Republic of the Philippines

First Judicial Region

Regional Trial Court
Branch 8
La Trinidad, Benguet

DAVE BAGTA, ENIE ELUSTRISIMO, CIVIL CASE NO. 18-CV-5432

HARMONY NAGULMAN, AND THE FOR: DAMAGES
HEIRS OF JUAN CAGAN herein
represented by JENALYN CAGAN,
Plaintiffs,

-versus-

TOMAD LAMBERT, ABC DELIVERY

SERVICE, INC., AND EASTAN LEE
PATINGAN,
Defendants.

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JUDICIAL AFFIDAVIT OF DR. DORA WAKWAK

With all due respect for this Honorable Court:

This Judicial Affidavit of DR. DORA WAKWAK, is being offered in lieu

of her oral direct testimony pursuant to Supreme Court A.M. 12-8-8-SC
dated 04 September 2012, in relation to this Civil Case against JASON
LAMBERT TOMAD, et al. and more specifically to prove the following
matters:

1. That she is the Resident doctor of the Rayos-Valentin Hospital

located in the Municipality of Gerona, Tarlac;

2. That she was the one who attended the body of the deceased
JUAN CAGAN on May 15, 2018;

3. She will testify on the cause and fact of death;

4. That she issued the CERTIFICATE OF DEATH and identity of the

same;
 5. To prove all other matters, facts, and circumstances relevant and
material to the case.

PRELIMINARY STATEMENT

I, DR. DORA WAKWAK, of legal age, Filipino citizen, with office

address at Unit 10 2nd Floor Twin Towers, Gerona, Tarlac, after having been
duly sworn in accordance with law, hereby depose and state that:

The following testimony had been elicited in an examination

conducted and supervised by ATTY. SHARON DEGAY with office address at
Room 555 3rd Floor Volta Building, Strawberry Farm, La Trinidad, Benguet.
The examination is being held at the Rayos-Valentin Hospital, Gerona,
Tarlac.

I am answering her questions fully conscious that I do so under oath

and may face criminal liability for false testimony and perjury.

TESTIMONY

1. QUESTION: Madam Witness, kindly state your name and other

personal circumstances?

ANSWER: My name is DR. DORA WAKWAK, 50 years of age, presently

residing at Gerona, Tarlac.

2. QUESTION: What is your profession and/or occupation?

ANSWER: I am a Doctor of Medicine and the resident doctor of

Rayos-Valentin Hospital in Gerona, Tarlac.

3. QUESTION: where and when did you finish your course leading to the
degree of Bachelor of Science in Medicine?

ANSWER: Pre Medicine at UST, BS Biology, 1981-1989, Doctor of

Medicine at Fatima College of Medicine, QC, 1985-1989, Medical
Internship at Veterans Memorial Medical Center, QC, 1989-1990.

4. QUESTION: After graduating, did you take the examinations for

Medical Practitioners?

ANSWER: Yes, Ma’am. I took the Physical Licensure Exam in August

1990.
5. QUESTION: After passing the board examinations for medical
practitioners, did you proceed to practice your profession?

ANSWER: I first became an in house doctor in a general hospital at

Sta. Maria, Bulacan then I had my four years Residency Training for
Surgery at Fatima Medical Center in Valenzuela City, 1990-1994.

6. QUESTION: You stated earlier that you are at present the resident
doctor of Rayos-Valentin Hospital in Gerona, Tarlac, how long have
you occupied that position?

ANSWER: For 16 years since April 2002.

7. QUESTION: Did you report for duty as the resident doctor of Rayos-
Valentin Hospital in Gerona, Tarlac on May 15, 2018?

ANSWER: Yes, ma’am. I did.

8. QUESTION: Do you recall if on that date, one Juan Cagan was

attended by you?

ANSWER: I was on duty that day and I was the one who attended to
Mr. Juan Cagan, whom I declared dead on arrival.

9. QUESTION: What did you do thereafter, if any?

ANSWER: I attended to other patients whom I have known to be

companions of the deceased Juan Cagan.

10. QUESTION: What were your findings on the death of Juan Cagan?

ANSWER: The cause of death of the deceased was due to hematoma

and blood loss due to multiple wounds and injury sustained from a
vehicular accident.

11. QUESTION: Did you issue any document regarding that case referred
to you?

ANSWER: Yes ma’am I did. I issued a death certificate for the late
Juan Cagan.

12. QUESTION: If you were shown a copy of that Death Certificate, will
you be able to identify the same?

ANSWER: Yes, ma’am. I will be able to.

 13. QUESTION: Showing you a copy of the certificate of death of one
Juan Cagan, is this the same document you are referring to?

ANSWER: Yes, ma’am. I have my own copy in my possession.

14. QUESTION: On entry No. 10 of the certificate of death, particularly

opposite the heading IMMEDIATE CAUSE OF DEATH is found the
following: “Hematoma and Blood Loss from Multiple Injuries due to
vehicular accident,” who made the entries?

ANSWER: In my copy of the Death Certificate, I was the one who

made the entry.

15. QUESTION: There is a signature above the typewritten name: DR.

DORA WAKWAK, whose signature is that?

ANSWER: In my copy, that is my initialized signature, meaning a

shorter version of my signature.

ATTY. SHARON DEGAY: May we pray that the certificate of death already
marked as Exhibit H be maintained, and the entry which reads “immediate
cause of death- Hematoma and Blood Loss from Multiple Injuries due to
vehicular accident as Exhibit “H-1,” and the signature of the witness as
Exhibit “H-2.”

NO FURTHER QUESTIONS.

This affidavit is hereby executed to attest to the truthfulness of the

foregoing and for all legal intents and purposes it may serve.

Signed this 21st of August 2018 at Gerona, Tarlac, Philippines.

DR. DORA WAKWAK

Affiant
 This instrument/document was personally subscribed and sworn to
by the affiant before me this 21st of August 2018. Affiant avowed, under
penalty of law, to the whole truth of the contents of the foregoing Judicial
Affidavit and exhibited to me her valid identification document written
below his name and signature.

Doc. No.: 15; SLEEPING BEAUTY

Page No.: 1; ASSISTANT PROVINCIAL PROSECUTOR
Book No.: XV;
Series of 2018.

ATTESTATION CLAUSE OF THE LAWYER

I, SHARON DEGAY, of legal age, with office address office address at

Room 555 3rd Floor Volta Building, Strawberry Farm, La Trinidad, Benguet,
after having been duly sworn to in accordance with law, hereby depose and
state, that:

1. I am the lawyer who conducted and supervised the examination

of Dr. Dora Wakwak;

2. I faithfully recorded or caused to be recorded the questions I

asked and the corresponding answers that the said witness gave
in the English language, a language which is known and
understood by the witness; and

3. I did not nor did anybody coach the witness regarding her
answers in this Judicial Affidavit.

IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of

August 2018 in Gerona, Tarlac.

SHARON DEGAY
Counsel for the Plaintiffs
Roll No. 900000; 25 April 2016
IBP Lifetime Member No. 09876; 1.10.2018; Baguio-Benguet Chapter
PTR No. 123456; 1.10.2018; La Trinidad, Benguet
MCLE Compliance No. 87654; 17 July 2018
Room 555, 3rd Floor, Volta Building
Strawberry Farm, La Trinidad, Benguet
 SUBSCRIBED AND SWORN TO before me in Gerona, Tarlac,
Philippines, this 21st of August 2018, Sharon Degay exhibiting to me his IBP
ID No. 09876 bearing his photograph and signature, declared that she
voluntarily and freely conducted the taking of the foregoing Judicial
Affidavit and understood the foregoing attestation under the Judicial
Affidavit Rule to which I was convinced when I examined her.

Doc. No.: 16; SLEEPING BEAUTY

Page No.: 1; ASSISTANT PROVINCIAL PROSECUTOR
Book No.: XV;
Series of 2018.