VERIFICATION AND CERTIFICATE OF

NON-FORUM SHOPPPING
I, _____________________________________________, of legal age,
(Name)
_____________________________ _______________________, and a resident
(citizenship)
(civil status)
of _______________________________________________________________,
after having been duly sworn to in accordance with law, hereby,
depose and say:
1. That I am the defendant in the above-entitled case and
have caused this Form 3-SCC (Response) to be prepared;
2. That I read and understood its contents which are true
and correct of my own personal knowledge and/or
based on authentic records.
3. That I have not commenced any action of proceeding
involving the same issue in the Supreme Court, the
Court of Appeals or any other tribunal or agency; that 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, and that, if I should learn
thereafter that a similar action or proceeding has been
filed or is pending before these courts of tribunal or
agency, I undertake to report that the fact to the Court
within five (5) days therefrom.
IN WITNESS WHEREFOR, I have hereunto set my hand this 23 rd
day of
January, 2015.

RAMON ABU
Affiant
SUBSCRIBED AND SWORN to before me this______day of January 2015,
affiant having exhibited to me his _________________ bearing his photograph
and signature, and issued at ______________ on ____________.

NOTARY PUBLIC
Doc. No.: ___
Page No.: ___
Book No. : ___
Series of 2015.