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
!. I am the (state position in corporation) of (state name of corporation), a
corporation duly organization under the la"s of the Philippines "ith principal
office at (state office address).
#. $he said corporation "as incorporated on (state date of incorporation) "ith S%&
Registration 'umber (state S%& registration number).
(. $o date, the corporation has not commenced operations due to (state reason)s
for non*operation).
+. $he stoc,holders and directors of the corporation intend to commence operations
in the future.
-. I am e.ecuting this affida/it in order to attest to the truth of the foregoing and for
the purpose of complying "ith the reportorial re0uirements of the Securities and
%.change &ommission.
I' 1I$'%SS 12%R%3F, I set my hand this (state date) at (state place).
4ffiant
S56S&RI6%7 4'7 S13R' $3 before me on (state date) at (state place), affiant
e.hibiting to me his)her &ommunity $a. &ertificate 'o. (state &$& number) issued at
(state place of issue) on (state date of issue).
'otary Public
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