Republic of the Philippines)

___________________________) s.s.
AFFIDAVIT OF SERVICE

I, X X X X , of legal age, Filipino, after having duly

sworn in accordance with law, depose and state that:
1. I am the messenger of X X X X.

2. On __________________ 2016, due to time and

distance constraints and my heavy delivery schedule, I effected
service of a “X X X X ” to the following persons/offices by the
following modes of service:

THE COURT OF APPEALS PERSONAL SVC

Ma. Orosa St., Ermita, Manila

NLRC
______________________________________
______________________________________

OFFICE OF THE SOLICITOR GENERAL

134 Amorsolo St., Legaspi Village
Makati City

___________________________ OFFICE
____________________________________
____________________________________

IN WITNESS WHEREOF, I sign this document this ____th

day of _____ 2016 in __________.

XXXXX
Affiant

SUBSCRIBED AND SWORN TO before me, a Notary Public for

and in Makati this ___th day of ____________ 2016, X X X X
exhibiting to me his Driver’s License No. X X X X issued on
_____________ 2014 ______________.
Notary Public
Doc. No. ____
Page No. ____
Book No. ____
Series of 2016.