FOR LICENSE AS AN IMPORTER, MANUFACTURER,
following are the pertinent information regarding my capacity to
engage in said business:
I, __________________________, hereby declare under oath that the foregoing information are true and correct to the best of my knowledge, information and belief and the same have been given and voluntarity without any fraudulent or deceitful purpose whatsoever.
SUBSCRIBED AND SWORN BEFORE ME this day of , 20 , Affiant exhibiting to me his/her Residence Certificate No. __________ issued on_____________ 20 at Cebu City, Philippines.