Philippine National Police



Annex “B”:Sample AFFIDAVIT in ENGLISHAFFIDAVITI, _____________________, of legal age, single/married, presently residing at __________________________, after having duly sworn to in accordance with the law do hereby depose and state: That this ____ day of _____, 2016, I voluntarily went to the ________(Police unit)__________, located at __________________ to personally submit myself or surrender as user/pusher of “SHABU/MARIJUANA”;That I used “SHABU/MARIJUANA” since _______ because of _____(reasons)_____ but I decided to stop using it and I will promise not to use and get involved in illegal drugs activities again;That I will voluntarily give information as my commitment to pledge support in the crusade against illegal drugs of the government particularly the PNP;[ KNOWLEDGE ABOUT ILLEGAL DRUG NETWORK ]That before my voluntary submission to this authority, in several occasions, I used to buy “SHABU/MARIJUANA” from (pusher’s name with address and other personal circumstances);That sometimes I would go to a drug den managed by (name with other personal circumstances) located at ______________________________. When I would arrive thereat, there were about ________ individuals taking illegal drugs. I saw __________________(names)________________ also inside the den. The den usually operates at _____(time/period)_____; That, on several occasions, I saw ____(Police officer/ PDEA agent/ military)___ within the vicinity of the drug den; That I also learned that their supply of illegal drugs came from a drug laboratory located in ______(place)______ which is operated by a certain (name with other personal circumstances). Accordingly, It existed since 2015 and never been detected by the PDEA or the Police due to its strategic location that is hard to find. I heard, it is located at the basement;That some pushers operating in our place are dangerous because they are armed with firearms. I knew _____(names with other personal circumstances)____ have their caliber .45 pistols. They are determined to kill anyone who will hinder from their illegal activities;That “SHABU” in our place is worth ____________ pesos per gram. Pushers prefer cash transaction but sometimes they allow swap of valuable items like cellphones, laptops and jewelries for illegal drugs;That I am willing to give any additional information or supplement the above statements when I recall everything; That, I executed this affidavit to attest the truthfulness of the above narrated facts and to support my full interest to surrender. I hereby affix my signature this _____ day of ______, 2016 at ________________________________.________________________ AffiantSUBSCRIBED AND SWORN to before me this ____ day of ___________, 2016 at ___________________________. Further, I certify that I personally examined the herein affiant that he voluntarily executed and fully understood his statements.________________________ Administering OfficerNOTE: This only serves as a guide and questioning may not be limited only to elicit voluntary information found herein. ................
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