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VERIFICATION AND CERTIFICATE OF NON-FORUM SHOPPING

I, Rustum Doctora, of legal age, single, Filipino and a resident of 11 NHA Road
Taclobal City, after being duly sworn in accordance with law, depose and say:

1. That I am the plaintiff in the above-entitled case for Rustum Doctora


versus Alvin Hernando, a civil case for the collection of a sum of money;

2. That I have caused the preparation and filing of the foregoing complaint;

3. That I have read and understood the contents thereof, and the same are
true and correct to the best of my personal knowledge and based on
authentic documents;

4. That I have not commenced any other action or proceeding involving the
same issue in the Supreme Court, the Court of Appeals, or the different
divisions thereof, or any other tribunal or agency;

5. That to the best of my knowledge, no such action or proceeding is pending


in the Supreme Court, the Court of Appeals, or the different divisions thereof,
or any other tribunal or agency;

6. That if I should hereafter learn that a similar action or proceeding has


been filed or pending in the Supreme Court, the Court of Appeals, or the
different divisions thereof, or any other tribunal or agency, I hereby
undertake to inform this Honorable Court of such fact within five (5) days
from such notice.

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


April, 2017 at Tacloban City, Philippines.
Signature of Affiant
Rustum Doctora
Affiant

SUBSCRIBED AND SWORN to before me this 28th day of April, 2017 at


Tacloban City, Philippines.

ATTY. JUSTICE D.
HUSTISYA
Doc. No. 1 2 3 Notary
Public
Page No. 4 5 6 Until December
31, 2018
Book No. XXX PTR No.
1234567
Series of 2018 January 01, 2017 /
Tacloban City
Roll No. 12345 / TIN
123-456-789
______________________________________________________________________________

Signature for Counsel


ATTY. JUSTICE D. HUSTISYA
Counsel for Plaintiff/Defendant
Brgy. Apitong, Tacloban City
PTR No. 1234567*01/01/18*Tacloban City
IBP OR No. 123456*01/01/18*Tacloban City
Roll No. 12345/TIN 123-456-789
MCLE Compliance No. XXX-0001234
January 01, 2017

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