REPUBLIC OF THE PHILIPPINES

METROPOLITAN TRIAL COURT

NATIONAL CAPITAL JUDICIAL REGION
BRANCH 113,QUEZON CITY
THE PEOPLE OF THE PHILIPPINES
Complainant,
-versus-

Criminal Case No. 113

For: Robbery

Juan Michael De la Cruz

Accused
x-----------------------------------------x
CRIMINAL COMPLAINT
The UNDERSIGNED, Pedro De los Santos, accuses Juan Michael De la Cruz,
of theft, committed as follows, to wit:
That on or about April 1, 2016, at about 5:00pm in the Barangay 168, Sampaloc
Manila, Philippines, the said accused did then and there willfully, unlawfully, feloniously,
and by means of violence or intimidation, committed robbery, upon the undersigned
directly by overt acts to wit:
On April 1, 2016 of the afternoon, while the I was walking along Espana, Manila
waiting for a tricycle going home. The accused suddenly grab my shoulder and said
dont shout or else Ill kill you while pointing a knife in my stomach. He asked for my
wallet and mobile phones to pass it to him. The accused went to run immediately when
he received my wallet and phones. It were not for the presence of police nearby the
area the accused would not be apprehended and brought to jail.
Contrary to law.

Pedro De los Santos

Offended Party
VERIFICATION
A preliminary investigation has been conducted in this case under my direction,
having examined the witnesses under oath.
_Hon.__Juan Walang Awa________
Judge
WITNESSES:
______Dane De los Amigos_______

REPUBLIC OF THE PHILIPPINES)

CITY OF QUEZON )SS
C O M P LAI N T AF F I D AV I T
I, JUAN D. DE LA CRUZ, Filipino, of legal age and a resident of 55 Trapo St., Quezon
City, after having been duly sworn to in accordance with law, do hereby depose and
state that:
1. I am filing a case of slight physical injuries against PEDRO D. DE LOS SANTOS of No. 51
Trapo St., Quezon City.
2. On June 22, 2016 at around 9 p.m, I went to De Los Santoss house to talk to him regarding
some problems at the Pasay City tricycle terminal. We are both members of the tricycle drivers
association. However, De Los Santos upon seeing me got mad and asked me to leave.
3. To avoid trouble, I boarded my tricycle and prepared to leave. At this juncture, De Los Santos
came running towards me and without any warning punched me thrice on the face. Fortunately,
there were other tricycle drivers within the vicinity who immediately pacified Alarcon.
4. On my part, I proceeded to a nearby Medical Clinic for medical check-up. According to the
medical certificate issued by the doctor who attended to me, I suffered contusions and it would
take a period of seven (7) days for them to heal.
5. The incident was referred to the barangay for conciliation proceedings but no settlement had
been reached as De Los Santos failed or refused to obey the summons sent to him. Hence, I
was issued a certificate to file action by the barangay.
6. In view of the foregoing, I am executing this affidavit to support the filing of a criminal case for
slight physical injuries against PEDRO D. DE LOS SANTOS.

IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of July 2010, in the
city of Pasay, Philippines.
Juan D. De La Cruz
Affiant
SUBSCRIBED AND SWORN TO before me this 22th day of July 2016 in the city of
Quezon. I hereby certify that I have personally examined the affiant and I am satisfied
that he fully understood and voluntarily executed his complaint-affidavit.
Pedro D. Dimagiba
Assistant City Prosecutor

REPUBLIC OF THE PHILIPPINES

CITY PROSECUTION OFFICE
Quezon City
JUAN D. DE LA CRUZ
Complainant,
versus
I.S. No.11343
For: Slight Physical Injuries
PEDRO D. DE LOS SANTOS

Respondent.
x - - - - - - - - - - - - - - - - - - - - - - - -x

COUNTER-AFFIDAVIT
I, Pedro D. De Los Santos, Filipino, of legal age with postal address at of No. 51 Trapo
St., Quezon City, after having been duly sworn to in accordance with law, do hereby
depose and state that:
1. I am the respondent in the above-captioned case for slight physical injuries filed by one Juan

D. De La Cruz.
2. I vehemently deny the allegations of De La Cruz. I admit that De La Cruz went to my house in
the evening of June 22, 2016. At that time he was very drunk and could hardly walk. He was
shouting at the top of his voice looking for me. Considering his condition, I asked him to leave
and come back the following day instead but he refused to do so. Since he could no longer be
pacified I just ignored him and went inside our house.
3. The following day, I was informed that De La Cruz fell down on the pavement as a
consequence of which he sustained physical injuries.
3. I am executing this counter-affidavit to attest to the truthfulness of the foregoing to refute the
allegations of Juan D. De La Cruz.

Pedro D. De Los Santos

Affiant

SUBSCRIBED AND SWORN TO before me this 30th day of July 2016 in the city of
Quezon. I hereby certify that I have personally examined the affiant and I am satisfied
that he fully understood and voluntarily executed his affidavit.
Pedro D. Giba
Assistant City Prosecutor

REPUBLIC OF THE PHILIPPINES)

CITY OF QUEZON )SS

AFFIDAVIT OF COMPLAINT

The UNDERSIGNED, Pedro De los Santos, accuses Juan Michael De la Cruz, of theft,
committed as follows, to wit:
That on or about April 1, 2016, at about 5:00pm in the Barangay 168, Sampaloc
Manila, Philippines, the said accused did then and there willfully, unlawfully, feloniously,
and by means of violence or intimidation, committed robbery, upon the undersigned
directly by overt acts to wit:
On April 1, 2016 of the afternoon, while the I was walking along Espana, Manila
waiting for a tricycle going home. The accused suddenly grab my shoulder and said
dont shout or else Ill kill you while pointing a knife in my stomach. He asked for my
wallet and mobile phones to pass it to him. The accused went to run immediately when
he received my wallet and phones. If were not for the presence of police nearby the
area the accused would not be apprehended and brought to jail.
The undersigned executed this affidavit to attest the truthfulness of the foregoing
facts and to support the filing of Criminal Cases against Juan Michael De la Cruz for
violations of Robbery.
Executed , this 30th day of April, 2016.
Pedro De los Santos
Offended Party
SUBSCRIBED AND SWORN to before me this 6th day of May at Quezon City. I
HEREBY CERTIFY that I have personally examined the herein offended party and I am
satisfied that they voluntarily executed and understood their given affidavit.
Hon. Pedro D. Bout
Judge
WITNESSES:
Eric D. Wala
Abdul D. Anigla

AFFIDAVIT OF LOSS
REPUBLIC OF THE PHILIPPINES)
City of Pasay) S.S.
I, Juan Dela Cruz., Filipino, of legal age, residing at 55 Trampo St. Pasay City), after
having been sworn in accordance with law hereby depose and state:
That I am the true and lawful owner of a certain motor vehicle which
is more particularly described as follows:
MAKE
: Honda
SERIES
: 2016
TYPE OF BODY :
YEAR MODEL
:2016

MOTOR NO.
SERIAL/CHASSIS NO.
PLATE NO.
FILE NO.

:345678
:CH12345
:XYT673
:11231

That sometime in March of this year, I was looking for the original
Certificate of Registration of my car but to my surprise, said Owners
original Copy could not found;
That I took pains to look for said Certificate of Registration, but to no
avail;
That I am executing this affidavit to attest to the truth of the
foregoing and to request from the Land Transportation Office of Angeles
City, a copy of said Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of April. 2016 at
City of Pasay.
Juan De La Cruz
Affiant

SUBSCRIBED AND SWORN to before me, this 6th day of May, 2016 in Pasay
City, with affiant exhibiting his CTC No. 122455 ,
Issued on March 12, 2016 at Pasay City.
NOTARY PUBLIC
Until December 31, 2016
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20___.