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REPUBLIC OF THE PHILIPPINES

Department of Justice
OFFICE OF THE CITY PROSECUTOR
City of Baguio

JEPLER L. ANTONIO
Complainant,

-versus-
I.S. No. 2018-10-012
For: Serious Physical Injuries

JAYSON C. CALIS
Respondent.

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COMPLAINT-AFFIDAVIT
I, JEPLER L. ANTONIO, of legal age, Filipino citizen, single, residing at Block 12,
356 Magsaysay Avenue, Baguio City, after having duly sworn to in accordance with law
do hereby state:

1. That I am the complainant in the above-entitled case;

2. That I am formally charging respondent JASON C. CALIS, with postal address at


No. 13 T. Alonzo Street, Baguio City, for the crime of Serious Physical Injuries
penalized under Art. 265 of the Revised Penal Code, committed as follows:

a) That on the early evening of August 6, 2018, at around 8:30 pm, while I was
passing along T. Alonzo Street after coming from my friend’s home, I saw
the respondent trying to snatch the purse of QB N. GAYASO, so I
immediately called the attention of the latter to be careful. This spoiled the
attempt of the respondent so he turned his attention to me and we got into
a heated argument.

b) That while having the said argument with the respondent, he suddenly
approached me and kicked me in the stomach which made me fall down,
but he was not satisfied and immediately picked a wooden block (2x2) near
him and struck me on my right leg. After which, he ran.

c) That after being struck, I felt numbness on my right leg and could not stand
on my own. The supposed victim (QB N. GAYASO) immediately helped me
ride on a taxi cab and rushed me to Sacred Heart Hospital for medical
treatment. A copy of the affidavit of witness of Qb N. Gayaso is attached as
Annex D.

d) That on the same night, after careful examinations, the doctor showed me
the results and I learned that I sustained a bone fracture on my femur. He
then told me that I have to undergo Bone Surgery (cementing) to fix my
fractured bone, for which I have agreed. After the operation, he
recommended me a period of 7-day rest in the hospital and an additional
30-day of home rest for further medical check-ups. The medical certificate
and other supporting papers are attached as Annex B.

e) That also, as a consequence of my injury, I was forced to file a 30-day leave


of absence on my work, which is non-compensatory. A copy of the approved
leave of absence is attached as Annex C.

f) That on August 17, 2018, I filed a complaint before the barangay, and after
several hearings, no amicable settlement was reached between the parties,
as evidence the Certificate to File Action is hereto attached as Annex A.

3. That I am executing this affidavit to attest to the truth of the foregoing statements,
and for the purpose of charging respondent JAYSON C. CALIS for the crime of
Serious Physical Injuries penalized under Art. 265 of the Revised Penal Code.

In witness whereof, I have hereunto signed this 24th day of September 2018, in the
City of Baguio.

SGD
JEPLER L. ANTONIO
Complainant/Affiant

SUBSCRIBED AND SWORN TO before me this 13th day of September 2017, in


Santiago City.

PARITY L. NGA-AWAN III


City Prosecutor

CERTIFICATION
I hereby Certify that I personally examined the affiant and that I am satisfied that
he voluntarily executed and understood his complaint-affidavit.

PARITY L. NGA-AWAN III


City Prosecutor

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