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  • Sample Format of Sworn Statement (Narrative)

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    guillenisiderio
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    The document is an affidavit from a witness describing a dispute they observed. It states that on a specific date, the witness saw an argument occur between two described individuals at a specified location. The witness provides details about what they saw, such as the time of day, their location at the time, and how the verbal dispute escalated into a physical altercation. The affidavit is intended to serve as evidence that the witness observed this dispute occur between the named individuals.

    Original Description:

    Sworn statement (Narrative Form)

    Original Title

    Sample Format of Sworn Statement (Narrative) (1) (1)

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    The document is an affidavit from a witness describing a dispute they observed. It states that on a specific date, the witness saw an argument occur between two described individuals at a specified location. The witness provides details about what they saw, such as the time of day, their location at the time, and how the verbal dispute escalated into a physical altercation. The affidavit is intended to serve as evidence that the witness observed this dispute occur between the named individuals.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    187 views2 pages

    Sample Format of Sworn Statement (Narrative)

    Uploaded by

    guillenisiderio
    The document is an affidavit from a witness describing a dispute they observed. It states that on a specific date, the witness saw an argument occur between two described individuals at a specified location. The witness provides details about what they saw, such as the time of day, their location at the time, and how the verbal dispute escalated into a physical altercation. The affidavit is intended to serve as evidence that the witness observed this dispute occur between the named individuals.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    Republika ng Pilipinas )

    Lungsod ng Davao City, )S.S


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

    SINUMPAANG SALAYSAY

    AKO, si _____________________________, Filipino, ___ taong gulang, walang


    asawa, naninirahan sa _________________________________________
    ______________________________, matapos na makapanumpa nang naaayon sa
    saligang batas ng Pilipinas ay nagsasaad ng mga sumusunod:

    Na, noong _________________________, isang pagtatalo ang nangyari sa pagitan


    nina ____________________________, __________, _______________, may height
    na ____________ at ang kanang suot na damit ay
    __________________________________________________________ at
    ___________________________, ________, ___________________, may height na
    _______________ na matatagpuan sa ________________________
    ___________________
    Na ako, ay naka saksi ng isang pagtatalo sa
    ________________________________ ___________________;

    Na, noon ______________________, bandang ___________ ng hapon/umaga


    ako ay patungong ______________________ sakay ng _____________ na matatagpuan
    sa ________________________________ Na, habang ako ay nagpapahinga sa aking
    inuupoan, ako ay pansamantalang napalingon sa aking gilid nga aking mapansin ang
    dalawang tao na nag-uusap, na habang tumatagal ay nagkakaroon na ito ng tensyon at
    ang magandang pag-uusap nila ay na uwi sa isang pagtatalo, hanggang sa nauwi ito sa
    isang magulong away;
    Ginawa ko ang Sinumpaang Salaysay na ito upang bilang patunay at na ako ay
    nakasaksi sa isang pag-aaway sa pagitan nina ____________________, at
    _____________________;

    Na, aking pinatutunayan na ako ay hindi naghain ng reklamong katulad nito sa


    mga taong nabanggit sa iba pang ahensya o sangay ng pamahalaan maliban dito.

    BILANG PATUNAY, ako ay lumagda sa ibabaw ng aking pangalan ngayon ika-


    ______ ng _________, _____.

    _________________
    Lagda

    SINUMPAAN AT PINATOTOHANAN sa harap ko ngayon ika __________


    ng ___________, _____. Pinatutunayan ko na ang nagsalaysay ay aking nasiyasat at
    ako ay may sapat na paniniwala na siya ay kusa at malayang nagsalaysay.

    _____________________
    Administering Officer

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