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Republic of the Philippines

REGIONAL TRIAL COURT

6th Judicial Region

Branch 12

Makati City

PEOPLE OF THE PHILIPPINES, CRIMINAL CASE NO. 232323

Plaintiff, FOR:

Slight Physical Injuries

- versus -

THOR GANER,

Accused.

x-----------------------------------------------x

JUDICIAL AFFIDAVIT

(Rule on Judicial Affidavit, A.M. No. 12-8-8-12, September 4, 2012)

I. PRELIMINARY INFORMATION.

NAME AND OTHER PERSONAL CIRCUMSTANCES OF THE WITNESS.

Name : Roy Melchor

Age : 35;

Address : no. 234 Burham ST. Barangay Forbes, Makati City

Occupation : Doctor;

Language : English and Tagalog.


LAWYER WHO CONDUCTED OR SUPERVISED THE EXAMINA TION OF THE WITNESS.

Name : Atty. Raposon Neil Patrick.

Address : Makati CITY PROSECUTOR’S OFFICE, Makati City Hall


of Justice. J.P Rizal, Makati City

Place of Examination: Makati CITY PROSECUTOR’S OFFICE,

Makati City Hall of Justice. J.P Rizal, Makati City

II. OFFER.

The testimony of the witness Michael Mano is being offered to prove the:

1. To prove the authenticity of the Medical Certificate from Makati General


hospital;

III. JUDICIAL AFFIDAVIT PROPER.

I, Roy Melchor 35years old, married, Filipino, and residing at no. 234 Burham ST.
Barangay Forbes, Makati City, under oath, depose:

Q – Please state your name, age, residence, and occupation of the witness.

A – I am Roy Melchor , 35 years old, married, residing no. 234 Burham


ST. Barangay Forbes, Makati City, and a doctor at the Makati General Hospital.

Q- Why are you here now?

A – To give a sworn statement by way of a judicial affidavit, the same to constitute


as my direct testimony, in the above-captioned civil case.

Q- For the record, please state the name and address of the Lawyer who is
now conducting or supervising your examination and the place where the
examination is being held now?
A – The legal counsel for the plaintiffs, Atty. Raposon Neil Patrick. is conducting or
supervising my examination now at his office at Makati CITY PROSECUTOR’S
OFFICE located at: J.P Rizal, Makati City

Q – In what language do you want your examination to be conducted?

A– This judicial affidavit is prepared in English.

Q – Do you undertake to answer the questions to be asked of you, fully conscious


that you will do so under oath, and that you may face criminal liability for false
testimony or perjury?

A -Yes.

6. Q – Let us now proceed to the Complaint. Do you know the complainant


this case?

A – Yes. he is one of the patient who went to the hospital for his injuries in his face.

7. Q – Can you describe what happen on the day the complainant went to
hospital?

A - Yes Sir. The complainant was suffering from a few bruising especially in his
mouth area. He was bleeding and his face was swelling due to the injury he
sustained.

8. Q- How does one get those injuries?

A – One could get those injuries by fighting or by being attacked by another


person.

9. Q- After you treated the complainant what else did you do?

A – I advice the complainant to get some rest for a couple of days until the swelling
in his face stop. He then ask me if he could have a Medical Certificate for his injury
so I wrote him one detailing the extent of his injuries.

10. Q - I offer to the court the Medical Certificate (Annex C.1) given to the
complainant. Who is the undersigned on this certificate?

A - It is mine. I signed the Medical Certificate for the complainant.

Nothing Follows.

Makati City, Philippines 2018.


ROY MELCHOR

Affiant

SUBSCRIBED and sworn to before me in Makati City on February 15, 2018,


affiant showing her competent proof of identity, to wit: COMELEC VIN 232323.

Notary Public

Doc. No. __

Page No. __

Book No. __

Series of 2018.

IV. SWORN ATTESTATION OF THE LAWYER WHO CONDUCTED OR


SUPERVISED THE EXAMINATION OF THE WITNESS.

The undersigned ATTY. NEIL PATRICK RAPOSON., of legal age, married, and with
law office address Makati CITY PROSECUTOR’S OFFICE, Makati City Hall of
Justice. J.P Rizal, Makati City, under oath, deposes and states:

1. He is the Legal Counsel for the complainant in the above-entitled case;

2. He faithfully recorded or caused to be recorded the


questions he asked and the corresponding answers that the above-named
witness gave;

3. Neither he nor any other person then present or assisting him coached the
witness regarding the latter's answers; and

4. He conducted the examination of the witness at his law office located at


Makati CITY PROSECUTOR’S OFFICE, Makati City Hall of Justice. J.P Rizal,
Makati City

Makati City, Philippines 2018.


Atty. NEIL PATRICK RAPOSON.

Affiant

SUBSCRIBED and sworn to before me in Makati City onFebruary 15, 2018,


affiant showing his/her competent proof of identity, to wit: SSS Member ID No.
2345680.

Notary Public

Doc. No. ___

Page No. ___

Book No. ___

Series of 2018.

Copy Furnished:

ATTY. MARLON SY

Counsel for the Defense

7-C Crispa Ave., San Lorenzo Village,

Pamplona III, 1712 Makati City