REPUBLIC OF THE PHILIPPINES

AFFIDAVIT OF SERVICE

I, ________________, of legal age, Filipino, and with office address at ________________________________________, ________________________________________________________________________________ after having been sworn to in accordance with law do hereby depose and state that;

I have served today by registered mail with return card to:

HON. PRESIDING JUDGEREG. NO: ________REGIONAL TRIAL COURTDATE : __________BRANCH __PLACE: _____________________________

ATTY. ______________REG. NO. _________COUNSEL FOR PRIVATE RESPONDENTSDATE: __________________________PLACE:__________

___________________REG NO.____________________________DATE:______________________________PLACE: __________

Copy of the petition for certiorari was served to the name above mentioned parties as evidence by the registered mail indicated opposite in their names.

I am executing this affidavit of service to attest to the truth of the foregoing facts and for any legal purposes it may serve.

IN WITNESS WHEREOF I have hereunto affixed my signature this ________________ in _____________________.

_______________

SUBSCRIBED AND SWORN to before me this _________________ at _______________________, affiant exhibited to me his Valid ID No. _______________ with validity until ___________________.