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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF RIZAL ) S.S.


CITY OF ANTIPOLO )
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AFFIDAVIT COMPLAINT

1, MRS. FEBE R. LLESOL , 57 years old, married, Filipino, with residence and postal
address at Block 3, Lot 13, Sitio Manalite, Barangay Sta. Cruz, Antipolo, Rizal, after having
been duly sworn to an oath in accordance with law, do hereby depose and state the following;
to wit:

1. That, on or about 6: 00 0clock in the evening of October 28, 2016 while I was in
front of my house, HERMAN CABANILLA, 60 years old and resident in the same locality while
under influence of liquor and apparently drunk, without any apparent reason, abruptly slapped
me hitting at my LEFT SIDE OF MY FACE, then not contented held my T-Shirt and strongly
dragged me that resulted to the tearing of my T-Shirt causing that my BRA was exposed to be
seen before the public eye which caused me seriously humiliated, embarrassment and
besmirched reputation and inflicted Physical injuries to my body and suffered CONTUSION
ZYGOMATIC AREA LEFT and CONTUSION FOREARM LEFT as evidenced by a Final Medico
Legal Certificate dated November 2, 2016 issued by DR. M. LEDESMA, from City Government
of Antipolo, Rizal Provincial Hospital System Antipolo Annex, Antipolo City, Rizal. (Copy of
which is hereto attached as Exhibit Aand the tore T-Shirt as Exhibit B which form integral
parts hereof );

2. That, immediately ROCHELLE OTAY RODRIGUEZ held parts of my T-Shirt


which was tore down and covered my BRA so that it will not be exposed to the public eye
while VICKY BAQUIRAN pacified HERMAN CABANILLA by pushing him away from me;

3. That, HERMAN CABANILLA even uttered threatening words saying to quote:


KAYA NIYA PATYON PATI TESTIGO which means HE CAN KILL INCLUDING THE
WITNESSES ILABAS MO PULIS MO which means LET YOUR POLICEMEN COME OUT;

4. That, likewise, I am attaching the copies of Barangay Blotter which is marked as


Exhibit C while the Police Blotter is marked as Exhibit D which formed integral parts
hereof ;

5. That, because of the monstrous act of HERMAN CABANILLA, I greatly suffered


physical suffering, mental anguish, fright, serious anxiety, besmirched reputation, wounded
feelings, moral shock, social humiliation, sleepless nights and irreparable damage;

6. That, I am filing a formal complaint against HERMAN CABANILLA for SLANDER


BY DEEDS in violation of Article 359 of the Revised Penal Code of the Philippines, and
PHYSICAL INJURIES in violation of Article 266 of the Revised Penal Code of the Philippines
and thereby demanding MORAL DAMAGES under Article 2217 of the Civil Code of the
Philippines;

7. That, I am executing this affidavit complaint for the purpose of attesting the
veracity of the facts herein mentioned.

IN WITNESS WHEREOF, I have hereunto affixed my signature below this th day


of November , 2016, at Antipolo City, Rizal.

MRS. FEBE R. LLESOL


( Complainant )

SUBSCRIBED AND SWORN to before me this th day of November, 2011, at


Antipolo City, Rizal.