REPUBLIC OF THE PHILIPPINES)

CITY OF [insert here] ) S. S.

AFFIDAVIT OF SERVICE
Through REGISTERED MAIL

I, [name], of legal age, Filipino citizen and with office address at the XYZ
located at ABC, after having duly sworn to in accordance with law depose and
state, that:

1. I am a liaison officer of XYZ, located at the

aforementioned address;

2. On 10 February 2016, I served through registered

mail copies of the POSITION PAPER in the case entitled, DEF,
docketed as GHI to:

[recipient’s name and address here]

[recipient’s name and address here]

3. I am executing this affidavit to attest the truth of the

foregoing and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________, 2016, at [insert here].

[name]
Affiant

SUSCRIBED AND SWORN to before me this _________________ at

GHI; affiant exhibited to me his ______________________.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2016.