REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _________ )S.S

MUNICIPALITY OF ________)
x----------------------------------------x

JOINT AFFIDAVIT OF DESISTANCE

We, _________________ and ________________, both

of legal age, and residents of __________________________ and
_____________________, minor, assisted by my mother,
____________________, likewise a resident of Brgy. San Simon
East, Aringay, La Union, after having duly sworn to on oath in
accordance with law, hereby depose and state that:

1. I, ________________ assisted by my mother,

_____________, filed a complaint against ____________ and
_____________ for violation for RA 7610 pending for preliminary
investigation before the Office of the Provincial Prosecutor,
_________________ docketed as NPS DOCKET
No______________;

2. As a consequence, we, ________________and

________________filed our counter-affidavit before the Office of
the Provincial Prosecutor, San Fernando City, La Union, and have
likewise filed a counter charge against ________________and
________________for preliminary investigation before the Office
of the Provincial Prosecutor, San Fernando City, La Union docketed as
NPS DOCKET No. ________________and ________________
for ATTEMPTED MURDER and PERJURY, respectively;

3. After thorough assessment and analysis of the

circumstances surrounding these cases and a series of peaceful talks,
we, ________________, minor, assisted by my mother,
________________ and ________________ have forgiven
each other and have decided that it is for our best interest to not
pursue the above-mentioned cases and that we hereby
desist/withdraw from further pursuing the above-mentioned cases;

4. We, ________________ and ________________,

hereby inform the Office of the Provincial Prosecutor of San Fernando
City, La Union that we are withdrawing our complaint for
________________ against ________________ and our
complaint against ________________ for ________________;
 5. I, ________________ assisted by my mother,
________________, hereby inform the Office of the Provincial
Prosecutor of San Fernando City, La Union that I am withdrawing my
complaint against ________________ and ________________
for violation of RA 7610;

6. This decision is voluntary, without us,

________________, minor, assisted by my mother,
________________, ________________ and
________________, being coerced nor forced by any other persons
or officials.

7. We, ________________, minor, assisted by my

mother, ________________, ________________ ON and
________________ am executing this Joint Affidavit of
Desistance to attest to the truthfulness of the foregoing statements

IN WITNESS WHEREOF, I hereby set my hand this __th day of

_________________ 2019, at ________________.

________________
Minor-Affiant

Assisted by his mother:

________________
Mother of Minor-Affiant

________________
Affiant

________________
Affiant

SUBSCRIBED AND SWORN to before me this __th day of

_________________ 2019, at ________________.