Republic of the Philippines)

Batangas City ) S.S.

VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I, ROMY F. CANA, married, Filipino of legal age, and residents of Brgy.

Sambal Ibaba, Batangas City, after being sworn to, in accordance with law,
hereby depose and say:

That I am the complainant in the above-entitled Complain and that I

have caused the preparation of the same;

That no other action or proceeding involving the same issues has beeb
hereto commenced in the Supreme Court, Court of Appeals, or any other
tribunal or agency.

That to the best of our knowledge, no such petition or proceeding is

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

That if I should thereafter learn that a similar complain or proceeding has

been filed or is pending in the Supreme Court, Court of Appeals, or any other
tribunal or agency, we undertake to report that fact within five (5) days therefrom
to the Honorable Court.

IN WITNESS WHEREOF, we have hereunto set our hand this

__________________ at Batangas City.

ROMY F. CANA
Affiant
ID No. _________________________

SUBSCRIBED AND SWORN to before me this _________________

at Batangas City, affiant exhibiting to me his competent evidence of identity with
the ID with number stated above.

Doc No.
Page No.
Book No.
Series of 2019.
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