VERIFICATION WITH CERTIFICATION OF NON-FORUM SHOPPING

VERIFICATION WITH CERTIFICATION OF

NON-FORUM SHOPPING

I, DIWATA A. KOH, of legal age, single and with residence at No. 123 Forever Compound, IloveYou Village, City of Manila, after having been duly sworn to in accordance with law do hereby depose and state that:

1.      I am the Petitioner in the above-captioned case;

2.      I have caused the preparation of the foregoing Petition and that the allegations therein are true and correct of my own personal knowledge based on authentic documents on record;

3.      I have not heretofore commenced any other action or proceeding involving the same issues in the Supreme Court, the Court of Appeals, or any other tribunal or agency as are raised in this case;

4.   To the best of my knowledge, no such action or proceeding is pending in the Supreme Court, the Court of Appeals or any tribunal or agency;

5.   If I should thereafter be aware or learn that a similar action or proceeding has been filed or is pending before the Supreme Court, the Court of Appeals or any other tribunal or agency, I will undertake to report this fact within five (5) days there from to this Court.

DIWATA A. KOH

Affiant

JURAT

SUBSCRIBED AND SWORN to before me this ____________________, affiant exhibited to me her Philippine Passport ID No. EB1234567 issued on May 30, 2016 in Pasay City, Philippines.

NOTARY PUBLIC

Doc. No. _____;

Page No. _____;

Book No._____;

Series of 2016.