Scribd
Upload
134 views1 page

Notarized Affidavit for Permit Application

This affidavit serves as an application for a permit, registration, certification, or environmental compliance certificate. The applicant attests to the truth and accuracy of the information provided, acknowledges responsibility for any damages or incidents, and agrees to comply with the requirements to secure the requested document. The applicant signs the affidavit to demonstrate good faith in the application process.

Uploaded by

Benigno Ramirez Dormile
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
134 views1 page

Notarized Affidavit for Permit Application

This affidavit serves as an application for a permit, registration, certification, or environmental compliance certificate. The applicant attests to the truth and accuracy of the information provided, acknowledges responsibility for any damages or incidents, and agrees to comply with the requirements to secure the requested document. The applicant signs the affidavit to demonstrate good faith in the application process.

Uploaded by

Benigno Ramirez Dormile
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AFFIDAVIT (to be duly notarized) REPUBLIC OF THE PHILIPPINES ) s.s.

_________________________________) I, ___________________________________________________ of legal age, sing/married, residing at _________________________________________, after being sworn in accordance with law, depose and say that: 1. I am an applicant for (state the permit, registration, certification, ECC being applied for) pursuant to (cite the relevant section no./provision of applicable RA, DAO or IRR); (if the applicant is a re presentative of the company or partnership or a juridical entity, the applicant should state that he has been granted the authority to apply for such document) 2. I am aware and understand all the duties, responsibilities and accountability to be imposed upon me and (my company) by such application and as such will be liable for all the damages incurred and for any untoward incident during its actual operation; 3. I attest to the truth, accuracy and genuineness of all the information, documents and records contained and attached to this application and that I (and my company) shall be liable for any misrepresentation, fraudulent declaration and all its consequences; 4. I am executing this affidavit as a proof of good faith in complying with the requirements for securing the abovementioned (permit, registration, certificate, ECC). IN WITNESS WHEREOF, I have hereunto set my hand this _______day of ___________________ 20__ in ______________________.

____________________________ Signature over printed name of affiant

for TSD**

You might also like