Complaint Affidavit
Complaint Affidavit
Complaint Affidavit
MARIO _____________________,
Accused.
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COMPLAINT AFFIDAVIT
I, Marissa, 12 years old, single, Filipino, and a resident of 122 Atate, Palayan City, Nueva
Ecija, after having sworn in accordance with law, despise and state that:
1. The accused in this case is my cousin, Mario, a resident of 123 Atate, Palayan City,
Nueva Ecija;
2. On March 1, 2018, I woke up as I felt the accused’s hands on my legs. I was not scared
at first but when he started caressing my hips and breasts I started crying as the accused
threatened to hurt me if I resisted. He slid his hands inside my panty and inserted his middle
finger in my vagina. I cried ever more because what he did really hurt me. After a few
moments he suddenly stopped and quickly left our house;
3. I immediately told my mother what happened and we went to a hospital. According
to the doctor, I suffered fresh slight lacerations inside my vagina as evidenced by a medical
certificate hereto attached as Exhibit “A”;
4. I am executing this Complaint-Affidavit to attest the truth of the foregoing and in
support of the appropriate criminal charges against the accused for Rape under Article 266-
A of the Revised Penal Code, as amended.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this
__________________________, in Talavera, Nueva Ecija.
MARISSA
Complainant
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Series of 2018
ATTESTATION
I personally conducted the interrogation of Marissa 122 Atate, Palayan City, Nueva
Ecija, the complainant in the above-captioned case. I have faithfully recorded the questions I
asked Ms. Marissa and the corresponding answers she gave me and neither I nor any other
person then present coached Ms. Marissa regarding her answers.
ATTY. ___________________________
Affiant
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