AFFIDAVIT OF SERVICE AND FILING

I, _______________, with office address at _______________, subscribing

under oath, hereby depose and say:

1. I am one of the _______________ officers of _______________located at

the aforesaid address.
2. On _______________, I served copies of the following pleading:

PETITION FOR REVIEW

In _______________ entitled “_______________” pursuant to DOJ Circular
No. 70 & 70-A series of 2000, as follows:

By personal delivery:

By registered mail:

by depositing copies in the post office, in a sealed envelope, plainly addressed to

the addressee, as evidenced by the Registry Receipts hereto attached opposite the
name of the addressee, and with instructions to the postmaster to return the
aforesaid registered mail to the sender after 10 days if undelivered.

Makati City, _______________.

_______________
Affiant

SIGNED AND SWORN to this ____________, 2019 at

_______________, affiant exhibited to me his _______________.

Doc. ____;
Page ____;
Book____;
Series of 2019.