Republic of the Philippines………….

)
Province of ________________)s.s.
City/ Municipality of ____________)
x------------------------- --x

VERIFICATION

I, ELESIO S. ENDRIGA , of legal age, Filipino, married, and a

resident of Barangay Manipongol, Municipality of Maco, Compostela
Valley, Philippines, after having been duly sworn to in accordance with
law, hereby depose and state, THAT:

1. I am the Appellant in the above-entitled Appeal;

2. I caused the preparation and filing of the instant Appeal

Memorandum;

3. I have read the contents thereof and all the facts and averments
alleged therein are true and correct on my personal knowledge, belief and
based on authentic records in my possession.

I hereby affixed my signature this _____ day of ___________ at

_______________________.

Affiant
ELESIO S. ENDRIGA

SUBSCRIBED AND SWORN to before me this ______ day of

____________ at ____________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2018