VERIFICATION

Republic of the Philippines)

City of _______________ )s.s.

(Person verifying) after having been duly sworn deposes and says that he is the (design-
nation) in the above-entitled (name of pleading); that he has caused its preparation;
that he has read it and the allegations therein are true and correct based on his personal
knowledge and based on authentic records.

(Party verifying)

JURAT

VERIFICATION AND CERTIFICATION AGAINST NON-FORUM

SHOPPING

I, ___________, of legal age, after being sworn in accordance with law,

depose and state that:

1. I am the plaintiff in this case. I have been duly authorized to execute this
verification and certification. 
 are needed to see this picture. 


2. I have read the contents of the complaint and attest that the same are
true and correct based on 
 the authentic records and my personal
knowledge. 


3. To the best of my/plaintiff's knowledge, no other similar action is pending

in the Supreme Court, the Court of Appeals, Regional Trial Court
Metropolitan and Municipal Trial Court, or any other tribunal or agency,
I/plaintiff hereby undertake to report that fact to this Honorable Court
within five (5) days from discovery.

IN WITNESS HEREOF, I have hereunto set my hand this _________.

4.

______________________________
(Signature of Complainant)