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Verification Sample

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Republic of the Philippines )

___________ ) s.s.

VERIFICATION AND CERTIFICATION


AGAINST FORUM SHOPPING
(with SPA)

I, __________, after having duly sworn in accordance with law, state the
following:

1. I am the duly authorized representative of the Petitioner, _____________,


the Petitioner in the above-entitled case.
2. Under such authority I have caused the preparation of this Petition;
3. I have read its contents and the allegations therein are true and correct of
my own knowledge and/or on the basis of copies of documents and
records in my possession;
4. I have not commenced any other action or proceeding involving the
same issues in the Supreme Court, the Court of Appeals, or any other
tribunal or agency;
5. To the best of my knowledge and belief, no such action or proceeding is
pending in the Supreme Court, the Court of Appeals, or any other
tribunal or agency;
6. If I should thereafter learn that a similar action or proceeding has been
filed or is pending before the Supreme Court, the Court of Appeals, or
any other tribunal or agency, I undertake to report that fact within five
(5) days therefrom to this Honorable Court.

WITNESS MY SIGNATURE this _____________, in _____________.

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this _____________ 2018, by


the Affiant who is personally known to the undersigned Notary Public.

BY MY HAND AND SEAL on the date and place above stated.

Doc. No. ______


Page No. ______
Book No. ______
Series of 2018.

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