Republic of the Philippines)
x – – – – – – – – – x
Affidavit of Desistance
I,____________,Filipino, single, with residence__________, under oath allege:
1.That I am the complainant in Criminal Case No.__________for alleged “RAPE” against accused___________, which case is pending before the Regional Trial Court, Branch______, _____________City, Philippines;
2.That I signed the aforesaid complaint against accused__________against my will, my signature in the complaint having been obtained thru force, violence and intimidation done to me by my parents;
3.There is no truth to the allegations contained in my sworn statement executed by me against my will on___________at____________, taken by____________. There was no force, violence or intimidation done against me by said accused___________. I was not forced by him to submit to his desires. It was all in accordance with my own will, volition and consent that I went personally to him because we love each other and I agree and consent to live with him as my husband;
4.I therefore respectfully request that the above-mentioned case filed against said___________be dismissed as infact I now withdraw my complaint against him and I further manifest under oath that I am now desisting from testifying against him in Court or in any other government entity or agency in connection with the said criminal case.
IN WITNESS WHEREOF, I have hereunto set my hand this___________at____________, Philippines.