REPUBLIC OF THE PHILIPPINES }

CITY OF TAGUM }s.s.

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VERIFICATION
I, MARIA VICTORIA L. LEGASPI, Filipino, of legal age, married and a
resident of Purok Katuparan, 3rd Avenue, Teachers Village, Magugpo South,
Tagum City, Davao del Norte, Philippines, under oath, hereby state, THAT:
1. I am the same respondent in the foregoing entitled case before the
Philippine Health Insurance Corporation for alleged violation of the
Revised Implementing Rules and Regulations (RIRR) of RA 7875;

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

Answer;

3. I have read and understood the contents of the same

4. I hereby confirm, that: (a) all the matters stated therein are true and
correct based on my own personal knowledge and based on authentic
records; (b) the pleading is not filed to harass, cause unnecessary delay,
or needlessly increase the cost of litigation; and (c) the factual
allegations therein have evidentiary support, or if specifically so
identified, will likewise have evidentiary support after a reasonable
opportunity for discovery.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ in the City of Tagum, Philippines.

MARIA VICTORIA L. LEGASPI

Affiant

SUBSCRIBED ANDSWORN to before me this ___________ in the City

of Tagum, Philippines, affiant having exhibited competent proof of her identity.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of 2021.