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(Affidavit of Service of Copy of Pleading)

REPUBLIC OF THE PHILIPPINES)


Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF SERVICE
I, _____________, of legal age, (single / married / widow), and a resident of
_____________, Philippines, after having been duly sworn in accordance with law,
hereby depose and say:

1. That I am a Secretary / Legal Aide of the law office of Atty. _____________


with office address at _____________, Philippines;

2. That in my aforementioned capacity, I had personally served a copy of the


_____________ in the case entitled "_____________," docketed as
_____________ CASE NO. _____________ (by personal service) to the office of
_____________'s Counsel of Record, ATTY. _____________, with address at
_____________ (by registered mail with return card under Registry Receipt
No. _________).

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at


_____________, Philippines.

AFFIANT

(JURAT)

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