CDT 1C BOCALAN, JESSNER VAN M.

SECTION 6
NOVEMBER 23, 2021

Republic of the Philippines

National Police Commission
PHILLIPPINE NATIONAL POLICE
SILANG MUNICIPAL POLICE STATION
Poblacion 2, Silang, Cavite

CERTIFICATE OF NON-FORUM SHOPPING

I, PATROLMAN RODNEY AGTING BANTOLO, of legal age, resident of

Camp General Mariano N. Castaneda, Silang Cavite under oath depose and state:

That I am filing an administrative complaint against Engineer Ulo Lang

Malaki for RA 1790 “Reckless Imprudence Resulting to Damage of Property” before
this office;

That I have not filed nor commenced such action or proceedings involving
the same act or omission with any other administrative disciplinary authority or
forum;

That to the best of my knowledge, no such action or proceeding is pending

before any of said forum;

That if there is any action or proceeding which is either pending or may

have been terminated, I must state the status thereof;

And that if I should thereafter learn that a similar action or proceeding has
been filed or is pending before any other administrative disciplinary authority, I
undertake to inform such fact within five (5) days from such notice to this office or
to the disciplinary authority where the original complaint or pleading has been filed.

PAT RODNEY AGTING BANTOLO

Affiant

SUBSCRIBED AND SWORN to before me this 28 th day of September, 2021,

complainant exhibiting to me his/her Residence Certificate No. 012345 issued at
Barangay Tartaria, Silang, Cavite.

ATTY. JORGE KA NANAMAN

Administering Officer