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Republic of the Philippines) ________________ )S.S.

AFFIDAVIT OF NON-OPERATION

I, (state name), of legal age, a Filipino citizen and a resident of (state address) under oath, hereby depose and state:

1. I am the (state position in corporation) of (state name of corporation), a


corporation duly organization under the laws of the Philippines with principal office at (state office address).

2. The said corporation was incorporated on (state date of incorporation) with SEC
Registration Number (state SEC registration number).

3. To date, the corporation has not commenced operations due to (state reason/s
for non-operation). 4. The stockholders and directors of the corporation intend to commence operations in the future.

5. I am executing this affidavit in order to attest to the truth of the foregoing and for
the purpose of complying with the reportorial requirements of the Securities and Exchange Commission. IN WITNESS WHEREOF, I set my hand this (state date) at (state place). Affiant SUBSCRIBED AND SWORN TO before me on (state date) at (state place), affiant exhibiting to me his/her Community Tax Certificate No. (state CTC number) issued at (state place of issue) on (state date of issue). Notary Public Doc. No. _____; Page No. _____; Book No. _____; Series of ______.

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