Republic of the Philippines)

C i t y o f D a v a o. . . . . . . . ) s.s.
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AFFIDAVIT OF DESISTANCE
I, CRISTOPHER JUNE GASAL, of legal age, Filipino, married, residing at
Digos City, Philippines, after having been duly sworn to in accordance with law, depose
and say:
That I am the victim of a case of Reckless Driving at around 8:45 A.M. on August
19, 2009 along Diversion Road, Ma-a, Davao City, where I was accidentally hit by Elf
with Plate No. MCL589 driven by Jerryco L. Severio, a resident of Matina Pangi,
Diversion Road, Davao City.
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
CRISTOPHER JUNE GASAL
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ______ day of _____________ 2009, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, EDGARDO ENCALLADO of legal age, Filipino, Married to Adela Encallado
residing at Sinaragan Matan-ao, Davao del Sur, Philippines, after having been duly sworn
to in accordance with law, depose and say:
That I am the father of deceased JOSEPH GLEN ENCALLADO who died last
February 28, 2009 at Davao Medical Center (DMC), as a result of being hit by a motor
vehicle driven by RAMIL L. CARREON bearing the Plate No. _____________ which
occurred on February 22, 2009, at Sinaragan, Matan-ao, Davao del Sur;
That after careful deliberation over the case, I found that the death of my son
JOSEPH GLEN was purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is executed of my own free will and volition for the purpose of
requesting the dismissal and/or signifying my intention to refrain from further proceeding
against the aforementioned driver, and I hereby waive all my rights and claims pertaining
to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
EDGARDO ENCALLADO
Affiant
Witnessed in the presence of:
________________________
________________________
SUBSCRIBED AND SWORN to before me this ________ day of ____________ at
Davao City, Philippines.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, ALFREDO SUMAPONG TE, of legal age, Filipino, married, residing at
Mahayag, Buhangin, Davao City, after having been duly sworn to in accordance with law,
depose and say:
That I am the victim of a case of Reckless Driving at 12:30 P.M. on February 12,
2009 front of the Orion Battery Shop along San Nicolas, Diversion Road, Buhangin,
Davao City, where I was accidentally hit by Toyota Pick-up driven by Jimmy T. Galve, a
resident of Magtuod, Davao City.
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
ALFREDO SUMAPONG TE
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this 4th day of March 2009, at Davao City,
Philippines. And I hereby certify that affiant voluntarily and freely understood the contents of this
affidavit.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, ______________________________ of legal age, Filipino residing at
______________________________________________, after having been duly sworn
to in accordance with law, depose and say:
That I am the complainant (parent/guardian of _______________________
against _______________________________ driver of the vehicle bearing the Plate No.
_____________ of the injuries and/or damages to property sustained as a result of the
accident
which
occurred
on
_______________________________,
at
_______________________;
That after careful deliberation over the case, I found that the injured and/or
damages sustained were purely accident; and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in __________________, a dialect which I understand and that the same
are true and correct to the best of my knowledge and belief.
____________________________
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ________ day of ____________ at

Davao City, Philippines. Affiant exhibiting his CTC No. 13018736 issued at Davao City on
January 27, 2009.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, EDITHA S. STELLA of legal age, Filipino married residing at Watusi St.,
Buhangin, Davao City, after having been duly sworn to in accordance with law, depose
and say:
That I am the complainant (parent/guardian of NIEVAN CARL S. STELLA
against RENANTE E. MASQUIDA driver of the vehicle bearing the Plate No.LBX400
of the injuries and/or damages to property sustained as a result of the accident which
occurred on August 12, 2010, at R. Castillo St., Davao City;
That after careful deliberation over the case, I found that the injured and/or
damages sustained were purely accident; and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.

EDITHA S. STELLA
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ________ day of ____________ at

Davao City, Philippines. Affiant exhibiting her CTC No. _______________ issued at Davao City
on __________________.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
WE, Spouses JOHNNY S. MAHINAY and MA. CRISTINA B. MAHINAY,
both legal ages, Filipinos, and residing at #5 Daisy St., El Rio Vista Vill., Bacaca, Davao
City,Philippines, after having been duly sworn to in accordance with law, depose and say:
That we are the victim of a case of Reckless Driving at around 7:30 A.M.on April
5, 2010 along Bacaca Road, Davao City, where we were accidentally hit by Tricycle with
Plate No. _____________________driven by _________________________________, a
resident of Phase 1, El Rio Vill., Bacaca, Davao City.
That after careful deliberation over the case, we found out that the injury and/or
damages sustained were purely accidental and that we are no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by us of our own free will and violation for
the purpose of requesting dismissal and/or signifying our intention to refrain from further
proceeding against the aforementioned driver and hereby waive all our rights and interest
claims pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by us and/or read and
translated to us in Visayan, a dialect which we understand and that the same are true and
correct to the best of our knowledge and belief.
IN WITNESS WHEREOF, we have hereunto affix our signatures this 6th day of
April 2010, at Davao City, Philippines.
CRISTINA B. MAHINAY
Affiant

JOHNNY S. MAHINAY
Affiant

Witnessed in the presence of:

________________________
________________________

SUBSCRIBED AND SWORN to before me this 6th day of April 2010, at Davao City,
Philippines. And I hereby certify that affiant voluntarily and freely understood the contents of this
affidavit.
Republic of the Philippines)
C i t y o f D a v a o. . . . . . . . ) s.s.

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AFFIDAVIT OF DESISTANCE
WE, CHRISTOPHER CUBIL RADAM and ALBERT TAGOCTOC RIVAS,
both of legal ages, Filipinos, single, both residing at Purok Avocado, Brgy. Mararag,
Marihatag, Surigao del Sur, Philippines, after having been duly sworn to in accordance
with law, depose and say:
That deceased PJ URVESTONDO PINGGOL is one of our companion who is
the one driving of the motor vehicle who accidentally hit the Isuzu Elf with Plate No.
LWM708 at 9:30 P.M. on April 29, 2010 at Tandag, Surigao del Sur, and the driver is
Elmer D. Agnes who also has injury on his forehead;.
That after careful deliberation over the case, we found that the injury and/or
damages sustained were purely accidental and that we are no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver and the motor
vehicle.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and bel

CHRISTOPHER CUBIL RADAM

Affiant

ALBERT TAGOCTOC RIVAS

Affiant

Witnessed in the presence of:

________________________
________________________

SUBSCRIBED AND SWORN to before me this _________ day of __________, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, VICENTE G. ALBON JR. of legal age, Filipino, married, residing at 58-5
Agdao Beach, Agdao, Davao City, after having been duly sworn to in accordance with
law, depose and say:
That I am a Maintenance Crew of Joji IlaganCareer Center, Foundation,
Inc.,located at Chavez St., Magsaysay Ave., Davao City, for almost Eight years (8) of
service;
That last September 16, 2007 I was turn over to Universal Janitorial & Allied
Services under Archie Uy for only four (4) months;
That on December 31, 2007, Joji Ilagan Career Center Foundation, Inc. advice the
Universal Janitorial & Allied Services to transfer my services at Air Transportation Office
at Supper Highway, Buhangin, Davao City;
That due to the distance of my work and my daughter was in hospital, I did not
accept my work in Universal Janitorial & Allied Services.
That after careful deliberation over the case, I found that Universal Janitorial &
Allied Services not to include on this case For Illegal Dismissal W/Money Claims under
NLRC Case No. RAB-11-04-00434-10 and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned Universal Janitorial &
Allied Services.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned Universal Janitorial & Allied Services and hereby
waive all my rights and claims pertaining to said agency.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
VICENTE G. ALBON JR.
Affiant

SUBSCRIBED AND SWORN to before me this _______ day of ___________ 2010, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit, affiant exhibiting tome his CTCNo. 21085364 issued on April 6, 2010at
Davao City..

Republic of the Philippines)

C i t y o f D a v a o. . . . . . . . ) s.s.

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AFFIDAVIT OF DESISTANCE
I, ANTHONY P. TINAMBACAN, of legal age, Filipino, married, residing at
Brgy. 10-A, San Rafael, Davao City, Philippines, , after having been duly sworn to in
accordance with law, depose and say:
That I am the driver of a Honda motorcycle vehicle with Plate
#__________________, I was driving at around 7:30 in the evening 11 August 2010 on
August 19, 2009 along Diversion Road, Ma-a, Davao City, where I was accidentally hit
by Elf with Plate No. MCL589 driven by Jerryco L. Severio, a resident of Matina Pangi,
Diversion Road, Davao City.
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
CRISTOPHER JUNE GASAL
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ______ day of _____________ 2009, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit.

Republic of the Philippines)

C i t y o f D a v a o. . . . . . . . ) s.s.

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AFFIDAVIT OF DESISTANCE
I, LYDIA M. DUPLA, of legal age, Filipino, married, residing at Panacan, Davao
City, after having been duly sworn to in accordance with law, depose and say:
That I am the victim of a case of Reckless Driving at 7:30 P.M. on 11 August
2010 front of Mintrade Company along R. Castillo Agdao, Davao City, where I was
accidentally hit by Honda motorcycle vehicle driven by Anthony P. Tinambacan, a
resident of Brgy. 10-A, San Rafael, Davao City;
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.

LYDIA M. DUPLA
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ________ day of _________at Davao

City, Philippines. And I hereby certify that affiant voluntarily and freely understood the contents
of this affidavit.

Republic of the Philippines)

C i t y o f D a v a o. . . . .) s.s.

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AFFIDAVIT OF DESISTANCE
I, ARLYN L. PARANTAR, of legal age, Filipino, married, residing at Samantha
Homes, Catalunan Pequeo, Davao City, after having been duly sworn to in accordance
with law, depose and say:
That I am the owner of a certain vehicle Toyota with Plate No. LGU112, CR NO.
11081849-2 and at the same time a driver of my vehicle;
That I am the victim of a case of Reckless Driving at 5:30 P.M. on 27 August
2010 at my parking area in my residence, at first where the leftside of the back sit of the
body of the vehicle, and also the rightside of the dashboard was scratch.
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental;
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
That I am executing this affidavit of desistance to attest to the truth and to inform
the proper authorities concerned and for whatever legal purpose this may serve.
IN WITNESS WHEREOF,I have hereunto affix my signature this ____ day of
September 2010,at Davao City, Philippines.
ARLYN L. PARANTAR
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ________ day of _________at Davao

City, Philippines. And I hereby certify that affiant voluntarily and freely understood the contents
of this affidavit.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, JEREMIA GUHITING AYANG of legal age, Filipino married and a resident
of Blk. 6, HCA R. Castillo Agdao, Davao City, after having been duly sworn to in
accordance with law, depose and say:
That I am the complainant (parent/guardian of CATHERINE MAY AYANG
against REY V. REQUINA driver of the vehicle bearing the Plate No. IW-1186 of the
injuries and/or damages to property sustained as a result of the accident which occurred
on October 18, 2010 at around 6:00 P.M. along Barangay Duterte, Agdao District, Davao
City;
That after careful deliberation over the case, I found that the injured and/or
damages sustained were purely accident; and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in visayan dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
JEREMIA GUHITING AYANG
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ________ day of ____________ at

Davao City, Philippines. Affiant exhibiting his CTC No. ________________issued at Davao City
on ________________..

Republic of the Philippines)

C i t y o f D a v a o. . . . . . . . ) s.s.
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AFFIDAVIT OF DESISTANCE
WE, PATRICK V. CALVARIO and RAMONITO N. TOMAGUIN, of legal ages,
Filipinos, both single, residing at Buhangin, Davao City, Philippines, after having been
duly sworn to in accordance with law, depose and say:
That we are the victims of a case of Reckless Driving at around 12:00 P.M. on
November 15, 2010 along infront of New Buhangin Gallera and Sports Complex,
Diversion Road, Buhangin, Davao City, where we are accidentally hit by red PUJ
multicab with Plate No. LWC-827 driven by Romelito Ortiz Aceron, a resident of Fatima
Village, Bajada, Davao City.
That after careful deliberation over the case, we found that the injury and/or
damages sustained were purely accidental and that we are no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by us of our own free will and volition for the
purpose of requesting dismissal and/or signifying our intention to refrain from further
proceeding against the aforementioned driver and hereby waive all our rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by us and/or read and
translated to us in Visayan, a dialect which we understand and that the same are true and
correct to the best of my knowledge and belief.
PATRICK V. CALVARIO
Affiant

RAMONITO N. TOMAGUIN
Affiant

Witnessed in the presence of:

________________________
________________________

SUBSCRIBED AND SWORN to before me this ______ day of _____________ 2010, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit.

Doc. No.________;
Page No.________;
Book No._______;
Series of 2010.

Republic of the Philippines)

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AFFIDAVIT OF DESISTANCE
I, CRISTOPHER JUNE GASAL, of legal age, Filipino, married, residing at
Digos City, Philippines, after having been duly sworn to in accordance with law, depose
and say:
That I am the victim of a case of Reckless Driving at around 8:45 A.M. on August
19, 2009 along Diversion Road, Ma-a, Davao City, where I was accidentally hit by Elf
with Plate No. MCL589 driven by Jerryco L. Severio, a resident of Matina Pangi,
Diversion Road, Davao City.
That after careful deliberation over the case, I found that the injury and/or
damages sustained were purely accidental and that I am no longer interested pursuing
criminally and/or civilly the case against the aforementioned driver.
That this affidavit is being executed by me of my own free will and volition for
the purpose of requesting dismissal and/or signifying my intention to refrain from further
proceeding against the aforementioned driver and hereby waive all my rights and claims
pertaining to said accident, now and hereafter.
That the foregoing statements have been fully read by me and/or read and
translated to me in Visayan, a dialect which I understand and that the same are true and
correct to the best of my knowledge and belief.
CRISTOPHER JUNE GASAL
Affiant
Witnessed in the presence of:
________________________
________________________

SUBSCRIBED AND SWORN to before me this ______ day of _____________ 2009, at

Davao City, Philippines. And I hereby certify that affiant voluntarily and freely understood the
contents of this affidavit.