VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

REPUBLIC OF THE PHILIPPINES )

CITY OF MANILA ) S.S.

I, Juan T. Dela Crus, of legal age, and a resident of #123, 1st Street, San Miguel, Manila,
plaintiff in the above-entitled case, state under oath that:
1. I have read the above complain and that the allegations therein are true and correct
of my own personal knowledge and/or based on authentic records;
2. The pleading is not filed to harass, cause unnecessary delay or needlessly increase
litigation costs;
3. The pleading’s factual allegations have evidentiary support;
4. I have not previously filed any action involving the same issues in any court,
tribunal, or quasi-judicial agency and that, to the best of my knowledge, no such
action is pending in any of them; and
5. If I should later learn about the filing of such action, I shall report it to the court
within five calendar days from notice.

10 May 2020, Manila City

(SGD.) Juan T. Dela Crus
Affiant

JURAT
Signed and sworn to before me this 10th day of May, 2020 in the City of Manila, by
Juan Dela Cruz with Passport no. ED1234, issued on October 8, 2019, at DFA San Fernando,
Pampanga.

(Notarial Certificate)