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Republic of the Philippines)

Province of Cavite)
Municipality of Silang) S.S.

CERTIFICATE OF NON-FORUM SHOPPING

I, Emmanuel L Esmer, former PNPA Cadet, legal age, native of ______________


? and a resident of __________________?, after having been duly sworn in accordance
with law, do hereby depose and state that:

That, an Administrative Case against Cdt 3C John Mark Sumabat Nayre, for
Violation of Sec 3, Para A, sub Para 1 (a), Rule VI of the Cadet Guide, also known as
“Hazing, was filed before the Investigation Section of Cadet Affairs Section, PNPA,
Silang, Cavite.

That, I am the plaintiff in the above-stated case and I cause the preparation of
the foregoing complaint;

That, I have not filed nor commenced any other action or proceeding involving
the same act or omission with any other administrative disciplinary authority or forum, or
any other tribunal or agency;

That to the best of my knowledge, no such action or proceedings is pending


before any of said forum;

That, I have read the contents thereof and the facts stated therein are true and
correct of my personal knowledge and to the best of my knowledge and belief, and if
there I any action or proceeding which is either pending or may have been terminated, I
must state the status thereof;

That, if I should thereafter learn that a similar action or proceeding has been filed
or is pending before any other administrative disciplinary authority, I undertake to inform
such fact within five (5) days from such notice to this office or to the disciplinary
authority where the original complaint or pleading has been filed

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of


_____________________, 20_____ at Bgy Tartaria, Silang, Cavite.

_________________________________
Emmanuel L Esmer
Affiant

CERTIFICATION

SUBSCRIBED AND SWORN to before me this ___ day of ________ 2017 at


______________________________, and I hereby Certify that I have personally
examined the herein affiant and I am fully satisfied that he voluntarily executed his
statement and he acknowledged to me that he understood his statement and that all the
averments contained therein are true and correct.

________________________________
Administering Officer

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