REPUBLIC OF THE PHILIPPINES)

___________ CITY ) s.s.

x---------------------------------------------x

VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I, MELINDA D. ANDALES, representing the HEIRS OF GEORGE M.

ANDALES, of legal age, Filipino, and a resident OF No. 302 Osorio Street,
Velasquez, Tondo Manila City, Philippines, after being sworn in accordance
with law, hereby depose and say, that:

1. I am the Heir of the Complainant in the above-entitled case;

2. I have caused the preparation of the above Notice of Appeal and

Memorandum of Appeal.

3. I have read the same and the allegations therein are true and correct
based from my personal knowledge and on authentic documents.

4. I have not commenced any other action or proceedings involving the

same parties and issues before the Supreme Court, the Court of Appeals and or
before any tribunal or agency or division thereof;

5. If I should thereafter learn that the same or similar action or

proceeding has been filed or is pending before the Supreme Court, the Court of
Appeals, or any other tribunal or quasi-judicial agency, I undertake to report
such fact within five (5) days therefrom to the court or agency wherein the
original pleading and sworn certification contemplated herein have been filed.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ at _____________, Philippines.

MELINDA D. ANDALES
AFFIANT

SUBSCRIBED AND SWORN to before me, this _____________, by

_____________ who exhibited to me (his/her) Government Issued ID No. SSS
ID 03-3672494-0.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. _____;
Series of 2019;