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Dying Declaration

A dying declaration was taken from a victim (NAME) at Angeles Medical Center on (DATE) at around (TIME) in the presence of two witnesses and an investigator. The victim stated that he/she had been shot and identified who the shooter was in response to questions from the investigator. The doctor then pronounced the victim deceased at (TIME), ending the dying declaration.
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100% found this document useful (1 vote)
1K views

Dying Declaration

A dying declaration was taken from a victim (NAME) at Angeles Medical Center on (DATE) at around (TIME) in the presence of two witnesses and an investigator. The victim stated that he/she had been shot and identified who the shooter was in response to questions from the investigator. The doctor then pronounced the victim deceased at (TIME), ending the dying declaration.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE
ANGELES CITY POLICE OFFICE
POLICE STATION 5
Friendship Highway, Barangay Cuayan, Angeles City
SUBJECT

DATE

First Progress Report - Re Shooting Incident

=============================================
Dying declaration of (NAME)

given to (INVESTIGATOR) at Angeles Medical Center on

(DATE) at around (TIME) in the presence of (WITNESS) and (WITNESS)

Question 1: Why are you here at Angeles Medical Center?


Answer ->
Question 2: Who shot you?
Answer ->
Question 3:
Answer ->
Question 4:
Answer ->
Question 5:
Answer ->
-End of Dying DeclarationNote: At this juncture (TIME), (NAME) died as pronounced by (DOCTOR)

( NAME)
Investigator

(NAME)
Victim
Witnesses:

(NAME)
Nurse
(NAME)
Attending Physician

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