ࡱ> ?A>A bjbj 8$hh   8,&!44444hhh  $"%Z hhhhh 444 ^^^h^44 ^h ^^:,Q4)f@|  0&!R%B%Q%Q@hh^hhhhh *4hhh&!hhhh%hhhhhhhhh X f: 4OMNIBUS UNDERTAKING (SWORN AFFIDAVIT) REPUBLIC OF THE PHILIPPINES) CITY OF ___________________ ) S.S. A F F I D A V I T I, (Name of proponent/authorized signing official for corporation) of legal age, Filipino, single/married, with residence and postal address at ___________________________ __________________________________, after having been duly sworn in accordance with law, hereby depose and say that: I am the ___(Position/Title)_______ of (Name of Company) an entity engaged in the business of (Nature of Business), with principal office and business address at ______(Postal Address)________. I signify my interest to apply to lease from the ֦Ƶ the (land/building) property containing (area size) sq.m. area located at (Block No. and Lot No.) at the port of (name of port) for (number of months/year) for the purpose of (purpose of lease). I/the (Name of proponent/authorized signing official for corporation) am attesting that I am responsible for: having taken steps to comply and secure all the permits from the local government units and other government agencies necessary for the lease application and to conduct business at the port; having determined and acknowledged all matters pertaining to the PPA real estate management rules and regulations; having basic knowledge of all applicable laws, decrees and ordinances, rules and regulations thereof; having fully read the information supplied in the application form and any false or misleading information provided therein shall be a ground for the cancellation of the lease contract issued, without prejudice to the filing of appropriate administrative. I hereby authorize the PPA duly authorized official/employee to verify the statements documents information submitted herewith to substantiate my application to lease. I hereby hold PPA free from all liens, encumbrances and liabilities resulting from non-compliance therewith. I am executing this affidavit to attest the truth of the foregoing statements and as a requirement of the lease application. IN WITNESS WHEREOF, I have unto affixed my signature on this ______ day of 20___ in the City of ______________. _____________________________ (Name and Signature of Affiant) SUBSCRIBED AND SWORN to before me this ______ day of ________. ________________________ (Notary Public) Doc. 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