Republic of the Philippines )

City of Malabon ) s.s.

x- - - - - - - - - - - - - - - - - - - - - -x

VERIFICATION AND CERTICATION
OF NON-FORUM SHOPPING

That I, asdasdasda of legal age, married, Filipino and a resident of No. 17
Dama De dasdasdasdasdasd

1. I am the affiant in the attached Affidavit of Complaint with residence at the
above-mentioned address and I have caused, the preparation and filing of
the foregoing Affidavit of Complaint.

2. I have read the contents of the foregoing Affidavit of Complaint and I attest
that the contents of the same are true and correct to the best of my
personal knowledge and based on authentic documents/evidence in my
possession.

3. I attest that I have not commenced any other action or proceeding,
involving the same facts and issues subject of this present Affidavit of
Complaint, in the regular courts, the Supreme Court, the Court of Appeals,
or different divisions thereof, or any tribunal or agency.

4. To the best of my knowledge, no such action or proceeding over the same
facts and issues is, or remains, pending in the regular courts, the Supreme
Court, the Court of Appeals, or different divisions thereof, or any other
tribunal or agency.

5. If I should hereafter learn that a similar action or proceeding has been filed
or is pending before the regular courts, the Supreme Court, the Court of
Appeals, or different divisions thereof, or any other tribunal or agency, I
undertake to promptly inform this Honorable Court of that fact within five
(5) days from such notice.


________________________
Affiant

SUBSCRIBED AND SWORN to before me this 28
th
day of December,
2008 at Malabon City with the affiant exhibiting to me his competent evidence of
his identity, a Government Issued ID No.______________ issued by
__________ on _______________ and valid until ___________ in __________.


Doc. No.______;
Page No.______;
Book No.______;
Series of 2008.
Republic of the Philippines )