JUDICIAL AFFIDAVIT

OF THE WITNESS
 
I, FRANZ LLOYD CAMEROS, JR., MD, of legal age, single, a resident of 213, M. H.
Del Pilar Street, Digos City, Davao del Sur, after having been duly sworn to in
accordance with law, hereby depose and state:

PRELIMINARY STATEMENT

That in accordance with A.M. No. 12-8-8-SC, which prescribes the use of judicial
affidavits to serve as the direct examination testimony of the witness, on the basis of
which the adverse party may conduct their cross-examination on such a witness, I
hereby execute this judicial affidavit in a question and answer format;
That conformably with section 3 (b) of the said A.M. No. 12-8-8-SC, I also state that it
was _________________, investigator of ______________________ who
conducted the examination of the undersigned affiant;
That conformably also with section 3 (c) thereof, I hereby state under the pain of perjury
that in answering the questions asked of me, as appearing herein below, I am fully
conscious that I did so under oath, and that I may face criminal liabilities for false
testimony or perjury;
 
AND UNDER OATH, AVERS THE FOLLOWING:
1. Q : Do you swear to tell the truth, the whole truth and nothing  but the truth?
A: I do.
2. Q: Please state your name and any other facts about you.
    A : I am Franz Lloyd Cameros, Jr., M.D., a resident of Digos City, Davao Del Sur. I am
also a resident physician at the Provincial Hospital of Davao del Sur.
3. Q: Dr. Cameros, do you remember executing a judicial affidavit?
A : Yes.
5. Q : I am showing you a signed document under your name, is this that particular
document and did you personally affixed therein your signature?
A : Yes, it is the document and the signature appearing therein is mine.
6. Q : Where were you on Jan. 23, 2020?
A : I was on duty at the emergency room of the provincial hospital.
8. Q : What significant event happened, if any?
A : It was another usual and busy day at the office until about 10pm of the said date.
9. Q : What happened that time?
A : There was a patient rushed in the E.R. Unconscious, bleeding and has bruises.
10. Q : Who was that patient?
A : It was later identified as Cecilio Chavez.
11. Q : Did you conducted further examination to the patient? What were your findings
if there were any?
A : Yes, I conducted further examinations to the patient. Based on my findings, he suffered
trauma, contusion on his chest, pelvis and legs.
12. Q : And that is all that you have found out?
A : I have also found out that the patient was suffering from Tension Pneumothorax due
to the injuries sustained due to blunt trauma.
13. Q : Dr. Cameros, I am showing you a Medico Legal Report which appears to be
signed by you. Would you discuss to the court about this report?
A : This was the report I made after examining the patient, Mr. Chavez.
14. Q : What happened next?
A : I tried to ask Mr. Chavez what had happened to him but he was not able to give me
any answer.
15. Q : And what do you get from that?
A : In my professional opinion, it was due to the painkillers that were given to him and
due to the severity of his injuries that is why he could not respond.
16. Q :How did you treat the patient?
A : I decompressed his collapsed lung and bound his rib. Also, I transfused blood to the patient
since he underwent surgery in order to correct the internal fixation of the pelvic brim.
17. Q : For the meantime, I don’t have further questions, do you have any   statements to
add or take away on this affidavit?
A : I don’t have sir for the meantime.  
18. Q : Were you threatened, promised or bribed to do this confession?
A : No sir. I made it voluntarily with my own free will.
19. Q : Are you willing to sign this affidavit consisting of five (4) pages, to   certify that all
the statements you made are true.
A : Yes sir.
---------END OF STATEMENT----------

IN WITNESS WHEREOF, I hereunto set my hand below this _______ day of

______, 2020 at _Digos City, Davao del Sur____.
 
 
 
FRANZ LLOYD CAMEROS, JR., M.D.
     Affiant

 
SUBSCRIBED AND SWORN to before me this ____ day of ___________,
2020 at ___________________________. Further, I certify that I personally
examined the herein affiant that he voluntarily executed and fully understood his
statements.
IN WITNESS WHEREOF, I hereunto set my hand below this _______ day of
______, 2020 at ________________________.
 ________________________
   Investigator

SUBSCRIBED AND SWORN to before me this ____ day of ___________,

2020 at ___________________________. Further, I certify that I personally
examined the herein affiant that he voluntarily executed and fully understood his
statements.
________________________
     Administering Officer

 
    
ATTY. JULIUS CESAR M. SALARZA 
           Counsel for the Petitioner
ROLL NO. 87451, 02-12-2019
IBP NO. 591816, 11-16-2019, DAVAO DEL SUR
PTR NO. 1542791, 03-09-201, DIGOS CITY
TIN: 129-982-032, NC CASE NO. 256
MCLE Compliance No. V-0085394
Issued on December 20, 2019
 
 
 
Doc. No.  ____;
Page No.  ____;
Book No. _____;
Series of 2020.
 

SWORN  ATTESTATION
of Examining Lawyer
 
I, Julius Cesar M. Salarza, after having been duly sworn to in accordance with law do
hereby attests:
 
1. That I conducted the examination of the witness Leo B. Escalante Jr.
who executed the foregoing Judicial Affidavit; 
 
2. That I faithfully recorded the questions I asked and the corresponding answers that
the witness gave;
 
3. That neither I nor any other person then present coached the witness regarding her
answers.
 
Done this ____ of _______ 2020, in Digos City, Davao del Sur, Philippines.    
 
 
ATTY. JULIUS CESAR M. SALARZA
                                                      Examining Lawyer
 
 
SUBSCRIBED AND SWORN TO before me, this ____ day of ______ 2020, in Digos
City, Davao del Sur, affiant exhibiting to me his SSS Security No. 125-5522-01.

Doc. No.  ____;

Page No.  ____;
Book No.  ____;
Series of 2020.
Copy Furnished: