REPUBLIC OF THE PHILIPPINES )

CITY OF ILOILO )
x- - - - - - - - - - - - - - - - - - - - - - - - - x

VERIFICATION / CERTIFICATION OF
NON-FORUM SHOPPING

I, JOSE RENE R. RICAFORTE of legal age, single, Filipino, and a

resident of Barangay Kalibo Aklan, after having been duly sworn to in accordance
with law, do hereby depose and say:

That I am the Petitioner in the above-entitled case;

That I caused the foregoing petition to be prepared;

That I have read and understood the same and that all the allegations stated
therein are true and correct of my own knowledge and information;

That I have not caused any other action or proceeding involving the same
issues before the Supreme Court, the Court of Appeals, or any other tribunal or
agency, and if there is any, such action or proceeding with is either pending or
may have been terminated, I must state the status thereof and 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 the fact within five(5) days therefrom to the court or agency wherein the
original pleading and sworn certification contemplated herein has been filed.

IN WITNESS WHEREOF, I have hereto set my hand this _______ day of

____________at Iloilo City Philippines.

JOSE RENE R. RICAFORTE

Petitioner
I.D. No.
Issued By:
Issued On:

The Petitioner, through their representative whose name and personal

circumstances are stated above personally appeared before me this _____ day of
__________ 2018 in the City of Iloilo, Philippines, presented the foregoing
Petition, signed the same in my presence and affirmed under oath to the
correctness of the contents or allegations of the same.

The Petitioner through their representative was identified by competent

evidence of identity, namely a ___________________________ bearing a his
photograph and signature.

Doc No.______
Page No.______
Book No._____
Series of 2018
REPUBLIC OF THE PHILIPPINES )
CITY OF ILOILO )
x- - - - - - - - - - - - - - - - - - - - - - - - - x

VERIFICATION / CERTIFICATION OF
NON-FORUM SHOPPING

I, __________________ of legal age, single, Filipino, and a resident of

Barangay Kalibo Aklan, after having been duly sworn to in accordance with law,
do hereby depose and say:

That I am the Petitioner in the above-entitled case;

That I caused the foregoing petition to be prepared;

That I have read and understood the same and that all the allegations stated
therein are true and correct of my own knowledge and information;

That I have not caused any other action or proceeding involving the same
issues before the Supreme Court, the Court of Appeals, or any other tribunal or
agency, and if there is any, such action or proceeding with is either pending or
may have been terminated, I must state the status thereof and 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 the fact within five(5) days therefrom to the court or agency wherein the
original pleading and sworn certification contemplated herein has been filed.

IN WITNESS WHEREOF, I have hereto set my hand this _______ day of

____________at Iloilo City Philippines.

Petitioner
I.D. No.
Issued By:
Issued On:

The Petitioner, through their representative whose name and personal

circumstances are stated above personally appeared before me this _____ day of
__________ 2018 in the City of Iloilo, Philippines, presented the foregoing
Petition, signed the same in my presence and affirmed under oath to the
correctness of the contents or allegations of the same.

The Petitioner through their representative was identified by competent

evidence of identity, namely a ___________________________ bearing a his
photograph and signature.

Doc No.______
Page No.______
Book No._____
Series of 2018