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VERIFICATION/CERTIFICATION

REPUBLIC OF THE PHILIPPINES)


City of Bacolod )SS.
x - - - - - - - - - - - - - - - - - - ---------x

I, DINO OWEN NAVA y Ramos, of legal age, Filipino, and a resident of Bacolod
City, Philippines after being sworn to in accordance with law, hereby depose and say:

That I am the Petitioner in the above-titled case; That I have caused the
preparation of the above Memorandum through my counsel Atty. Ariel I. Malunes and I
have read the same and knows the contents thereof; That the allegations contained therein
are true and correct of my own personal knowledge and based on authentic records.

That I further certify that: (a) I have not theretofore commenced any other action or
proceeding or filed any claim involving the same issues or matter in any court, tribunal, or
quasi-judicial agency and (b) to the best of my knowledge, no such action or proceeding is
pending therein; (c) if I should thereafter learn that the same or similar action or proceeding
has been filed or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or quasi-judicial agency, I undertake to report such fact within five (5) days
therefrom to the court or agency wherein the original pleading and sworn certification
contemplated herein have been filed.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at


Bacolod City, Philippines.

DINO OWEN NAVA y Ramos


Affiant

SUBSCRIBED AND SWORN to before me, this _________________, by the


affiant who exhibited to me his government issued ______________________________
as proof of her identity with her recent photo and signature thereon and I am satisfied that
he is the same person who executed this instrument freely and voluntarily.

Bacolod City, Philippines.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2016

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