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VERIFICATION AND

CERTIFICATE OF NON-FORUM SHOPPING

I, __________________, Filipino, of legal age, with address at


Building E, SM Corporate Offices, JW Diokno Avenue, Mall of Asia
Complex, Pasay City, do hereby depose and state:

1. I am the ________________ and duly authorized


representative of petitioner ________________ (the
“Corporation”).

A copy of the Secretary’s Certificate evidencing my authority to


represent the petitioner is attached hereto and made an integral
part hereof as Annex “A”.

2. I have caused the preparation and filing of the foregoing


Petition for Certiorari.

3. I have read and understood the contents of the Petition for


Certiorari and attest that the allegations therein are true and
correct based on my own personal knowledge and on authentic
records in my possession.

4. I also certify that:

a. Petitioner has not commenced any other action or


proceeding involving the same issues with the Supreme
Court, the Honorable Court, or different Divisions thereof,
or any other court, tribunal, agency or office;

b. To the best of my knowledge, there are no other actions or


proceedings involving the same parties and founded upon
substantially common factual antecedents resolved by or
now pending with the Supreme Court, the Honorable Court,
or different divisions thereof, or any other court, tribunal,
agency of office;

c. If I should hereafter learn that a similar action or proceeding


has been filed or is pending with the Supreme Court, the
Honorable Court, or different divisions thereof, or any other
court, tribunal, agency of office, I undertake to promptly
inform the Honorable Court and such appropriate court
thereof within five (5) days from such notice.

5. I attest to the authenticity of all the annexes thereto.


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_______________________
Affiant

SUBSCRIBED AND SWORN to before me this _____________ in


____________, affiant exhibiting to me his government-issued ID No.
______________ expiring on _____________.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2019.

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