REPUBLIC OF THE PHILIPPINES)

) S.S.

VERIFICATION AND
CERTIFICATION AGAINST FORUM
SHOPPING
I, ________________, of legal age, Personnel Supervisor of
________________, with office address at _______________, after having
been duly sworn to in accordance with law, do hereby depose and
states, That:

1. I am the Personnel Supervisor and authorized representative

of ______________Please see attached Secretary Certificate for
proof of authorization;

2. I, as the authorized representative in the above-entitled case,

have caused this Petition for Certiorari to be prepared;

3. I read and understood its contents which are true and correct
of my own personal knowledge and/or based on true records;

4. The pleading is not filed to harass, cause unnecessary delay, or

needlessly increase the cost of litigation;

5. The factual allegations therein have evidentiary support or, if

specifically so identified, will likewise have evidentiary
support after a reasonable opportunity for discovery;

6. I am submitting this Verification to attest to the truthfulness of

the foregoing as required by the Honorable Court’s Rules of
Procedure.

7. I further Certify that:

a. I have not commenced any action or filed any claim

involving the same issues in any court, tribunal, or quasi-
judicial agency and to the best of my knowledge, no such
action or claim is pending, therein;
 b. Should I thereafter learn that the same or similar action or
claim has been filed or is pending, I would report such fact
within five (5) days therefrom;

c. I have signed this Verification and Certification of Non-

Forum Shopping shall further serve as a certification of the
truthfulness of the allegations in the Petition for Certiorari.

IN WITNESS WHEREOF, I have hereunto set my hand this ___day of

___________ 2022 in _______________, Philippines.

__________________
CEI No. ___________
Issued on __________

SUBSCRIBED AND SWORN to before me this ________day of

_______ 2022 at _______________________________ by
_______________________ who personally appeared before me
whose identity I have confirmed through his valid Identification Card
with I.D. No. ________________________issued at
________________________________.

Doc. No.______;
Page No.______;
Book No.______;
Series of 2022.