Republic of the Philippines )

) S.c.
X------------------------------X

VERIFICATION AND
CERTIFICATION AGAINST NON-FORUM SHOPPING

I,, of legal age, Filipino, and a resident of Philippines, after having been duly
sworn to in accordance with law, do hereby depose and state:

1. That I am the Complainant in the above-entitled case;

2. That I have caused the preparation of the foregoing Complaint for

Criminal Case against and that I have read and understood all of the
allegations therein, and that the same are true and correct to the best of
my own personal knowledge and based on authentic records;

3. That I have not commenced any other action involving the same issues in
the Supreme Court, the Court of Appeals or different divisions thereof, or
any other tribunal or agency, and that if there is such other action or
proceeding, I must state the status of the same, 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 different divisions
thereof, or any other tribunal or agency, I undertake to promptly inform
the aforesaid courts and other tribunal or agency thereof within five (5)
days therefrom.

IN WITNESS WHEREOF, we hereunto set our hand and signature this

___________________, in, Philippines.

Affiant
ID No. __________________
Issued/Expires On._________

SUBSCRIBED AND SWORN TO, before me this __________, in the City

of, Philippines, known to me to be the same person who executed the foregoing.
She acknowledged that she understood the contents thereof and that the same is
true and correct based on her personal knowledge and based on authentic records.

Doc. No. _______;

Page No. _______;
Book No._______;
Series of 2019.