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 JUDGE

REG. NO: ________

REGIONAL TRIAL COURT

DATE : __________

BRANCH __

PLACE: __________

___________________
ATTY. ______________

REG.

NO.

_________
COUNSEL FOR PRIVATE RESPONDENTS

DATE:

_______
___________________

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 ___________________.