Affidavit of Complaint

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AFFIDAVIT OF COMPLAINT

PRELIMINARIES: Affiant was informed on his obligation to tell the truth and nothing but
the truth. The questions were translated into a dialect clearly understood by the affiant.

1. Q: Do you swear to tell the truth and nothing but the truth?
A: Yes I do.

2. Q: Do you swear to truthfully answer the questions asked of you, fully conscious
that you do so under oath and that you may face criminal liability for false
testimony or perjury?
A: Yes I do.

3. Q: Please state your name, age, residence and other personal circumstances.
A: I am RONA B. OCLARIT, 38 years old, married to RAMEL G. OCLARIT, and a
resident of Purok 3, Humilog, RTR, Agusan del Norte. I am currently unemployed
while my husband is a baker.

4. Q: Under what circumstance did you acquire the facts upon which you testify?
A: I am testifying in my capacity as the complainant in this case.

5. Q: What Complaint are you contemplating to file against the respondent?


A: I am filing a criminal complaint of Violation to Section 358 - Slander or Oral
Defamation of the Act No. 3815 otherwise known as the REVISED PENAL
CODE OF THE PHILIPPINES against ELSA ZERINA, also a resident of Purok 3,
Humilog, RTR, Agusan del Norte.

6. Q: When and where did the alleged commission of the offense happen?
A: The offense took place within our neighborhood, specifically in the locality of
Purok 3, Brgy, Humilog, RTR, Agusan del Norte.

7. Q: How did the respondent commit the above stated criminal acts?
A:

8. Q: What happened next?


A:

9. Q: What else?
A:

10. Q: Do you still have anything more to say or add your statement?
A:

End of statement

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of


July 2017 at Cabadbaran City, Agusan del Norte, Philippines.
RONA B. OCLARIT
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of July 2017 at


Cabadbaran City. I hereby certify that I am convinced that the herein affiant understand
his affidavit before affixing his signature.

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