REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAGAYAN
CITY OF TUGUEGARAO

) S.S.
)

AFFIDAVIT OF PROOF OF SERVICE

I, __________________________, who is of legal age, Filipino citizen, married and a resident of

Tuguegarao City, Cagayan, after having been sworn in accordance with law hereby depose and state
that:
1.

I am the legal secretary of DI MATIBAG LAW OFFICE, with office address at

_____________________________;

2.

I served copy of the PETITION FOR REVIEW to the following parties at their respective
addresses and on the dates indicated below:
Name

PSI JOHNNY HAMBOG

Address

____________________________

DELIA GALING
Director

Office of the Deputy Ombudsman

For the Military and Other Law
Enforcement Offices
Agham Road, Diliman, Quezon City

AMELIA MAHUSAY

Office of the Solicitor General

Amorsolo Street, Legaspi Village,
Diliman, Quezon City

Date of Service

Mode of Service

26 February 2016

Registered Mail

26 February 2016

Registered Mail

26 February 2016

Registered Mail

by depositing a copy in the post office, in a sealed envelope, plainly addressed to the addressee at
his residence or office, with postage fully prepaid.
3. Upon acceptance, I was issued by the clerk of the Philippine Postal Corporation registry
receipt with nos. __________, ___________________ and ______________, respectively;
4. The mailing was accompanied with instructions to the Philippine Postal Corporation to
return the mail to the sender after ten (10) days if not delivered
I am executing this affidavit to show proof of service of the above.
IN WITNESS WHEREOF, I have hereunto set my hand this 26th day of February 2016, at
_____________________________.

______________________________
Affiant
SUBSCRIBED AND SWORN to before me this 26th day of February 2016, at
________________________________. Affiant exhibited to me her ___________________________ as
competent proof of her identity.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2016.