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VERIFICATION

Republic of the Philippines )


City of _______________ ) s.s.

C.K. Hilfiger, after having been duly sworn in accordance with law, deposes
and states that:
1. He is the plaintiff in the pleading/document entitled (pleading/document
being verified)
2. He has caused its preparation
3. He has read it and the allegations therein are true and correct of his own
knowledge or based on authentic records.

(Sgd.) C.K. HILFIGER

PLUS: Jurat

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