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Republic of the Philippines )

City of ______ ) S.S.



I, _________________, of legal age, Filipino citizen, and

presently residing at _____________________, after having been duly
sworn to in accordance with law, dohereby depose and say:

1. That 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. That said corporation was incorporated on (state date of incorporation) with

SEC Registration Number (state SEC registration number).

3. That to date, the corporation has not commenced operations due to (state
reason/s for non-operation).

4. That The stockholders and directors of the corporation intend to commence

operations in the future.

5. That 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 have hereunto set my hand this ____ day

of _______ 2014 at ______________, Philippines.


SUBSCRIBED AND SWORN to before me this ____ day of ______

2014 in _________, Philippines, affiant exhibiting to me his/her
competent evidence of identity by way of _______________ issued at
___________ on ________________.

Doc No. : _____

Page No.: ______
Book No.: ______
Series of 2014 Notary Public