REPUBLIC OF THE PHILIPPINES)
CITY OF ) S.S.
AFFIDAVIT OF SERVICE
I, ______________, Filipino, of legal age, after being duly sworn to in accordance
with law, hereby state under oath that:
1. I am the Legal Assistant of ____________________, with address at
________________________________;
2. I served copies of Petition for Review on the following parties in their
respective addresses and on the date indicated below:
Name Address Date of Mode of Service
Service
A Registered
mail
Office of the Personal
City Prosecutor
by delivering personally a copy of the Petition for Review to the Office of the
City Prosecutor of Manila and to _______________, by depositing a copy in
the post office, in a sealed envelope, plainly addressed to the addressee at her
residence, with postage fully prepaid, and with instructions to the postmaster to
return the mail to the sender after ten (10) days if undelivered.
IN WITNESS WHEREOF, I have hereunto set my hand this __th day of
September 2018 in Makati City, Metro Manila.
_________________
Affiant
SUBSCRIBED AND SWORN TO before me this __th day of _______ 2018,
affiant exhibiting to me his competent evidence of identity bearing his photograph and
signature:
I hereby certify that I personally examined the affiant and that I am satisfied that
he understood his Affidavit of Service and voluntarily executed the same.
Doc. No. ____;
Page No. ____;
Book No.____;
Series of 2018.