REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

REGIONAL TRIAL COURT
BRANCH ___
_______________________

PEOPLE OF THE PHILIPPINES

- versus - CRIM. CASE NO. __________________

For: ______________________________
____________________________________,
Accused.

X-----------------------X

WAIVER OF APPEARANCE

I,____________________________, presently detained at the New Bilibid

Prison, Muntinlupa City, voluntarily agree:

1) That I hereby expressly waive my right to be present at the trial in Criminal

Case No.__________________pending before the Regional Trial Court,
Br.______, _____________________ City, in view of Supreme Court
Administrative Matter No.__________________,
dated______________________;

2) That I shall at all times hold myself amenable to the Orders and processesof
the afore-mentioned Court;

3) That despite this express waiver of my right to be present, I shall submit

myself for the presentation of my defense evidence and the execution of the
final judgment;

4) That I have read, understood and have agreed to abide entirely with the
conditions set forth herein and I have caused this instrument to be executed
freely without force or intimidation on my part.

I have hereunto signed this _______day of __________202__, at Muntinlupa

City, Philippines.

________________________
Accused
ASSISTED BY COUNSEL:
______________________________________