LETTER HEAD

OFFICE NAME File No:

TRAFFIC ACCIDENT INVESTIGATION REPORT

I. WHERE :
o
II. WHEN : Wednesday October 10, 2008 9:30am Fair
Day of the Week Date(Mo/Day/Yr) Time Weather Condition
III. WHAT : Vehicle
x Another Animal Drown Fixed Object
vs: Vehicle 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 : 15 yrs 10 yrs
Experience
Vehicle Owner : Same as above Same as above
File Number : 1344-00000162850 1344-00000150888
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

Chief, NFSTI-TEU