Verification and Certification of Non Foru, Shopping

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VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, ______________________________, of legal age, Filipino,


[civil status] and with residence at _______________________, after having
duly sworn, depose and say that:

1. I am the ________ in the above entitled case compliant/petition.


2. I caused the preparation of the foregoing complaint/petition;
3. I have read the contents thereof and attest that the same are true and
correct as of my own personal knowledge and based on
genuine/authentic documents in my possession;

4. Pursuant to Section 5, Rule 7 of the 1997 rules of Civil Procedure, I


hereby certify under oath that I have not filed any other case in the
Supreme Court or Court of Appeals or in any of its Divisions, Regional
Trial Courts, Metropolitan and Municipal Trial Court, and any other
quasi-judicial or administrative bodies, tribunal or agencies any similar
case involving the same issues; neither am I aware of any similar case
pending before the aforesaid courts, administrative bodies, tribunals or
agencies involving the same issues raised in the said compliant;

5. Furthermore, I hereby certify that in case I learned or become aware of


any case involving the issue of the instant case pending in any court,
administrative bodies, tribunals or agencies, I will undertake to inform
the Honorable Court of the pendency of the said case within a period of
five (5) days from the knowledge thereof

FURTHER, AFFIANT SAYETH NAUGHT

_____________
Affiant

SUBSCRIBED AND SWORN TO before me in _____________, this _______


day of ___________ by the above-named affiant, who has satisfactorily
proven to me his identity and exhibited his valid identification document no.
___________ valid until ___________ to be the same person who presented
and signed before me this (state nature of document) and attested that the
contents thereof are true and correct; and that he voluntarily executed the
same.

NOTARY PUBLIC

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