1

Republic of the Philippines

Department of Justice
NATIONAL PROSECUTION SERVICE
Office of the City Prosecutor
__________ City

RRR
Complainant;
-versus- Case no. XI-_____________
For: Physical Injuries in relation to R.A.
CCC 7610
Respondent.

MOTION TO WITHDRAW
CRIMINAL COMPLAINT

COMES NOW, private complainant, minor, RRR, assisted by his

brother/guardian JJJ, of legal age, unto this Honorable Office respectfully
states that Complainant seeks to withdraw the Criminal Complaint filed against
CCC and that herein private complainant has already executed an Affidavit of
Desistance in favor of CCC;

A copy of the Affidavit of Desistance executed by herein complainant is

attached hereto as Annex A;

WHEREFORE, it is respectfully prayed that the Criminal Complaint/s

against respondent be withdrawn and all information/criminal cases against
respondent be dropped/dismissed;

___ City, Philippines, _____, 2020.

RRR
Private Complainant/Minor
Address _____________
Assisted by:

JJJ
Brother of Private Complainant

Copy furnished:

CCC
Currently detained at ____ Police Station
Received by: ____________
Date: ____________