conducted in the above-entitled case,
and there is prima facie evidence that the crime Homicide has been committed and
that the accused is probably guilty thereof.
ATTY. BEN TONG
Private Prosecutor
2.
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch 1
Mangaldan
PEOPLE OF THE PHILIPPINES
Plaintiff,
-versus-
PEDRO PENDUKO,
Accused.
Criminal Case No. 111 for, Homicide
X--------------------------------------x
INFORMATION
The undersigned Assistant City Prosecutor hereby accuses PEDRO PENDUKO of the
crime of Homicide committed as follows:
That on or about August 12, 2013, Mangaldan within the jurisdiction of this
court, the said accused, armed with the bladed weapon, with intent to kill, did then and there
unlawfully and feloniously attack, assault and stab one, thereby inflicting upon him a fatal
wound which directly caused to his death, contrary to law. Mangaldan, Philippines, December
5, 2021.
Atty. HASAYA SYA
Private Prosecutor

WITNESSES:
BOY PANIKI
BOY CHANAK
ISANG MATA
Dr. Mang Kepweng
Dr. Boy Abunda
SPO3 Boy Kidlat
CERTIFICATION
I Hereby that a preliminary investigation was conducted in the above-entitled case, and
there is prima facie evidence that the crime Homicide has been committed and that the
accused is probably guilty thereof.
Atty. HASAYA SYA
Private Prosecutor

DEPOSITION OF WITNESS
A deposition is a witness’s sworn out-of-court testimony. It is used to gather information as part
of the discovery process and, in limited circumstances, may be used at trial. In criminal cases,
depositions are normally taken to preserve testimony from a witness. The procedures for taking
depositions in criminal cases recognize the prosecution’s right to preserve testimonial evidence
and prove its case despite the unavailability of its witness.
Examples:
1.
Republic of the Philippines
REGIONAL TRIAL COURT
_____________________
Branch ________, Quezon City
PEOPLE OF THE PHILIPPINES
Plaintiff SEARCH WARRANT NO. ________
-versus- FOR
_________________________ _____________________________
Respondent
x------------------------------------------x
DEPOSITION OF WITNESS
We, _______________ after having been duly sworn to testifies, as follow:
Q – What is your name and other personal circumstances?
A - We are _________ and ___________ both of legal ages, and (civil status) and presently
assigned with the __________.
Q – Do you know _______________ the application for Search Warrant
A–
Q – Do you know the premises of _______________
A–
Q – Do you have personal knowledge that in said premises the following properties are being
kept being used for intended to be used without proper documents, to wit ____________
A–
Q – Do you know who is the persons who have or have control of him above-described
properties?
A–
Q – How did you know that the said properties are kept in his/her premises
which are subject of the offense?
A – we conducted discreet surveillance and it was confirmed that ________is keeping
__________ in his/her premises/residence.
_____________ _____________
Affiant Affiant
SUBSCRIBED AND SWORN to before me this ______day of _________1999 at
_________.
_________________
Judge
2.
REPUBLIC THE PHILIPPINES
PANGASINAN TRIAL COURT
FIRST JUDICIAL REGION
MANGALDAN
BRANCH 1
PEOPLE OF THE PHILIPPINES SEARCH WARRANT NO. 111
Plaintiff
-versus-
Mang Tomas
Respondent
x------------------------------------------x
DEPOSITION OF WITNESS
We, Bunso Marites, Ate Marites after having been duly sworn to testifies, as follow:
Q – What is your name and other personal circumstances?
A - We are Ate Marites and Bunso Marites both of legal ages, and (civil status) and presently
assigned with the Complainant.
Q – Do you know the application for Search Warrant
A – Yes
Q – Do you know the premises of Rape
A – Yes
Q – Do you have personal knowledge that in said premises the following properties are being
kept being used for intended to be used without proper documents, to with the complainant?
A – Yes
Q – Do you know who is the persons who have or have control of him above-described
properties?
A – Yes
Q – How did you know that the said properties are kept in his/her premises which are subject of
the offense?
A – we conducted discreet surveillance and it was confirmed that Mang Tomas is keeping Aling
Marites in his/her premises/residence.
Ate Marites
Affiant
Bunso Marites
Affiant
SUBSCRIBED AND SWORN to before me this 5th day of December 2021 at Mangaldan, Branch 1.
JUSME MANANDA
Judge
3. Republic of the Philippines
REGIONAL TRIAL COURT
__________________________________
Branch ___________, Quezon City

PEOPLE OF THE PHILIPPINES SEARCH WARRANT NO.____


Plaintiff

-versus- For

_________________________ _________________________
Respondent
x------------------------------------------x

DEPOSITION OF WITNESSES

We, _______________________________ after having been duly sworn to testifies, as


follow:

A- What is your name and other personal circumstance?


A- We are_______________ and _________________ both of legal ages, and (civil
status) and presently assigned with the _________________;

A- Do you know ____________________, the applicant for Search Warrant?


A-

A- Do you know the premises of _____________________________,


A-
A- Do you have personal knowledge that in said premises the following properties
are being kept, being used or intended to be used without proper documents, to
wit: _______________
A-

A- Do you know who is or who is the person or persons who have or have control of
him above-described properties?
A-

Q. How did you know that the said properties are kept in his/her premises which
are subject of the offense?
A- We conducted discreet surveillance and it was confirmed that
________________ is keeping ___________________ in his/her premises/
residence.

__________________________ __________________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this ___________ day of _______________


1999 at ________________________.

_________________________
Judge

SUMMONS
Summons/Appearance Notices. Appearance notice and summons are official notices telling a
person that he/she has to appear in court at a specific time and place to answer to a criminal
charge. Usually, a police officer gives the appearance notice, and a summons may be received
in the mail.
Examples:
1. SAMPLE FORM OF SUMMONS FROM THE CLERK OF COURT
REPUBLIC OF THE PHILIPPINES
MUNICIPAL TRIAL COURT
BRANCH 3
MANDAUE CITY
___________________
Plaintiff CIVIL CASE NO. 6330
--versus--
FOR: COLLECTION OF
SUM OF MONEY &
ATTY’S FEE
______________________
Defendant(s)
x--------------------------------x
SUMMONS
TO:
You are hereby informed that the Rules on Summary Procedure shall apply
in the above-entitled case. Thus, you are hereby required to answer the complaint
duly served upon you within TEN (10) DAYS FROM SERVICE thereof. Should you
fail to answer the complaint within the reglementary period stated herein, the Curt
will enter judgment against you by default and grant the demand or relief applied
for in said complaint.
Witness the Honorable _____________, Presiding Judge of this court, this
________ day of ______ 20___________.
____________________
Clerk of Court
2.
Republic of the Philippines
Province of _________
PEOPLE’S LAW ENFORCEMENT BOARD
_____________________
(City/Municipality)
__________________ Admin. Case No. ____________
Complainant,
-versus-
_________________ For: ________________
Respondent (s) (Offense Charged)
SUMMONS
TO: ______________
______________
GREETINGS:
You are hereby notified that a formal administrative complaint against you,
copy attached, has been filed with this Office for the afore offense under provision
of Section 41 of Republic Act No. 6975 (Department of the Interior Local
Government Act of 1990) in relation to NAPOLCOM Memorandum Circular No.
_________ dated ________. 1991.
Wherefore, you are hereby required to answer in writing the abovementioned
charge(s) within five (5) days from receipt hereof, and to file said Answer under
oath in three (3) copies to the Board. Attracted herewith are such documentary
evidences as you wish to present in your defense.
Given this __________ day of _________, 20____ at _____________,
Philippines.
__________________________
Chairman
People’s Law Enforcement Board
The Chief of Police
_________________
Sir:
Please give due course to the herein summons and to return in this office
the original of the same with your proof of service indorsed at the back hereof.
Very truly yours,
_____________________
People’s Law Enforcement Board
3. REPUBLIC OF THE PHILIPPINES
MUNICIPAL TRIAL COURT
BRANCH 1
MANGALDAN
BOY SABONG
Plaintiff
-versus-
SUGA ROL
Defendant
CIVIL CASE NO. 111
FOR: COLLECTION OF SUM OF
MONEY & ATTY’S FEE
SUMMONS
TO:
You are hereby informed that the Rules on Summary Procedure shall apply in the above-
entitled case. Thus, you are hereby required to answer the complaint duly served upon you
within TEN (10) DAYS FROM SERVICE thereof. Should you fail to answer the complaint within
the reglementary period stated herein, the Court will enter judgment against you by default
and grant the demand or relief applied for in said complaint.
Witness the Honorable Nicojo Gwapito, Presiding Judge of this court, this 5th day of
December, 2021.
HASAYA KA
Clerk of Court

SUBPOENA
This is an order from the court that requires an individual to be somewhere in person at a
certain place, date and time to testify as a witness in a case. Specifically, a subpoena is a
conditional threat of punishment made by a governmental authority if it is attached to a
command, so that if the receipt does not do as commanded than that person may be punished.
Examples:
1.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
7TH JUDICIAL
BRANCH 56
MANDAUE CITY
PEOPLE OF THE PHILIPPINES
Plaintiff CRIM CASE: 355829
-versus-
__________________________ FOR: THEFT
Accused
x--------------------------------------x
SUBPOENA
TO:
GREETINGS:
You are hereby commanded to appear before this Court of the 8th of May
2011 at 8:00 in the Morning then and here to testify in the above entitled case (s).
Fail not, under the penalty of the law.
WITNESS the HON _____________, Judge of this Curt, this 10th day of April
2011.
__________________________
Branch Clerk of Court
Served by: _______________

2.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
PEOPLE OF PHILIPPINES CRIM CASE: 111
Plaintiff
-versus-
SIRA ULO
Accused for Theft
x--------------------------------------x
SUBPOENA
TO:
GREETINGS:
You are hereby commanded to appear before this Court of the 5th of December 2021 at
8:00 in the Morning then and here to testify in the above-entitled case (s).
Fail not, under the penalty of the law.
WITNESS the HON Nicojo Gwapito, Judge of this Court, this 5th day of December 2021.
KONICHIWA
Branch Clerk of Court
Served by: Mr Bean

3.
Republic of the Philippines
DEPARTMENT OF JUSTICE
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
Dumaguete City
CHERRIE MAE DAYUDAC, NPS DOCKET NO. VII-11-12E-00235-AComplainant-versus- For:
VIOLATION OF RA9262, SEC 5(B), (H) & (I)
VICENTE YAGPES,Respondent.X - - - - - - - - - - - - - - - - - - /
SUBPOENA
TO: MR. VICENTE YAGPESMatuloog, TayasanNegros Oriental
G R E E T I N G S:
Under and by virtue of the authority vested in me by law, you are herebydirected to submit
your counter-affidavit and other supporting documents oraffidavits of your witness/es if any, to
be sworn before me on June 25, 2012 at2:30 o’clock in the afternoon at the Office of the City
Prosecutor, Ground Floor, E.J.Blanco Drive, Piapi, Dumaguete City. Attached is a copy of the
complaint and otherevidence submitted by the complainant. You are hereby WARNED that
failure on your part to comply with thesubpoena shall be considered as a waiver of your right to
present your defenseand the case shall be considered submitted for resolution based on the
evidenceon record.WITNESS MY HAND this 8th day of June 2012 at Dumaguete City, Philippines.
JUAN DELA CRUZ
Prosecutor IV
WARRANT OF ARREST
Section 1-4, Rule 113 of Criminal Procedure states the following about arrest: Arrest is the
taking of a person into custody in order that he may be bound to answer for the commission of
an offense. An arrest is made by an actual restraint of a person to be arrested, or by his/her
submission to the custody of the person making an arrest. No violence or unnecessary force
shall be used in making an arrest.
Examples:
1.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
6TH JUDICIAL REGION
BRANCH 32
ILOILO CITY
CRIMINAL CASE NO. 14-1013-4
PEOPLE OF THE PHILIPPINES, WARRANT OF ARREST
Complainant,
-versus
SERAFIN CLAVEL II and
MARC LOVEL C, BEDONA
Accused.
TO ANY OFFICER OF THE LAW:
You are hereby commanded to arrest SERAFIN CLAVEL and MARC LOVELL
C. BEDONA who are to be found at Brgy. Tiring, Cabatuan, Iloilo or anywhere in the
Philippines and who have been accused before this court with the crime of
ROBBERY WITH RAPE and deliver them for forthwith to the nearest police station
or jail.
You are enjoined to execute this warrant of arrest within TEN (10) days receipt hereof.
Within ten (10) days after the expiration of such period, you are directed to make report
thereon to this court and in case of your failure to execute the same, to state the reason
therefore.
There was NO BAIL RECOMMENDED for the provisional liberty of the accused in this case.
Iloilo City, Philippines, this 24th day of June, 2014.
GLOBERT JUSTALERO
JUDGE
2. REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
CRIMINAL CASE NO. 111
PEOPLE OF THE PHILIPPINES WARRANT OF ARREST
Complainant,
-versus-
SIRA ULO
Accused.
TO ANY OFFICER OF THE LAW:
You are hereby commanded to arrest SIRA ULO who is to be found at Brgy. Man Yakol,
Mangaldan, Pangasinan or anywhere in the Philippines and who have been accused before this
court with the crime of RAPE and deliver them for forthwith to the nearest police station or jail.
You are enjoined to execute this warrant of arrest within TEN (10) days receipt hereof.
Within ten (10) days after the expiration of such period, you are directed to make report
thereon to this court and in case of your failure to execute the same, to state the reason
therefore.
There was NO BAIL RECOMMENDED for the provisional liberty of the accused in this
case. Mangaldan, Philippines, this 5th day of December, 2021.
SAYONARA
Judge

3. SAMPLE ARREST WARRANT


____________ COURT
COUNTY OF_____________
STATE OF ___________ PART _______
_____________________________
[Use Caption as Per WARRANT OF ARREST
Mandate of Commitment, supra] PURSUANT TO
JUDICIARY LAW § 2-b(3)
_____________________________
TO ANY PEACE OFFICER OF THE STATE OF NEW YORK:
GREETINGS:
An order to show cause having been personally served on [Name of Contemnor]
commanding his/ her appearance before the court on the ______ day of ______, 20__,
and said person having failed to appear,
YOU ARE HEREBY COMMANDED to arrest said person and bring said person
directly before [Name of Judge], a Justice/Judge of the _________ Court, Part ____
thereof, held at the courthouse located at _________, New York, on the ____ day of
_____, 20__, at _____ o’clock in the _____ noon, to answer for his/her disobedience to
the order to show cause, and also the charges contained therein, issued by [Name of
Judge] and duly served on said person on the _____ day of ______, 20__, and pursuant
to
Judiciary Law § 2-b(3) you have this warrant, and it is
So, Ordered
_____________________________
Justice/Judge of the _______ Court
Dated this _____ day of ________, 20__. Sa
SEARCH WARRANT
Rule 216, Section 1 of Criminal Procedure defines search warrants as an order in writing issued
in the name of the People of the Philippines signed by a judge and directed to a peace officer,
commanding him to search for personal property described therein and bring it before the
court.
Examples:
1.
LETTERHEAD
People of the Philippines
Versus
A.B., Accused
Criminal Case No. _______________
For (State nature of the offense)
The undersigned (name of the applicant) after having been duly sworn,
states:
1. That (name of the Person to be searched), who may be found at (describe
premises) is in possession or has his/her control (name of property
subject of the offense; or stolen or embezzled and or other proceeds or
fruits of the offense, or used or intended to be used as the means of
committing an offense) which he/she is keeping and concealing in
premises above described. (Cancel description not applicable).
2. That a search should be issued to enable any agent of the law to take
possession and v=bring to this court, the following described property:
(give complete and detailed description of the property to be seized).
Wherefore, the undersigned prays this honorable court to issue a search
warrant authorizing any agent of the Law to search the premises above described
and to seize and surrender to this Honorable Court the personal property
mentioned above to be dealt with as the law directs.
___________________, Philippines
________20 ___________
__________________
Applicant

2.
LETTERHEAD
PEOPLE OF THE PHILIPPINES
Plaintiff, CRIMINAL CASE NO. _____
VS. For: (State Nature of the Offense)
A. B.,
Accused,
To Any Peace Officer,
It appearing to the satisfaction of the undersigned after examining under
oath, (name of the applicant) and his/her witness (name of witness) that there is
probable cause to believe that (describe the act charged) has been committed or
is about to be committed and that there are good and sufficient reasons to believe
that (name of person, or persons to be searched) has in his possession or in
control in (describe the premises) in (name of street), district ____________, (name
of property subject of the offense; or stolen or embezzled and other proceeds or
fruits of the offense; or used or intended to be used as the means of committing
an offense) which should be seized and brought to the undersigned. (Cancel
description not applicable).
You are hereby commanded to make an immediate search at any time in the
day or night of the premises above described and forthwith seize and take
possessions of the following personal property, to wit give a complete and detailed
description of the property to be seized) and bring said property to the undersigned to be dealt
with as the law directs.
Witness my hand this ________ day of _________, 20_______.
_______________________
Judge
3. LETTERHEAD
People of the Philippines
Versus
A.B., Accused
Criminal Case No. 111
FOR CRIME OF RAPE
The undersigned BB Binibini after having been duly sworn, states:
1. That Sira Ulo, who may be found at Brgy. Man Yakol, Mangaldan is in possession or
has his/her control Bladed tools used for the crime of RAPE which he/she is keeping
and concealing in premises above described.
2. That a search should be issued to enable any agent of the law to take possession and
v=bring to this court, the following described property.
Wherefore, the undersigned prays this honorable court to issue a search warrant
authorizing any agent of the Law to search the premises above described and to seize and
surrender to this Honorable Court the personal property mentioned above to be dealt with as
the law directs.
Mangaldan, Philippines
December, 2021
BB Binibini
Applicant
NOTICE OF APPEAL
A notice of appeal is a formal notice served by the appellant a person who initiates an appeal,
on the court and the parties involved informing them of the appellant’s intention to request
review of a lower court’s order. It is the initial step in the appeals process. It informs the court
and the party in whose favor a judgment or order has been made that the unsuccessful party
seeks a review of the case.
Examples:
1.
Republic of the Philippines
FIRST JUDICIAL REGION
REGIONAL TRIAL COURT
BRANCH 1, MANILA
PEOPLE OF THE PHILIPPINES
Plaintiff
-versus- Criminal Case No. 84441
For: Frustrated Homicide
JUAN C. PEDRO,
Accused,
x-----------------------x
NOTICE OF APPEAL
COMES NOW, accused JUAN C. PEDRO, by counsel, and unto this
Honorable Court, most respectfully gives notice that he is appealing to the
Regional Trial Court, both question of fact and law, the decision dated 30 March
2016.
Respectfully submitted this 4th day of April 2016.
Baguio City, Philippines.
ATTY. SISSY SANTOS
Counsel for Accused
3F La Azotea Bldg., X Road, Manila
PTR NO. 999909;01/04/2016; Manila
IBP No: 6928764;01/04/2016; Manila
Roll No.: 8139;04/08/2015
MCLE Compliance No. IV-0008758/10-18-12
Copy Furnished:
Pros. Y
Office of the Prosecutor
Atty. X
Room 3B. 3F Port Mall
Manila
2.
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
1st JUDICIAL
BRANCH 1
MANGALDAN
Criminal Case No. 111For: Frustrated
Homicide
PEOPLE OF THE PHILIPPINES
Plaintiff
-versus-
SAA PAGONG
Accused,
x-----------------------x
NOTICE OF APPEAL
COMES NOW, accused SAA PAGONG, by counsel, and unto this Honorable Court, most
respectfully gives notice that he is appealing to the Regional Trial Court, both question of fact
and law, the decision dated 5th December 2021.
Respectfully submitted this 15th day of December 2021.
Mangaldan, Philippines.
ATTY. HASAYA YA
COUNCEL FOR ACCUSED
10F Pumapalag Bldg., Y Road, Pangasinan
PTR NO. 11111;12/05/2021; Pangasinan
IBP No: 11111;12/05/2021; Pangasinan
Roll No.: 11111;12/05/2021; Pangasinan
MCLE Compliance No. IV-0008758/10-18-12
Copy Furnished:
Pros. XX
Office of the Prosecutor
Atty. YY
Room 3B. 5F Pumapalag Bldg. Pangasinan

3.
STATE OF NEW YORK
COURT OF APPEALS
--------------------------------------
NOTICE OF APPEAL
, Index No.
Plaintiff(s),
-against-
, Defendant(s).
--------------------------------------
PLEASE TAKE NOTICE that (name[s])
hereby appeal(s) to the Court of Appeals of the State of New York
from the (order/judgment) of (name of court), entered on (date order was entered), and from
(specify parts of the order that you are appealing or state "each and every part thereof").
Dated:
(Signature)
(Print Name)
(Address)
(Telephone)
TO:
(List names and addresses of attorneys
for all parties and of all
no represented parties

C.
The significance and importance of these legal forms of documents are to be able to
help in understanding and explaining the characteristics of well-written police reports,
correspondence, and other communication. These forms will serve as a significant medium for
arriving at the valuable fact and at the truth concerning a criminal case from the facts and
circumstances by presenting and for applying the skills involving in collecting and organizing
information and for the presentation of professional reports, letters, and for the position
papers. It will be able to be a great help in being able to properly understand and by showing a
big and develop in improvement in the basic English, the spelling, and the keyboarding skills in
doing all of these valuable, significant, important, a fully certified legal forms of documents in
using and applying as a medium in concerning about the facts and truths in a criminal case. The
legal form also called legal status is defined according to national law. This helps to
disambiguate the identity search and serves as a possible criterion for survey selection or
hierarchization. By having a knowledge and understanding to legal forms, doing a successful
documentation will make information easily accessible, provide a limited number of user entry
points, help new users learn quickly, simplify the product and help cut support costs. As well as
being useful for effective communication, good documentation helps all staff to understand the
current care needs of a client. This in turn promotes continuity of support and care.
Documentation can be used to prompt or remind staff or family members of specific actions. If
we keep too much in our head, we don't leave space for anything new. When you document
your life and your stories you clear space for ideas, for plans and for new memories. You'll find
you can see special moments with more clarity, and it's this noticing that makes them special.
According to the Society for Human Resource Management, good documentation provides
credibility that shows employees are treated fairly and consistently. It provides clear, concise
statements about employee improvements and evidence that supports decisions related to
discipline or termination.

D.
Police prominent role and responsibility have been the authority to investigate crime, enforce
law, and maintain state law and order. To ensure that these authorities are used only for
legitimate purposes, various countries have taken protective measures, such as holding police
accountable to the police and establishing independent oversight bodies. The law consistently
enforces law and procedures so that the police's main role is to protect victims and potential
victims, and to ensure that all "honor" crimes and murders are investigated and dealt with by
criminal justice. By enforcing, the system must be stipulated to promote the accountability of
the perpetrator. To achieve this goal, the law requires police to enter the premises with the
permission of the judiciary as necessary, arrest the main attackers, and confiscate weapons or
dangerous substances when accompanied by "honor". You need to allow it to do so. The law
states that police are lawyers, health care providers, criminal justice including prosecutors, child
protection services, local businesses, media, employers, religious leaders, health care providers,
pastors, and victims and immigrant communities.

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