VERIFICATION AND CERTIFICATION

AGAINST FORUM SHOPPING

I, __________________________, of legal age, Filipino and with

office address at No. ighway Hills, Mandaluyong City, Metro Manila, on
oath, state:

1. I am the ____________________ of (the defendant in the

above captioned case, and the officer duly authorized to institute and file
the instant Complaint on behalf of

2. I caused the preparation of the Complaint, I have read and

understood the contents of said Complaint and all the allegations therein
are true and correct of my own personal knowledge and based on
authentic records.

3. I further certify the truth of the foregoing facts and

undertakings: (a) I have not therefore commenced any other action
involving the same issues or relief before the Supreme Court, the Court
of Appeals, or different divisions thereof, or any other tribunal or
agency; and (b) should I thereafter learn that a similar action or
proceeding involving the same issues or relief has been filed or pending
before the Supreme Court, the Court of Appeals, or different divisions
thereof, or any other tribunal or agency, I hereby undertake to inform
this Honorable Court of such fact within five (5) days therefrom.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature this ___ th day

of March 2019 in Mandaluyong City.

____________________________
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for and

in Mandaluyong City, Philippines on _______, by affiant, known to me
to be the same person who executed the foregoing, and whose identity I
have confirmed through his bearing his photograph and signature.

Doc. No.: ___;

Page No.: ___;
Book No.: ___;
Series of 2018.