Sample Judicial Affidavit

REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT

7th Judicial Region
Branch 12
Cebu City
JUANA DE LA CRUZ,
Petitioner,
- versus -
Civil Case No. CEB-123456
CHIEF OF THE PHILIPPINE
NATIONAL POLICE;
REGIONAL DIRECTOR OF
PNP-PRO VII OF CAMP
SERGIO OSMENA; MAJOR
GENERAL GARDO PATAY,
Respondent.
x-------------------------------------------------x
JUDICIAL AFFIDAVIT
OF
SPO1 VANDA CHARISSA T. DAYAGBIL
________________________________
I, SPO1 VANDA CHARISSA T. DAYAGBIL, of legal age, Filipino,

single and a resident Jakosalem St., Zapatera, Cebu City, after having
been sworn in accordance with law hereby depose and state, that:
PRELIMINARY STATEMENT
The person examining me is Atty. Cristine Mae Villablanca with office

address at SVED Law Tower, Cebu Business Park, Cebu City,
Philippines. The examination is being held at the same address. I am
answering the questions asked of me by Atty. Villablanca fully
conscious that I do so under oath and that I may face criminal liability
for false testimony or perjury.
This judicial affidavit is written in the English language that is known

to me.
My examination in question and answer form is as follows:
1.Q Please state your name and other personal circumstances?

:
A: My name is SPO1 VANDA CHARISSA T. DAYAGBIL, of
legal age, Filipino, single, and a resident of Jakosalem St.,
Zapatera, Cebu City. I’m a Police and a Record Custodian.
2.Q Where were you on 20th day of September 2018?

:
A: I was at the Police Station.
3.Q Where was this Police Station located?

:
A: This Police Station is in Talamban where Juan Dela Cruz
was invited.
4.Q Do you know Juan Dela Cruz?

:
A: I don’t personally know him but I came to know him when
he went to Talamban Police Station on September 20, 2018.
5.Q How can you be so sure that he was Juan Dela Cruz?
:
I’m
A sure that he was Juan Dela Cruz because SPO2 Danielle
Cynth
: Bayron entered in the logbook the name Juan Dela
Cruz.
6.Q What time did SPO2 Bayron signed in the logbook the
: entry of Juan Deal Cruz in the Police Station?
SPO2
A Bayron signed in the logbook at 6:32 pm on
September
: 20, 2018.
7.Q Where were you when SPO2 Bayron signed in the logbook?
:
I was
A on my way home.
:
8.Q Why were you not in the Police Station?

:
My
A shift is from 8:00 am - 5:00 pm only.
:
9.Q When did you get hold of the logbook?

:
I got
A half of the logbook on the following day, September
21,
: 2018, when I reported for work.
10.Q What did you see in the logbook?

:
I saw
A in the logbook that Juan Dela Cruz was at thePolice
Station
: at 6:32 pm and was released at 6:55pm.
***NO FURTHER QUESTIONS FOR THE AFFIANT***

IN WITNESS WHEREOF, I hereunto affix my signature this 29th
Day of September, 2018 at Cebu City, Philippines.
_______________________________________
SPO1 VANDA CHARISSA T. DAYAGBIL
Affiant
SUBSCRIBED AND SWORN to before me this 29th Day of

September, 2018 at Cebu City, Philippines, personally appeared and
exhibited to me her PNP ID 1234567890. I hereby certify that I have
personally examined the affiant; that she has read and understood the
foregoing statements and executed the same of her own free will.
SWORN ATTESTATION
I, ATTY. CRISTINE MAE VILLABLANCA, Filipino, of legal

age, with office address at SVED Law Tower, Cebu Business Park,
Cebu City, after having been sworn to in accordance with law, hereby
attest and state: THAT—
1. I personally conducted the examination of the witness, SPO1

VANDA CHARISSA T. DAYAGBIL;
2. The examination was conducted in English, a language known

to the witness.
3. I have faithfully recorded and/or caused to be recorded the

questions asked and the corresponding answers that the witness
gave in the foregoing Judicial Affidavit, free from any undue
influence or interference; and
4. Neither I nor any other person then present or assisting her

coached the witness regarding the latter’s answers.
IN WITNESS WHEREOF, I have hereunto set my hands this 29th

Day of September 2018, at Cebu City, Philippines.
______________________________________
ATTY. CRISTINE MAE VILLABLANCA
Affiant
SUBSCRIBED AND SWORN to before me this 29th Day of

September 2018 in Cebu City, Philippines. Affiant is personally known
to me and she acknowledged that she freely and voluntarily executed
the same.
Doc. No.
Page
No.
Book
No.
Series of 2016.

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REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

I, SPO1 VANDA CHARISSA T. DAYAGBIL, of legal age, Filipino,

The person examining me is Atty. Cristine Mae Villablanca with office

This judicial affidavit is written in the English language that is known

My examination in question and answer form is as follows:

1.Q Please state your name and other personal circumstances?

2.Q Where were you on 20th day of September 2018?

3.Q Where was this Police Station located?

4.Q Do you know Juan Dela Cruz?

8.Q Why were you not in the Police Station?

9.Q When did you get hold of the logbook?

10.Q What did you see in the logbook?

***NO FURTHER QUESTIONS FOR THE AFFIANT***

SUBSCRIBED AND SWORN to before me this 29th Day of

I, ATTY. CRISTINE MAE VILLABLANCA, Filipino, of legal

1. I personally conducted the examination of the witness, SPO1

2. The examination was conducted in English, a language known

3. I have faithfully recorded and/or caused to be recorded the

4. Neither I nor any other person then present or assisting her

IN WITNESS WHEREOF, I have hereunto set my hands this 29th

SUBSCRIBED AND SWORN to before me this 29th Day of

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NO FURTHER QUESTIONS FOR THE AFFIANT