Petitioner,
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PETITION
PRAYER
5. Should I thereafter learn of any similar case pending before any other
court, tribunal or quasi-judicial agency, I shall promptly notify this court
within five (5) days from discovery.
____________________________
(Name of the Petitioner)
JURAT
SUBSCRIBED AND SWORN to before me in the _________ on this day of
_________ 20___, affiant exhibiting before me her/his (Government-
issued Identification Card No. ) issued on _________ in ___________.
NOTARY PUBLIC