Affidavit 6c2y4s

Republic of the Philippines) Province of Eastern Samar) S. S. Municipality of Dolores )

AFFIDAVIT I, XXX XXX , 16 years old, single, student, presently reside at Barangay 4, Dolores, Quezon, after having been sworn to an oath in accordance with law, do hereby depose and say that: 1. I am standing as witness against respondent XXX XXX, driver of the Rusi Motorcycle with Engine No. RW1575MIKE00342 and Chassis No. RWCLP1B06CE003342 ed under his name. The respondent driver is a holder of Land Transportation Office Student Permit No. 235855491 valid until October 2, 2015. He is currently residing in Quezon. The offense was committed under the circumstances narrated below. 2. On June 22, 2015, at around 6:10 in the evening, I was seating in a motorcycle while being parked along the side of Dolores Bridge in Barangay Malaintos, Quezon, facing Barangay Carolina. Seated behind me in the motorcycle was XXX XXX. We were then enjoying a conversation overlooking the river. 3. A few moments later, we decided to go home as it was already evening. I took myself in driving the motorcycle while XXX XXX seated behind me. Then I signaled the left rear lights signifying my intention to proceed to the opposite lane going to XXX XXX. I even bother to look in the left side mirror to see if there was an incoming motorcycle but the same was clear. 4. Then I cautiously drove towards the opposite lane going to Dolores Town at moderate speed. We were already in the opposite lane when suddenly a fast moving motorcycle driven by XXX XXX from opposite direction bound for Can-avid Town hit and bumped the left rear portion of our motorcycle directly hitting XXX XXX. 5. As a result of the impact, XXX XXX was tossed into the pavement some meters away. Fortunately, I was able to hold tight from the motorcycle to avoid from being hurt. When I regained my composure, I hurriedly approached XXX XXX to help her. She was lying on the pavement unable to budge herself. She was apparently in excruciating pain brought about by the incident. 6. Timely, a private tricycle ed by wherein I boarded the injured victim XXX XXX. I asked the driver of the private tricycle to bring XXX XXX to Dolores Municipal Hospital for prompt medical attention. I waited in the bridge to prevent XXX XXX from fleeing and to have his motorcycle guarded. After a while, responding police officers from xxx xxx arrived in the scene. There, I gave detailed information to the police officers surrounding the incident. 7. I am executing this affidavit to attest the truth of the foregoing statements and to cause the filing of a case for RECKLESS IMPRUDENCE RESULTING IN SERIOUS PHYSICAL INJURIES against xxx xxxx before the Office of the Assistant Provincial Prosecutor, Dolores, Quezon. IN TRUTH WHEREOF, I will affix my signature below this 19 th day of July 2016 at Dolores Municipal Police Station, Dolores, Quezon, Philippines.

XXX XXXX XXX XXX Affiant

SUBSCRIBED AND SWORN to before me this ___th day of July 2015 in Dolores, Quezon and I hereby certify that I personally examined the affiant and I am satisfied that that he fully understand the contents of his affidavit and he voluntarily executed the same.

XXX XXXX Assistant Prosecutor II istering Officer