REPUBLIC OF THE PHILIPPINES )

PASIG CITY, METRO MANILA ) S. S.

AFFIDAVIT OF FILING AND SERVICE

I, ______________________________, a Senior Associate of

________________________________________________________________________
_________________________________________, after having been duly sworn to
in accordance with law, do hereby depose and state that:

On 16 November 2021, I served copies of the Compliance dated 16

November 2021:

IN RE: MANIFESTATION OF INTENT TO PARTICIPATE IN THE

PARTY-LIST SYSTEM OF REPRESENTATION IN THE 09 MAY 2022
ELECTIONS,

 Compliance dated 16 November 2021.

Upon the following:

MODE PROOF

Personal
X
By delivering a copy on 16 November 2021
at the Commission on Elections
Office of the Clerk of the Commission
8th Floor Palacio del Gobernador
Intramuros, Manila

By Electronic Email
X
By sending a copy on 16 November 2021
by electronic mail at the following address:
clerkofthecommission@comelec.gov.ph

Pasig City, 16 November 2021.

Affiant

SUBSCRIBED AND SWORN to before me this 16 th day of November 2021

at Pasig City, affiant exhibiting to me her Tax Identification No.______________.

Notary Public
Doc. No. ;
Page No. ;
Book No. ;
Series of 2021.