Republic of the Philippines)
City of Iloilo ) S.S
x-------------------------------x
AFFIDAVIT OF DESISTANCE
I, ___________________________, of legal age, Filipino,
single/married and with address at ____________________, under
oath, depose and state, that –
1. I am one of the private complainants in Criminal Case No.
__________________ entitled People of the
____________________________ for Large Scale Illegal Recruitment;
and the private complainant in Criminal Case No.
_________________ entitled
2. After due circumspection and a careful recollection of
the surrounding circumstances of the above-mentioned cases, I am
no longer interested in pursuing the said cases considering that
_________________________________________________________________
_________________________________________________________________
_____________________________________________________________.
3. I shall hold the National Bureau of Investigation (NBI),
Office of the City/Provincial Prosecutor of Iloilo as well as the
court FREE FROM ANY LIABILITY in connection with the above-
mentioned incident due to my Affidavit of Desistance and
Quitclaim.
4. I am executing this Affidavit of Desistance to attest to
the truth of foregoing facts and hereby waive/quitclaim any and
all of my claims pertaining to the incident subject of the above-
mentioned case now and thereafter, be it
civil/criminal/administrative in nature.
5. The foregoing statement have fully been read by me and/
or read/translated to me both in Ilonggo dialect and English
which I understand and that the same is true and correct to the
best of my knowledge.
IN WITNESS WHEREOF, I have hereunto set my hand this
______________________ at Iloilo City, Philippines.
_____________________
Affiant
ID No. __________________
Witness:
1._____________________________ 2._____________________________
SUBSCRIBED AND SWORN to before me, this
_______________________ by the affiant who is personally known
to me and who has satisfactorily proven to me his/her identity
through his/her identification card, and that he/she is the same
person who appeared and signed the foregoing Affidavit in my
presence within my jurisdiction, and who avowed to the truth of
its contents under the penalty of law.
CERTIFICATION. I hereby certify that pursuant to P.D. 911, I
have personally examined the affiant and that I am satisfied that
he/she voluntarily executed this affidavit and understood the
same.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2018.