REPUBLIC OF THE PHILIPPINES )

§§
)

AFFIDAVIT OF SERVICE

I, ________________, of legal age, Filipino citizen, after having been duly sworn to in
accordance with law do hereby depose and say that:

1. I am an employee of the ______________________________ with office address at

____________________;

2. Today, 8 March 2023, I filed and/or served the Pleading described as follows:

PLEADING/SUBMISSION:
CASE TITLE:
CASE NO.:

3. The recipients or addressees of said Pleading, and the manner of the filing or service are
described as follows:

by private courier pursuant to Rule 13, Section 3(C) of the Rules of Civil Procedure, as
evidenced by the Official Receipt No. _______________, which is attached to the
original copy thereof, and with Document Tracking No. ____________________. I attest
that the postage thereon has been fully pre-paid.

by personal delivery pursuant to Rule 13, Section 3(C) of the Rules of Civil Procedure, as
evidenced by the Official Receipt No. _______________, which is attached to the
original copy thereof, and with Document Tracking No. ____________________. I attest
that the postage thereon has been fully pre-paid.

by personal delivery pursuant to Rule 13, Section 3(C) of the Rules of Civil Procedure, as
evidenced by the Official Receipt No. _______________, which is attached to the
original copy thereof, and with Document Tracking No. ____________________. I attest
that the postage thereon has been fully pre-paid.

4. I am executing this Affidavit of Service to attest to the truth of the foregoing facts and for
any legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of March 2023, in
Makati City.

name
Affiant

SUBSCRIBED AND SWORN to before me this 8th day of March 2023, affiant being
personally known to me, exhibited his ____________________.

Doc. No.
Page No.
Book No.
Series of 2023