Judicial Affidavit

Dr. Pura-Ann Marie Cuadra, (Witness)

I, Pura-Ann Marie Cuadra, of legal age, married, Filipino and a resident of Sambag 1
Cebu City, Philippines, under oath respectfully state that:

My examination as the witness in the above entitled complaint was conducted and taken
under the supervision of my counsel Atty. Agatha Yola A. Bayocboc at law office located at
Cebu Business Park, Keppel Building 12th floor Room No.102.

I. Preliminary Questions:

Question: Good morning Mrs. Cuadra, I would like to inform you that you are under oath
and any falsity of your statements may render you liable for perjury, do you fully understand
Madam?

Answer: Yes, I do.

II. Examination Proper

Question: Madam, do you know why you are here today?

Answer: Yes, I am here to testify the result of the liquor test of one named Mr. Jan
Michael whose test was conducted at Cebu City Medical Center.

Question: Can you give a valid identification showing that you are authorized to conduct
such test.

Answer: Here is my I.D. issued by the PRC, I.D. No. 112233 and I will attach this to
prove that I am indeed authorized to conduct such examination and test.

(The counsel identified the witness Identification card showing her as a Physician Doctor of
Cebu City Medical Center. Marked as ‘’Annex A”.)

Question: Can you narrate to us what happened?

Answer: In the morning of May 22, 2019, a person named Jan Michael, was brought to
my office at Cebu City Medical Center to undergone a liquor test, in pursuant to that I personally
conducted such test with the named person who resulted positive thereof.

Question: Can you tell us the meaning of such result?

 Answer: This means that at the time of the vehicular accident Mr. Jan Michael was under
the influence of alcohol.

Question: What did you do after Madam?

Answer: I personally handed the authenticated result of the test to the requesting officer.

Question: Can you tell us the exact specific alcohol level of the subject and its possible
effects?

Question: The specific alcohol level of Mr. Jan Michael was .05% BAC. A driver of a
private motor vehicle with a gross vehicle weight not exceeding 4500 kg and which yielded a
result of around .05% BAC shall be a conclusive proof that the said driver was driving under the
influence of alcohol.

Affirmation

Question: Do you affirm the truth of the foregoing statement in answer to the question
provided upon you by the lawyer conducting the questions and that you have not been coached
by the lawyer on what to say?

Answer: Yes, I hereby affirm the truth of all the statements and further declare that I have
not been coached by the lawyer.

IN WITNESS WHEREOF, I hereunto set my signature this 29th of July 219 at Cebu City
Philippines.

DR. PURA-ANN MARIE CUADRA

Affiant

SUBSCRIBED AND SWORN to before me this 29th of July 2019 at Cebu City,
Philippines, affiant showing her Physician I.D No. 112233.