REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

THIRD JUDICIAL REGION
XXXXX
BRANCH XX

PEOPLE OF THE PHILIPPINES

CRIM. CASE NO/s: SSSSS
NAME,
Accused.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

CERTIFICATE OF ARRAIGNMENT

This 6th day of January 2021, the undersigned states that:

Via videoconference hearing (pursuant to Admin Circ. Nos. 37-2020& 41-2020 and
OCA Circular Nos. 93-2020 & 96-2020) and in the presence of SAPP XXXXX, accused
XXXX assisted by his counsel, with the reading of the Informations waived by accused, and
when asked by the Court, pleaded NOT GUILTY.

TO WHICH I CERTIFY.

ATTY. MICKEY
Clerk of Court V*

Name of the Accused: _

Complete Address:
Civil Status: Date of Birth: Place of Birth:
Age: Occupation: Signature:
Distinctive mark/s:

The accused was actively assisted by ATTY.

**
Clerk of Court V of RTC Branch 103, Malolos City under authority of Hon. Ma. Cristina A. Ramos-Beltran, Presiding Judge of RTC Branch 103, Malolos
City, assigned as Assisting Judge of RTC Branch 83, Malolos City, under Administrative Order No. 159-2019 issued on August 8, 2019.