Affidavit of Personal Service

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REPUBLIC OF THE PHILIPPINES )

QUEZON CITY ) SS.


x---------------------------------------------x
AFFIDAVIT OF PERSONAL SERVICE

I, _____________, of legal age, (single / married / widow), and a resident of _____________,


Philippines, after having been duly sworn in accordance with law, hereby depose and say:

That I am a Secretary / Legal Aide of the law office of Atty. _____________ with office address
at _____________, Philippines;
That in my aforementioned capacity, I had personally served a copy of the _____________ in the
case entitled "_____________," docketed as _____________ Case no. _____________ (by
personal service) to the office of _____________'s Counsel of Record, ATTY. _____________,
with address at _____________ (by registered mail with return card under Registry Receipt No.
_________).

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,


Philippines

AFFIANT

(JURAT)

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