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ACKNOWLEDGMENT and JURAT

The document is a notarized acknowledgment from the Republic of the Philippines acknowledging that certain individuals personally appeared before the notary public and acknowledged that they executed an instrument of their own free will. It also includes a jurat for subscribing and swearing an affidavit before the notary public and exhibits a driver's license as identification. Finally, it includes a draft certification that the plaintiff has not filed any other claims involving the same issues in any other court or tribunal.

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Erikha Araneta
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235 views2 pages

ACKNOWLEDGMENT and JURAT

The document is a notarized acknowledgment from the Republic of the Philippines acknowledging that certain individuals personally appeared before the notary public and acknowledged that they executed an instrument of their own free will. It also includes a jurat for subscribing and swearing an affidavit before the notary public and exhibits a driver's license as identification. Finally, it includes a draft certification that the plaintiff has not filed any other claims involving the same issues in any other court or tribunal.

Uploaded by

Erikha Araneta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ACKNOWLEDGMENT

REPUBLIC OF THE PHILPPINES)


CITY OF MAKATI )S.S.

BEFORE ME, a NOTARY PUBLIC for and in the above jurisdiction, this 15 th day of May,
2022, personally appeared the following persons:

NAME IDENTIFICATION DATE AND PLACE OF ISSUANCE

Known to me to be the same person who executed the forgoing instrument and they
acknowledged to me that the same is their own free and voluntary act and deed and the
corporations are herein represented.

This instrument refers to a _____________ and consist of _____ pages including the page
which this acknowledgment is written and signed by the parties and their instrumental
witness on each and every page thereof.

WITNESS MY HAND AND SEAL on the date and at the place above written.

JUAN DELA CRUZ


NOTARY PUBLIC - Makati City
Appointment No. _______
Until December 31, 2022
Roll no.
PTR no.
IBP no.
Office Address:
Email:
Contact No.
Doc. No.
Page no.
Book no.
Series no.

JURAT

REPUBLIC OF THE PHILIPPINES)


CITY OF MAKATI )S.S.
SUBSCRIBED AND SWORN to before me, in the City of Makati, this 15 th day of May, 2022,
the affiant exhibiting to me his DRIVER’S LICENSE issued by the LTO on May 15, 2021 at
Makati.
JUAN DELA CRUZ
NOTARY PUBLIC - Makati City
Appointment No. _______
Until December 31, 2022
Roll no.
PTR no.
IBP no.
Office Address:
Email:
Contact No.
Doc. No.
Page no.
Book no.
Series no.

DRAFT CERTIFICATION OF NON FORUM SHOPPING

Republic of the Philippines)


City of Makati )S.S.

I, Juan Dela Cruz after having been duly sworn deposes and says:

That I am the plaintiff in the above entitled case and I certify that I have not commence
any action or filed any claim involving the same issues before any court, tribunal, quasi-
judicial agency, that to the best of my knowledge, there is no pending action or claim, and
that if I should later learn that the same or similar action has been filed or is pending, I shall
report such fact within five (5) days therefrom to this Honorable Court.

JURAT

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