EPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.
x-------------------------------------x
AFFIDAVIT OF DENIAL
I, Emmanuel S. Santiago, of legal age, Filipino,
married and a resident of
_______________________________, after having
been duly sworn to in accordance with law, depose
and state:
1. That I was born on ________________ in
__________________________;
2. That I established my permanent residence
in __________________, Philippines;
3. That on ___________________, I applied for a
Record Clearance from the National Bureau of
Investigation;
4. That I received an information from the National
Bureau of Investigation on ______________ that my
namesake, a certain _______________________,
has a pending criminal case for Attempted Homicide
docketed as Criminal Case No. 1234 pending before
Branch 67 of the Metropolitan Trial Court of Quezon
City;
5. That I hereby unequivocally deny involvement in
the aforementioned case;
6. That I also declare under oath that I am not in
any way involved in any case proceeding as either
plaintiff/complainant or defendant/accused in the
Philippines and abroad, specifically with regard to the
aforementioned case;
7. That I have been employed or residing in Hong
Kong for ________ years to this date;
8.That
__________________________________________
_________ (cite other proof/s or reason/s
to substantiate your claim that you are not involved
in the aforementioned case/s, if any); and
9. That I am executing this Affidavit to attest to the
foregoing facts and to deny absolutely and entirely
any involvement in the case/s aforementioned and
for all legal intents and purposes.
IN WITNESS WHEREOF, I hereby affixed my
signature this ___________________ in Makati City,
Metro Manila, Philippines.
____________________
Affiant
SUBCRIBED AND SWORN TO before me
this _____________ in
______________, Philippines, affiant exhibiting to
me his/her competent evidence of identity by way of
______________ issued at _____________
on ______________.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.