Republic of the Philippines

City of Malaybalay S.S

Province of Bukidnon
AFFIDAVIT OF MERIT
I , _____________________________________________ of legal age, married,
with residence
and postal address at _________________________________________________,after
having been
duly sworn in accordance with the Law, depose and say:
That
I
am
________________________________

_______________________________in

That
I
have
finished
my
_______________________________________in the
year,
______________,
with
_______________________________________________

schooling
a

at

degree

the
of

That
I
have
enrolled
at
the
_______________________________________________covering
the
_______
semester
and
___________
semester
(__________),
________________________and
_____________semester (__________) thereby earning _______________units
leading to the degree
of_____________________________________________.
That
I
have
continued
my
studies
____________________________________________
Completing ________ units in the second sem (___________) and first se
(__________________)
leading
to
the
degree
___________________________________________

at

That I have earned

________________________________.

to

total

of

_______

units

leading

of

That I am executing this affidavit to attest to the truth of the

foregoing facts and
for the purpose of complying with the requirements of Department Order
No. 12, 5-1962,
an enclosure to memorandum No. 51, 5-1962;
In witness whereof, I have hereunto set my hands this ______________
Day of _____________
At Malaybalay City, Province of Bukidnon, Philippines.

______________
AFFIANT

Subscribed and sworn to before me this ________________ day of ___________,

______________ at
Malaybalay
City,
Province
of
Bukidnon,
Philippines
by_____________________________________
aboved named affiant and I hereby certify that I personally examined the
affiant and have satisfied myself that she has voluntarily executed and
understood this sworn statement.

JUTCHEL L. NAYRA, DPA

Administrative Officer V

REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) s.s.
AFFIDAVIT OF MERIT
I, ___________, of legal age, Filipino and resident of _______________, after
being duly sworn to in accordance with law, hereby depose and state that:
1. I am the Petitioner in the case entitled ___________docketed as Civil/ Criminal Case
No._______ and pending before the Regional Trial Court;
2. I have caused the preparation of the Motion for Reconsideration to which
this affidavit is attached;
3. I have read the allegations contained therein and I hereby state that the same is true
and correct of my personal knowledge and based on authentic records;
4. I have received a copy of the resolution of the Regional Trial Court dismissing my
petition for failure to prosecute for an unreasonable length of time;
5. The reason for my failure to proceed with the steps necessary for my case was due
to the fact that my counsel, Atty. _____ was admitted in the National Kidney Institute for
an emergency operation;
6. The partners of my lawyer were not able to handle my case because of their
individual work load and hectic schedule;
7. The foregoing circumstance that led to the dismissal of my petition constitute mistake
and/or excusable negligence which ordinary prudence could not have guarded
against and by reason of which I have been impaired of my rights, especially because
a judgment was rendered by the court without affording me the chance to present
my evidence;
8. I voluntarily execute this Affidavit of Merit to attest to the truth of the foregoing facts
and in order to support the grounds in my Motion for Reconsideration as it
really shows that the same is meritorious and in order that the Order or Judgment
rendered against me be reconsidered and set aside and a new one be issued
reinstating the instant case.
Affiant adds nothing more at this time.
August 1, 2011, Makati City
___________________
(Affiant)
(JURAT)