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Republic of the Philippines)

Quezon City )S.S.

VERIFICATION and CERTIFICATION


OF NON-FORUM SHOPPING

I, ___________________________________, of legal age, single, British Citizen and with


postal address at ______________________________, after having been sworn to in
accordance with law, hereby depose and state, that:

1. I am the Respondent-Appellant in the above-entitled case who caused the


preparation of the foregoing Appeal Memorandum;

2. I have read and understood the said Appeal Memorandum and the
allegations therein are true and correct of my own personal knowledge
and based on the documents made available to me;

3. I have not initiated any other action or proceedings involving the same
issues in the Supreme Court, the Court of Appeals, or any other court,
tribunal, or agency and that to the best of my knowledge, no such action or
proceeding is pending in the Supreme Court, the Court of Appeals, or
different Divisions thereof, or any other tribunal or agency;

4. If I should learn that a similar action or proceeding has been filed or is


pending before the Supreme Court, the Court of Appeals, or any Division
thereof, or in any other court, tribunal or agency, I undertake to promptly
inform the Honorable Office of that fact within five (5) days from receipt
of such knowledge.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of


_____2018 at Quezon City.

Respondent-Appellant

SUBSCRIBED AND SWORN to before me this ___ day of ____ 2018, Respondent-
Appellant exhibiting to me his Passport No. __________ valid until ___________
.

Doc. No. _____;


Page No. _____;
Book No._____;
Series of 2018.

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