Vous êtes sur la page 1sur 3

SAMPE JUDICIAL AFFIDAVIT OF WITNESS REPUBLIC OF THE PHILIPPINES REGIONAL TRIAL COURT NATIONAL CAPITAL JUDICIAL REGION MAKATI

CITY, BRANCH ______ MARIA CLARA MERCADO-RIZAL Petitioner,

versus -

CIVIL CASE NO. ____________ Declaration of Nullity of Marriage

FELIX P. RIZAL Respondent. xx JUDICIAL AFFIDAVIT OF MARIA CLARA MERCADO-RIZAL This Judicial Affidavit of Maria Clara Mercado-Rizal, the Petitioner, is executed to serve as her direct testimony in the instant case. This Judicial Affidavit is being offered to prove: A) All the allegations in the Petition including all annexes appended thereto and which were already marked as exhibits during the Pre-Trial of this case; B) All other related matters, facts and circumstances relevant and material to this case. This Judicial Affidavit was taken at the office of Atty. Josefino S. Enrile at Unit 7827, RCB Tower, 108 Legaspi St., Legaspi Village, Makati City.

Questions were propounded by Atty. Josefino S. Enrile and these questions are numbered consecutively and each question is followed by the answer of the witness. 1. I do. 2. Are you aware that you may face criminal liability for false testimony or perjury if you will not tell the truth? I am. 3. Please state your name, age address and occupation? Do you swear to tell the truth and nothing but the truth?

I am Maria Clara Rizal Mercado, 51 years old, married, and residing at 313 Santol Road, Makati City. 4. Yes. 5. Do you know the Respondent in this case, Mr. Felix P. Rizal? Are you the same Maria Clara Rizal Mercado, the Petitioner in this case?

Yes, he is my husband. ............... Affiant further sayeth naught. MARIA CLARA MERCADO-RIZAL Affiant SUBSCRIBED AND SWORN to before me this _______________ at _______________, Affiant exhibiting to me her Passport bearing No. SS12345678 issued on 8/9/12 and expiring on 8/8/17. Doc No. ________; Page No. _______ ; Book No. _______; Series of ________. ATTESTATION I hereby state, under oath, that I faithfully recorded the questions I asked and the corresponding answers that the witness gave and that neither I nor any other

person present or assisting me has coached the witness regarding the latters statement. ATTY. JOSEFINO S. ENRILE SUBSCRIBED AND SWORN to before me this _______________ at Makati City, Affiant exhibiting to me his drivers license bearing No. N11-82-030573 expiring on 09/08/2013. Doc No. ________; Page No. _______ ; Book No. _______; Series of ________. Copy Furnished: Office of the City Public Prosecutor Makati City