Republic of the Philippines)

City of _________ ) S.S.

AFFIDAVIT OF OWN RECOGNIZANCE

I, _____________________, Filipino, of legal age, single/married, and a resident

of ____________________, under oath depose and say:

1. I am charged with _____________________ before Branch __________ of the

____________ Trial Court of Cebu City, docketed therein as Criminal Case No.
_______________________, which is still pending to this day;

2. I have been detained in connection with the above-mentioned case since

_____________, or for an uninterrupted period of ______________ now, which is at
least equal to the minimum of the penalty prescribed by the above-mentioned law
for said offense, without application of the Indeterminate Sentence Law or any
mitigating, aggravating or modifying circumstance;

3. Under A.M. No. 12-11-2-SC (Guidelines for Decongesting Holding Jails by

Enforcing the Rights of Accused Persons to Bail and to Speedy Trial) issued by the
Honorable Supreme Court and OCA Circular No. 91-2020 issued by the Honorable
Court Administrator of said Court, an accused can be released motu proprio on
his-her own recognizance after service of the minimum of the imposable penalty;

4. Pursuant thereto, I am respectfully praying to the Honorable Court that I

be released on my own recognizance;

5. I am fully aware that should I be ordered released by the Honorable Court

on my own recognizance, such release is without prejudice to the continuation of
the proceedings of the above-mentioned case against me;

6. I hereby (a) undertake to be present before the Honorable Court

whenever required during the pendency of the above-mentioned case; (b) pledge
not to commit any crime/offense or violation of any rule/regulation issued by any
competent authority during my temporary liberty; (c) submit myself to the
protocols and procedures required by Executive Order No. 71, series of 2020,
issued by the Honorable Mayor of Cebu City on April 27, 2020; and (d) guarantee
my faithful compliance with all the conditions of my release;

7. I hereby undertake that I can be located at _____________________ and

contacted at _____________ ;

8. I hereby undertake that my nearest of kins are (a) _________________, who

can be located at ____________________ and contacted at ___________________, and
(b) ______________________, who can be located at ____________________ and
contacted at ____________;

9. I hereby undertake to notify the Honorable Court of any change of my

address/residence and contact number, as well as any or both of those of my
nearest of kins;

10. I hereby waived my right to be present in any and all the proceedings in
the above-mentioned case against me should I fail to appear before the Honorable
Court despite notice or subpoena, or should I fail to inform the Honorable Court of
any changes in my address and contact number and/or any or both of those of my
nearest of kins which may cause a failure of service of such notice or subpoena;
 11. I hereby agree that the Honorable Court may cancel/revoke this
recognizance and cause my arrest and detention should I violate any of the
above-mentioned conditions, including my failure to appear as mentioned in
paragraph 10 thereof, or for any other lawful cause; and

12. I execute this Affidavit knowingly and voluntarily, the same having been
read and translated to me in a dialect/language known to and fully understood by
me, to attest to the truth of all the foregoing statements and/or declarations.

IN WITNESS WHEREOF, I have hereunto set my hand this

____________________ at Cebu City, Philippines.

___________________________
Affiant-accused
ID: ________________________

SUBSCRIBE AND SWORN to before me this ____ day of _______________, 2020

at Cebu City, Philippines. The above affiant personally appeared before me with
his/her identification document stated below his/her name and avowed under
penalty of law as to the truth of the foregoing document.