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CAPTION OF THE CASE

JUDICIAL AFFIDAVIT OF ____________________ IN THEFORM OF QUESTION AND ANSWER IN LIEU OF DIRECTEXAMINATION

OFFER OF TESTIMONY: The testimony of _______________,Filipino, of legal age, with address at _______________________, isbeing offered to prove the following: (1) that ___________; (2)

_________________________. (and so on)

1. Q: May you please state your personal circumstances likeyour name, civil status and address?A: a

2. Q: Further, may you please inform us of your educationalattainment?A: a

3. Q: a

A: a

MANIFESTATION: This representation respectfully_____________________________(declaration forExhibit markings, make sure that the font style ofthe whatever exhibit is in bold, ex. Exhibit A)

4. Q: aA: a

5. Q: aA: a

6. Q: aA: a

7. Q: aA: a

8. Q: aA: a

9. Q: aA: a

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10. Q: aA: a

11. Q: aA: a

12. Q: aA: a

13. Q: aA: a

14. Q: a

A: a

15. Q: aA: a

16. Q: aA: a

17. Q: aA: a

18. Q: aA: a

19. Q: aA: a

20. Q: aA: a

21. Q: aA: a

22. Q: aA: a

23. Q: aA: a

24. Q: aA: a

25. Q: aA: a

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26. Q: aA: a

27. Q: aA: a

28. Q: aA: a

29. Q: aA: a

30. Q: a

A: a

31. Q: aA: a

32. Q: aA: a

33. Q: aA: a

34. Q: aA: a

35. Q: aA: a

36. Q: aA: a

37. Q: aA: a

38. Q: aA: a

39. Q: aA: a

40. Q: Do you confirm and affirm the due execution andtruthfulness of your judicial affidavit.A: Yes.

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IN WITNESS WHEREOF, I have hereunto set my hand this ___day of __________ 2013 at ______________________________. Ifurther attest that the documents attached herein are the faithfulreproduction of the original thereof.

___________________Affiant

SUBSCRIBED AND SWORN to before me this ___ day of_________ 2013 at ______________, Philippines. Affiant ispersonally known to me and was identified by me through competentevidence of identity as defined in the 2004 Rules on Notarial Practice

(A.M. No. 02-8-13-SC). Affiant exhibited to me his___________________, with his photograph and signatureappearing thereon, with no. _______________ and his Governmentissued I.D. (Competent Evidence of Identity) No. ________ issued on

____________ at _______

NOTARY PUBLICDoc. No. _______;Page No. ______;Book No._______;Series of 2013.

Copy Furnished:

_____________________

EXPLANATION

Copy of the foregoing Judicial Affidavit if not personally served,was served by registered mail as personal service cannot bepractically effected owing to lack of manpower, time, and distanceinvolved.

Issued in compliance with the Rules of Court.

____________________

Attestation of the Examining Counsel

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I, _________________________, after having conducted theexamination of witness ____________________ on this __ day of

__________ 2013 at _________________, do hereby certify that:

1. I have faithfully recorded or caused to be recorded the questionsasked and the corresponding answers that the witness gave; and

2. Neither me nor any other person then present or assisting coachedthe witness regarding the latter's answers.

3. That the witness answered the questions asked of him, fullyconscious that he does so under oath, and that he may face criminalliability for false testimony or perjury

This Attestation is issued in compliance with the JudicialAffidavit Rule (A.M. No. 12-8-8-SC),

____________, 2013, at ___________.

_______________________Signature over printed name of Counsel

SUBSCRIBED AND SWORN to before me this ___ day of_________ 2013 at ______________, Philippines. Affiant ispersonally known to me and was identified by me through competentevidence of identity as defined in the 2004 Rules on Notarial Practice(A.M. No. 02-8-13-SC). Affiant exhibited to me his

___________________, with his photograph and signatureappearing thereon, with no. _______________ and his Government

issued I.D. (Competent Evidence of Identity) No. ________ issued on____________ at _______

NOTARY PUBLICDoc. No. _______;Page No. ______;Book No._______;Series of 2013.

(Previously issued Memo regarding drafting of pleadings applies (likespelling and grammar check (click the spell check icon); spacing,indention, etc... Kindly follow.) Avoid leading questions; please findtime to re-read Rules 130 to 132 of the Rules of Court, among others.Thank you.