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COMPLAINT-AFFIDAVIT
I, LEONORA OBANG, of legal age, Filipino and maybe served
with summons at of Santa Maria district, Pagadian City, after having
been duly sworn to in accordance with law, do hereby depose and
state that:
1. I am a human resource head in PLDT Company at Pagadian
City;
2. On December 14, 2016, Wednesday at 8 in the morning,
one of our employees, Mr. Evets Polutan, who was absent
for one week, submitted his Medical Certificate signed by
Dr. Josh Schultz as proof of his confinement for a week from
December 5, 2016 to December 11, 2016 due to severe
stomach pain. A copy of the Medical Certificate is hereto
attached and marked as Annex A and made as an
integral part of this Complaint Affidavit;
3. The accused, Mr. Evets Polutan demanded from a refund of
Hospital bills in order to compensate the absent on his duty;
4. Later, I was able to verify that the employee was actually
abroad for a vacation on December 5, 2016 until December
11, 2016, the period of his alleged confinement;
5. This was confirmed by Mr. Josh Bayani, his co-employee and
companion on the said vacation abroad. A copy of the
Affidavit of Witness is hereto attached and marked as
Annex B and made as an integral part of this Complaint
Affidavit;
6. Dr. Josh Schultz and Mr. Evets Polutan fully knew that the
certificate was false;
7. Despite the falsity of the said certificate, Mr. Evets Polutan
used the same to take advantage of the company;
LEONORA OBANG
Affiant
TIN No.: 001021123
JOHN
STEVE
SARIGUMBA
City Prosecutor
Pagadian City
CANTILA
City of Pagadian
Province of Zamboanga del Sur
LEONORA OBANG
Affiant
TIN NO.: 001021123
SUBSCRIBED AND SWORN to before me this 3RD day of January
2017 at Pagadian City affiant exhibiting to me his Community Tax
Certificate No. 30567098 issued on 3rd day of January, 2017 at
Pagadian City.
ANNEX
AFFIDAVIT OF WITNESS
I, JOSH S. BAYANI, Filipino, of legal age, married and a resident of
Barangay Lumbia, Pagadian City. After having been duly sworn to in
accordance with the law, hereby depose and say
1. That I personally know Mr. Evets Polutan.
2. That last December 5, 2016 to December 11, 2016, I and Mr.
Evets Polutan was on abroad.
3. That I received a phone call from Ms. Leonora Obang inquiring
me as to whether or not Mr. Evets Polutan was confined in the
hospital from December 5 to December 11, 2016, I answered
NO, because during the said period we were together on
vacation.
4. That I am executing this affidavit to attest to the truth of the
foregoing facts and events and to pave the way for the
prosecution of a criminal case for Using false Medical
Certificate
against
Mr.
Evets
Polutan.
I WITNESS WHEREOF, I hereby affix my signature this 3 rd
day of January 2017 in the City of Pagadian, Zamboanga del
Sur, Philippines.
JOSH S. BAYANI
Affiant
TIN No.: 00202001
LEONORA OBANG
A complainant,
-Versus- for:
SUBPOENA
TO: MS. LEONORA OBANG
STA. MARIA DISTRICT
PAGADIAN CITY
GREETINGS:
Under and by virtue of the authority vested in me by law, you are
hereby directed to submit your counter affidavit and other
supporting documents or affidavits of your witness if any, to sworn
before me on January 14, 2017 at 9: 00 oclock in the morning at
the Office of the City Prosecutor, City Hall, Pagadian City. Attached
is a copy of the complaint and other evidence submitted by the
complainant. You are hereby WARNED that failure on your part to
comply with the subpoena shall be considered submitted for
resolution based on the evidence on record WITNESS MY HAND this
9th day of January 2017 at Pagadian City, Philippines.
JOHN STEVE C. SARIGUMBA
City Prosecutor
____________________________________________________________________
CERTIFICATE OF SERVICE this is to certify that this 9 th day of January
2017, I have served a copy of the SUBPOENA upon the person/s to
whom it is addressed in accordance with law, and acknowledged
receipt of proper service as evidenced by his signature made hereof
by ________ in my presence or mailed it under Registered Mail No.
0214 dated January 9, 2017 PROCESS SERVER / WARRANT OFFICER.
Republic of the Philippines
PHILIPPINE NATIONAL POLICE
Pagadian City, Zamboanga del Sur
POLICE BLOTTER
MEMORANDUM
FOR: Provincial Director
ZDS Police Provincial Office
Camp Abelon, Brgy. Lumbia Pagadian City
FROM: Chief of Police
SUBJECT: 1st Progress Report on using false Certificate in PLDT
Company Pagadian City.
DATE: January 9, 2017
Reference: Spot Report on using false Certificate in PLDT Company
1. This pertains to the using false certificate that happens in
PLDT Company at 8:00 oclock in the morning on December
14 , 2016. Be informed that Ms. Leonora Obang the Human
Resource Head of PLDT Company has found out the false
using of Medical Certificate passed by the accused Mr. Evets
Polutan an employee of the said company.
2. Interview conducted on one of the co-worker identify as Mr.
Josh Bayani revealed that he is the companion of Mr. Evets
Polutan during the travel dated December 5, 2016
December 11, 2016.
3. Further development will be sent to that office as soon as
obtained.
4. For your information.
JOHN PASTOR
Police Superintendent
MEMORANDUM
FOR: Provincial Director
ZDS Police Provincial Office
Camp Abelon, Brgy. Lumbia Pagadian City
FROM: Chief of Police, PPS
SUBJECT: Spot Report of Using False Medical Certificate
DATE: January 9, 2017