Republic of the Philippines

SUPREME COURT
Manila


______________________ ,
Plaintiff-Appellant
,G.R. No. _____________
- versus - (Designation of the Pleading)

______________________ ,
Defendant-Appellee
,x - - - - - - - - - - - - - - - - - x


PETITION COMES NOW t he Pet i t i oner , by t he under s i gned
a t t or ne y, a nd unt o t hi s Honorable Court, respectfully avers:

1 . T h a t p e t i t i o n e r _____________ i s o f l e g a l a g e , ma r r i e d
a n d a r e s i d e n t o f _____________ , Philippines, while respondent is also
of legal age and may be served with summons, writs and all orders of the
Honorable Court at his office address at_____________ , Philippines;

2 . Th a t t h e p e t i t i o n e r , _____________ , i n whose behal f t his
appl i cat i on is bei ng made, is actually restrained of his liberty by the
respondent_____________ who is the Chief of Police of _____________ at the
_____________ Police Station;

3 . T h a t s o me t i me i n t h e mo r n i n g o f _____________ , pet i t i oner
was t aken i nt o custody by the said respondent without a warrant of arrest
and detained at the _____________ Police Station without any criminal
charges being filed against him before the proper judicial authorities despite the
lapse of ________ ( ______ ).
Mo r e o v e r , p e t i t i o n e r wa s t a k e n b y t h e r e s p o n d e n t n o t
u n d e r a n y o f t h e circumstances where a warrantless arrest is allowed
by the law or the Rules of Court;

4. That s uch r es t r ai nt of l i ber t y of t he pe t i t i one r by t he
r e s pondent i s t he r e f or e without any legal authority;
5. That t he pet i t i oner t hrough counsel has exhaust ed al l effort s
avai l abl e at l aw but t o no avai l , and t hat he has no ot her pl ai n,
speedy, and adequat e remedy t o pr ot ec t hi s pe r s onal r i ght s a nd
s ec ur e hi s pe r s onal l i be r t y e xce pt by hi s application for a Writ of
Habeas Corpus.

PRAYER

WHEREFOR, petitioner most respectfully prays that a Writ of Habeas Corpus b e
i s s u e d b y t h i s Ho n o r a b l e Co u r t , d i r e c t e d t o t h e
r e s p o n d e n t _____________ commanding the latter to produce the body of
_____________ before this Court at the time and place therein specified, and to
summon the respondent_____________ then and there to appear and to show cause
of the detention of said_____________ ; and that after due proceedi ngs, t he
sai d _____________ be rest ored of hi s l i bert y and fort hwi t h discharged
from confinement .

_____________ , Philippines, __Date__ .


(COUNSEL)



















VERIFICATION AND CERTIFICATION

REPUBLIC OF THE PHILIPPINES)
Province of ____________________ ) S.S.
City/Municipalityof _____________ )
x - - - - - - - - - - - - - - - - - - - - - - - x

I,_____________ , of l egal age, Fi l i pino, (si ngl e / marri ed / wi dow), a n d
a resident of _____________ , Phi l i ppi nes, aft er bei ng sworn i n
accordance wi t h l aw, hereby depose and say:

That I am the(Plaintiff / Complainant / Petitioner)in the above-entitled case;
That I have caused the preparation of the above(Complaint / Petition)and I
have read t he same and knows the contents thereof; That the allegations
contained therein are true and correct of my own personal knowledge.

That I further certify that: (a) I have not theretofore commenced any other action
or proceeding or filed any claim involving the same issues or matter in any court, tribunal,
or quasi-judicial agency and, to the best of my knowledge, no such action or
proceeding is pending therein; (c) if I should thereafter learn that the same or similar action
or proceeding has been filed or is pending before the Supreme Court, the Court of
Appeals, or any other tribunal or quasi-judicial agency, I undertake to report
such fact within five (5) days therefrom to the court or agency wherein the
original pleading and sworn certification contemplated herein have been filed.

IN WITNESS WHEREOF, I have hereunto set my hand
this _____________ at _____________ , Philippines.


AFFIANT

SUBSCRIBED AND SWORN t o b e f o r e m e , t h i s _____________ ,
by _____________ wh o e x h i b i t e d t o me (his/her) Communi t y Ta x
Ce r t i f i c at e No. _____________ issued at _____________ , Philippines
on _____________ .

NOTARY PUBLIC

Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;