Republic of the Philippines)

Done: In the City of Baguio)S.S.

VERIFICATION/CERTIFICATION
AGAINST FORUM SHOPPING

I, ____________, of legal age, Filipino citizen and a

resident of _________________________, after having been duly
sworn to in accordance with law, do hereby depose and state
that:

1. I am the PLAINTIFF in the above-entitled case;

2. I have caused the preparation and filing of this

pleading; and

3. All the allegations therein are true and correct to the

best of my personal knowledge and based on authentic
records in our possession.

I HEREBY CERTIFY:

4. In compliance with the 1997 Rules of Civil Procedure,

Rule 7 Section 5, also applicable to this case, I did not
commence any other action or proceeding involving the
same issues in the Supreme Court, Court of Appeals or
any other tribunal or quasi-judicial agency;

5. To the best of my knowledge, no action or proceeding is

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

6. If I should learn of a similar action or proceeding filed

or pending before the Supreme Court, Court of Appeals
or any other tribunal or quasi-judicial agency, I
undertake to report such fact within five days (5) from
our knowledge thereof.

IN WITNESS WHEREOF, I have hereunto set my hands

this ___ day of _______________, _____ at Baguio City,
Philippines.

_________________________
Affiant
_________________________
_________________________
 _________________________

SUBSCRIBED AND SWORN to before me, a notary

public for and in the City of Baguio this ___ day of
_______________, _____. Affiant personally known to me,
appeared, and exhibited to me his/her competent evidence
of identity, particularly his/her _______________ bearing No.
__________, valid until _______________ , and issued at
_______________; known to me as the same person who
personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the
contents of said instrument, and the same is his voluntary
act and deed.