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Republic of the Philippines)

City of Zamboanga . . . . . . . . ) S.S.


x------------------------------- x)

VERIFICATION

I, ___________________________, of legal age, married, Filipino and a


resident of Barangay _________________________, Philippines, after having been
duly sworn to an oath in accordance with law do hereby depose and state:

1. That I am the Respondent in the above–entitled case;

2. That I have cause the preparation and filing of the foregoing ANSWER
and that I have read and understood the contents thereof and they
are true and correct of my own personal knowledge and/or based on
authentic records available.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my


signature this ___________________ at Zamboanga City, Philippines.

__________________________________________
Affiant

SUBSCRIBED AND SWORN to before me this ________________ at


Zamboanga City, Philippines. Affiant exhibited to me his valid government
issued identification card as competent proof of his identity and the same is
hereto attached.

Doc No.
Page No.
Book No.
Series of 2018

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