You are on page 1of 1

VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPPING

I, A., of legal age, Filipino, single, and a resident of 1020 Gumamela


St., Dasmariñas Village, Makati City, Philippines, after having been duly
sworn to in accordance with law, hereby depose and state:

1. That I am the plaintiff in the above-entitled case and have caused


this complaint to be prepared; that I read and understood its contents which
are true and correct of my own personal knowledge and/or based on
authentic records.

2. That I have not commenced any action of proceeding involving the


same issue in the Supreme Court, the Court of Appeals or any other
tribunal or agency; that to the best of my knowledge, no such action or
proceeding is pending in the Supreme Court, the Court of Appeals or any
tribunal or agency, and that, if I should learn thereafter that a similar action
or proceeding has been filed or is pending before these courts of tribunal or
agency, I undertake to report that fact to the Court within five (5) days
therefrom.

IN WITNESS WHEREFOR, I have hereunto set my hand this 8 th day


of February, 2016.

Affiant

You might also like