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Republic of the Philippines)

__________________ s.s.

AFFIDAVIT OF COMPLIANCE

I, ______________________________, of legal age, Filipino citizen and resident of


_____________________________________________, after having been duly sworn to in
accordance with law, do hereby depose and state:
That I am the registered Owner of _________________________________________
With office/plant/warehouse address at ___________________________________________
___________________________________________________;
That, I am applying for accreditation as ___________________________________
______________________ with the Land Transportation Office (LTO);
That I attest to the full compliance for accreditation with all the requirements, rules
and procedures for accreditation;
Should there be changes in the requirements, I am bound to submit the applicable
and/or additional documents, in compliance.
Further, affiant sayeth none.

INWITNESS WHEREOF, I have hereunto affixed my signature this ______day of


________________________.

__________________________
Affiant

ACKNOWLEDGMENT
Subscribed and sworn to me before this ______ day of ____________ 2013, affiant
exhibiting to me his/her Residence Certificate No. _________________ issued at
_____________________ on ___________________.

Doc.No. ____________
Page No. ___________
Book No. ___________
Series of ___________

NOTARY PUBLIC

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