VERIFICATION AND CERTIFICATION

AGAINST FORUM SHOPPING

I ________________________of legal age, and with residence

address at _____________________________, Quezon City after having been
sworn to in accordance with law, depose and state that:

1. I am the Petitioner in the instant case and I have caused the

preparation of this ____________________________ entitled
__________________________

2. I have not commenced any other action or proceeding

involving the same issues and parties in the Supreme Court,
Court of Appeals or any tribunal or agency, and to the best of
my knowledge, no such action or proceeding is pending in the
Supreme Court, the Court of Appeals or any tribunal or
agency, and should I thereafter learn that a similar action or
proceeding has been filed, I undertake to report the facts of
the same within five (5) days therefrom;

3. I read and understood the allegations in the foregoing Petition

and affirm that the said allegations are true and correct based
on my personal knowledge and authentic records.

IN WITNESS WHEREOF, We have hereunto affixed my signature

on this _____ day of January 2018 at _________________ City.

_______________________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of

____________ 2018 at ____________ City. Affiants exhibited to me
their________________________________ as competent evidence of identity.

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