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Republic of the Philippines }

City of Cotabato } S.S.


x---------------------------------------x

____________________________________
VERIFICATION AND CERTIFICATION
_______OF NON-FORUM SHOPPING_______

I, JAWHARA K. ALI, of legal age, Filipino, single, a resident of Purok


Mangungan Bagua II, Cotabato City, Philippines, after having been duly sworn to in
accordance with law, do hereby depose and state:

1. That I am the appellant in the above-stated case;

2. That I caused the preparation of the foregoing appeal;

3. That I have read the contents thereof and the facts stated therein are true and
correct of our personal knowledge and/or on the basis of copies of documents
and records in my possession;

4. That I have not commenced any other action or proceeding involving the same
issues in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;

5. That to the best of my knowledge and belief, no such action or proceeding is


pending in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;

6. That if I should thereafter learn that a similar action or proceeding has been
filed or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or agency, I undertake to report that fact within five (5) days therefrom to
this Honorable Court.

I N WITNESS WHEREOF, I have hereunto set my hand, this 5 th day of January


2021 in the City of Cotabato, Philippines.

JAWHARA K. ALI
Affiant-Appellant

SUBSCRIBED AND SWORN to before me in the City of Cotabato this 5 th day of


January 2021 by affiant-appellant, who has satisfactorily proven his identity to me
through his competent proof of identity, that he is the same person who personally
signed the foregoing affidavit before me and acknowledged that he executed the same.

Doc No. _____;


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

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