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PLAf-09
We, Rizalina M. Pangan & Corazon T. Dela Torre, of legal ages, Filipino, & Filipino, Married, & Married and residing at 817 Lanao St. Insular Village, Lanang Davao City & B 1 L 15 Doa Manuela Subd.Toril Dvo.City , and employed as School President & Head, Laboratory Department , respectively, by Davao Doctors College Gen. Malvar St., Davao City , after having been duly sworn in accordance with the law, hereby depose and say: That, Davao Doctors College is an applicant for Precursor & Essential Chemical License
to handle the following controlled chemical/s % or its mixtures with prior approval from the Philippines Drug Enforcement Agency.
Name of Controlled Chemicals, its mixture & its concentration Acetone 99.8% Hydrochloric acid 95% Sulfuric acid 95% Toluene 70% Acetic Anhydride 98%
That, we, in behalf of the company, by virtue of this affidavit hereby binds ourselves to all the provisions of Republic Act 9165, otherwise known as the Comprehensive Dangerous Drugs Act of 2002, and other implementing rules and regulations and assuring that such law and regulations shall be faithfully complied with; That, we are executing this affidavit to attest the truth of the foregoing facts, for whatever legal intent and purpose it may serve. IN WITNESS HEREOF, we have hereunto set our hands this _________ day of ___________, 200_________ at____________, Philippines. RIZALINA M. PANGAN M.D. Affiant ( President / CEO ) CORAZON T. DELA TORRE DM Affiant (PDEA Registered Signatory)
SUBSCRIBED AND SWORN to before me this ____________________ day of _____ __,200__ _at__________ _____,Philippines. Affiants personally exhibiting their Community Tax Certificate Nos. 14028939 &___14030350 issued on January 7, 2010 & Jan. 8, 2010 at Davao City & Davao City , respectively.
Doc. No. _____________ Page No. _____________ Book No. _____________ Series of _____________
NOTARY PUBLIC
October 13, 2010 The Director General Philippine Drug Enforcement Agency Natl Govt Center, Diliman, Quezon City
Subject: Letter of Authorization Dear Sir: As the head of the company / establishment, I hereby delegate my authority to handle precursors and essential chemicals for the company to Davao Doctors College, General Malvar St. Davao City. As such, Corazon T. Dela Torre is authorized to sign for and in behalf of the company in matters / transactions pertaining to Use for laboratory purposes of controlled chemicals. Likewise Corazon T. Dela Torre will be responsible for its monitoring / safekeeping, recording, and reporting to the Compliance Service, Philippine Drug Enforcement Agency. In relation, enclosed herewith are the picture, specimen signature, joint affidavit, NBI Clearance, and TIN of Rizalina M. Pangan and Corazon T. Dela Torre.