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VERIFICATION/CERTIFICATION OF NON-FORUM SHOPPING

Republic of the Philippines)


Parañaque, Metro Manila ) S.S.

I, Steven Rogers, of legal age, American and Earth citizen, single, with
residence at California, United States of America after having been duly sworn to in
accordance with law do hereby depose and say:

1. That I am the duly authorized representative of the plaintiff in the above-


entitled case;
2. That I have caused the preparation of the foregoing complaint and have read
the allegations contained therein;
3. The allegations in the said complaint are true and correct based on my
personal knowledge and authentic records;
4. I hereby certify that I have not commenced any other action or proceeding
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;
5. That if I should learn thereafter that a similar action or proceeding has been
filed or is pending, I hereby undertake to report that fact within five (5) days
therefrom to the court or agency where the original pleading and sworn
certification contemplated herein have been filed;
6. I executed this verification/certification to attest to the truth of the foregoing
facts and to comply with the provisions of Adm. Circular No. 04-94 of the
Honorable Supreme Court of the Universe.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27th day


of December, 2019 in the City of California, United States of America.

Steven Rogers
Affiant

SUBSCRIBED AND SWORN to before me this 27th day of December, 2019


in the City of California, United States of America, affiant exhibiting to me his
Universal Driver’s License No.1234 issued by the Universal Land Transportation
Office on 01 May 2018 at California, United States of America.

Doc. No. _______ ATTY. JUGGER NAUT


Page No. _______ Notary Public
Book No. _______ Expires Dec. 31, 2020
Series of 2018. Roll of Attorney No. 0005
IBP No. 56358/2-1-1999/Earth
PTR No. 23568/2-1-1999/Earth

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