VERIFICATION / CERTIFICATION OF NON-FORUM SHOPPING

Republic of the Philippines)

City of Dagupan ) S.S.

I, GLENN DELOS SANTOS, of legal age, Filipino citizen, single and resident of #01 Malued
Street,Dagupan City, Pangasinan, after having duly sworn to in accordance with law, do hereby depose and say
that:
1. I am the defendant in the above-entitled case;
2. That I have caused the preparation of the foregoing ANSWER and have read the allegations contained therein;
3. The allegations in said answer are true and correct of my own knowledge and based on authentic records;
4. I hereby certify that I have not commenced any other action or proceeding involving the same issues in any
court, tribunal or quasi-judicial agency and, to the best of my knowledge, no such other action or claim is
pending therein;
5. If I should thereafter learn that a similar action or proceeding has been filed or is pending, I hereby undertake
to report that fact within five (5) days therefrom to the court or agency where the original pleading and sworn
certification contemplated herein have been filed;
6. I executed this verification/certification to attest to the truth of the foregoing facts and to comply with the
provisions of Adm. Circular No. 04-94 of the Honorable Supreme Court.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23
rd
day of September 2014, in
the City of Dagupan.

GLENN DELOS SANTOS

SUBSCRIBED AND SWORN to before me this 23
rd
day of September 2014, in the City of Dagupan,
affiant exhibiting to me his SSS ID No. 123456 issued on January 5, 2014.


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Series of 2014.