137496321 Traffic Accident Investigation Report Form

C I D 2013 B - Reviewer

o II. WHEN : Wednesday October 10, 2008 9:30am Fair Day of the Week Date(Mo/Day/Yr) Time Weather Condition III. WHAT : Vehicle vs:

x Another Vehicle

Animal Drown Vehicle

Pedestrian Other IV. TYPE OF ACCIDENT: x FATAL NON-FATAL DAMAGE TO PROP

V. NUMBER OF VEHICLES INVOLVED: Two (2) Vehicles

Vehicle #1 (V-1) Vehicle #2 (V-2) Type : Motorcycle/Scooter Mini-SUV Make/Model : Honda Wave Model 2005 Honda CRV Plate No. : Classification : Private Private Name of Driver : Address :

Occupation : Accounting clerk Engineer License No. : N26-08-014193 D04-07- Age : 31 years old 29 yrs old Sex/Status : Male / Married Male / Married Driving Experience

Vehicle Owner : Same as above Same as above File Number : 1344-00000162850 1344- Damages : Multiple Front Bumper/Right Fender/ Undercarriage FACTS OF THE CASE:

Investigation disclosed that on the above stated TDPO, V-1 travelling North-West irection along Dormitory Lane turning right as NPC Avenue when it was bumped and hit by V-2 travelling East direction along Escarcha Drive while turning left at NPC Avenue.

As a consequence thereof, V-1 Driver 1 sustained severe head injury and was rushed to Taguig-Pateros District Hospital for treatment but pronounced dead-on-arrival (DOA) by the attending physician. Driver-2 voluntarily surrenders to police authority.

DISPOSITION:

For appropriate filing of charge before Taguig City Prosecutor’s Office.

Noted by: Investigator-On-Case