VERIFICATIONANDCERTIFICATION
AGAINSTFORUMSHOPPING
I,____________,oflegalage,andresidentof__________________,
afterbeingsworntoinaccordancewithlaw,doherebydeposeandstate
that:
Iamthe__________________intheabovestatedcase;
I have caused the preparation and filing of the foregoing
___________;
Ihavereaditscontentsofandallallegationscontainedtherein
aretrueandcorrectbasedonmypersonalknowledgeand/oron
recordsanddocumentsinourpossession;
Ifurtherstatethat:
a. I have not commenced any other action or proceeding
involvingthesameissuesinanycourt,tribunal,orquasi
judicialagencyandtothebestofmyknowledge,nosuch
otheractionorclaimispendingtherein;
b. If there is such other pending action or claim, I shall
stateacompletestatementofthepresentstatusthereof;
and
c.IfIshouldthereafterlearnthatthesameorasimilar
actionorproceedinghasbeenfiledorispendingbeforeany
court, tribunal, orquasijudicial agency,weundertaketo
report that fact within five (5) days therefrom to this
Honorable Court,theCourt of Appealsand the Supreme
Court.
IN WITNESS WHEREOF, I have hereunto set my hand this
___________________at______________,Philippines.
_________________________
Affiant
SUBSCRIBEDANDSWORN tobeforemethis______________
inOlongapoCity,Philippines,affiantssatisfactorilyprovenhisidentity
to me exhibiting to me her ID No. _________________ valid until
_________whoisthesamepersonwhopersonallysignedbeforemethe
foregoingVerificationandCertificationAgainstForumShoppingand
acknowledgethattheyexecutedthesame.
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PageNo._______
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