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VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING
REPUBLIC OF THE PHILIPPINES )
Province of Leyte ) S.S.
Municipality of Villaba )
x-----------------------x

We, FELIX LUCERO, JR. and BENJAMIN S. LUCERO, both of legal age, Filipinos,
married, and residents of Olongapo City, Philippines, after being sworn in accordance with law,
hereby depose and say:

That we are the Protestants in the above Protest against JAMES HARP that we filed with
the Department of Environment and Natural Resources (DENR); That we have caused the
preparation of the above Protest and we have read the same and knows the contents thereof; That
the allegations contained therein are true and correct of my own personal knowledge.

That we further certify that: (a) we have not theretofore commenced any other action or
proceeding or filed any claim involving the same issues or matter in any court, tribunal, or quasi-
judicial agency and, to the best of my knowledge, no such action or proceeding is pending therein;
(c) if we should thereafter learn that the same or similar action or proceeding has been filed or is
pending before the Supreme Court, the Court of Appeals, or any other tribunal or quasi-judicial
agency, we undertake to report such fact within five (5) days therefrom to the court or agency wherein
the original pleading and sworn certification contemplated herein have been filed.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________ at


_____________, Philippines.

FELIX LUCERO, JR. BENJAMIN S. LUCERO


AFFIANT AFFIANT
ID No. _______________ ID No. _______________
Issued on: ____________ Issued on: ____________
Issued at: _____________ Issued at: _____________

SUBSCRIBED AND SWORN to before me, this _____________, by _____________


who exhibited to me their Competent Evidence of Identity as indicated above

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______;

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