Form No.

9 Proof of Service of Publication

AFFIDAVIT
REPUBLIC OF THE PHILIPPINES )
CITY OF ____________________ ) S.S.
_____________________, being first day duly sworn, deposes, and says:
That he is the Publisher/Editor of _________________________, a
newspaper of general circulation in _____________________, Philippines
with business office at ______________________________;
That the summons in the case of _____________________________,
Was published in said newspaper for (state number of times) commencing
_________________and ending ________________, a copy of which
publication is attached hereinbelow:

(Space for posting clipping)

That a copy of the above summons and order for publication had been
deposited at the ___________________________ post office, postage
prepaid, directed to _________________________by registered mail at
_________________________.
(Venue, Date)

________________________
(Signature of Affiant)