VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, Maria Makiling, of legal age, do hereby state that I have caused this complaint to be
prepared, I have read its contents and affirm that they are true and correct to the best of my
own personal knowledge, I hereby certify that there is no other case commenced or pending
before any court involving the same parties and the same issue and that, should I learn of
such case, I shall notify the court within five (5) days from notice.
IN WITNESS WHEREOF, I have signed this instrument on November 24, 2016.

Maria Makiling
Complainant

SUBSCRIBED AND SWORN to before me in the City of Iligan on this 23 rd day of

November 2016, affiant exhibiting before me his passport no. EB 12564632 issued on
October 20, 2012 at Iligan City.
(sgd) N.O Tario
Notary Public
Until 2017
PTR No. 137136
Issued at Iligan City
On November 2016

Doc No. 25628

Page No. 786
Book No. 234
Series of 2016