You are on page 1of 4

RESPECTFULLY SUBMITTED.

Digos City, Davao del Sur, Philippines. ________________

JAN CONNEL BOLASA


Petitioner

Assisted by: ATTY. GENEVIEVE M.D. B. PAULINO


Counsel for Petitioner
TIN NO. 177-530-092 ROLL NO. 40157
PTR NO. 2036238 issued on 01-03-2018 Digos City
IBP NO. 1082713 issued on 12-14-2017 (Davao del Sur)
MCLE EXEMPTION NO. V-002425 valid until 04-14-2019
PAULINO LAW OFFICE #0006 Rizal Ave., San Jose,
8002 Digos City, Davao del Sur, Philippines
godsfavoredchild@yahoo.com

VERIFICATION AND CERTIFICATION


OF NON FORUM SHOPPING

I, JAN CONNEL BOLASA, of legal age, Filipino, married and a


resident of 0006 Rizal Ave., Brgy. San Jose, Digos City, Davao del Sur,
depose and say:

1. That I am the PETITIONER.

2. That I have caused the preparation of the foregoing PETITION.

3. That I have read and understood the contents of the PETITION


and they are true and true and correct of my own personal knowledge and
based on authentic documents.

4. That I have not commenced any action or filed any claim involving
the same issues in any court, tribunal or quasi-judicial agency and, to the
best of my knowledge, no such other action or claim is pending therein. If I
should learn thereafter that the same or similar action or claim has been
filed or is pending, we shall report that fact within five (5) days there from
to this Honorable Court.
IN WITNESS WHEREOF, I have hereunto set my hand this
______________ at Digos City, Philippines.

JAN CONNEL BOLASA


PETITIONER
Driver’s License No. L07-14-001791

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary public for and in


Davao del Sur, Philippines, this ________________, in Digos City, Davao
del Sur, Philippines, Affiant/Petitioner, personally known to me, and to me
known to be the person who signed the herein PETITION, VERIFICATION
and the CERTIFICATION OF NON-FORUM SHOPPING.

DOC. NO.______; ATTY. GENEVIEVE MARIE DOLORES B. PAULINO


PAGE NO.______; Notary Public for and in Davao del Sur
BOOK NO.______; TIN NO. 177-530-092 ROLL NO. 40157
SERIES OF 2018. PTR NO. 2036238 issued on 01-03-2018 Digos City
IBP NO. 1082713 issued on 12-14-2017 (Davao del Sur)
MCLE EXEMPTION NO. V-002425 valid until 04-14-2019
PAULINO LAW OFFICE #0006 Rizal Ave., San Jose,
8002 Digos City, Davao del Sur, Philippines
RESPECTFULLY SUBMITTED.

Digos City, Davao del Sur, Philippines. ____________

ROCELYN LABIDES ORILLO


Petitioner

Assisted by: ATTY. GENEVIEVE M.D. B. PAULINO


Counsel for Petitioner
TIN NO. 177-530-092 ROLL NO. 40157
PTR NO. 1756403 issued on 01-03-2017 Digos City
IBP NO. 1049868 issued on 11-23-2016 (Davao del Sur)
MCLE EXEMPTION NO. V-002425 valid until 04-14-2019
PAULINO LAW OFFICE #0006 Rizal Ave., San Jose,
8002 Digos City, Davao del Sur, Philippines
godsfavoredchild@yahoo.com

VERIFICATION AND CERTIFICATION


OF NON FORUM SHOPPING
I, ROCELYN LABIDES ORILLO, of legal age, Filipino, married and
a resident of Barangay Biao, Digos city, davao del Sur, depose and say:

1. That I am the PETITIONER.

2. That I have caused the preparation of the foregoing PETITION.

3. That I have read and understood the contents of the PETITION


and they are true and true and correct of my own personal knowledge and
based on authentic documents.

4. That I have not commenced any action or filed any claim involving
the same issues in any court, tribunal or quasi-judicial agency and, to the
best of my knowledge, no such other action or claim is pending therein. If I
should learn thereafter that the same or similar action or claim has been
filed or is pending, we shall report that fact within five (5) days there from
to this Honorable Court.

IN WITNESS WHEREOF, I have hereunto set my hand this


______________ at Digos City, Philippines.

ROCELYN LABIDES ORILLO


PETITIONER
___________________

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary public for and in


Davao del Sur, Philippines, this _______________ in Digos City, Davao del
Sur, Philippines, Affiant/Petitioner, personally known to me, and to me
known to be the person who signed the herein PETITION, VERIFICATION
and the CERTIFICATION OF NON-FORUM SHOPPING.

DOC. NO. _____; ATTY. GENEVIEVE MARIE DOLORES B. PAULINO


PAGE NO. _____; Notary Public for and in Davao del Sur
BOOK NO. _____; 0006 Rizal Ave., San Jose, Digos City
SERIES OF 2017. Until December 31, 2018
Notarial Commission No. 06-2017
TIN NO. 177-530-092 ROLL NO. 40157
PTR NO. 1756403 issued on 01-03-2017 Digos City
IBP NO. 1049868 issued on 11-23-2016 (Davao del Sur)
MCLE EXEMPTION NO. V-002425 valid until 04-14-2019

You might also like