REPUBLIC OF THE PHILIPPINES}

__________________________ } S.S.

AFFIDAVIT OF CHANGE BUSINESS NAME

I, __________________________, of legal age, Filipino citizen, married

and with residence at _____________________________, on oath, states:

1. I was issued by the Department of Trade and Industry a certificate of

Business Name Registration under the name __________________
which was issued last ____________, in _________________,
Philippines.

2. I renewed my registration with the Department of Trade and Industry

under the name ______________________ last ________________ in
________________, Philippines.

3. Under number ____________, __________________ issued by the

Department of Trade and Industry entitled Business Names that Cannot
be Registered, it states that “Special and number characters (i.e., @. *,
1,2,3, and 4, among others) should not form part of the BN;”

4. In compliance with the abovementioned provision, the Affiant deemed it fit

to change the Business Name.

5. __________________ and _____________________ are one and the

same business and is registered under my name.

6. I am now executing this affidavit to attest to the veracity of the foregoing

narration for all legal intents and purposes it may serve.

IN WITNESS, I have hereunto set my hand this ______________, in the

_____________________, Philippines.

_______________________
Affiant

SUBSCRIBED AND SWORN to before me, in the City of

______________, Philippines, this _______ day of ______________, as he/she
presented to me her Professional Regulation Commission Identification Card
registration number _____________, valid until ______________, that she is the
same person who personally signed the foregoing affidavit before me and
acknowledged that she executed the same.

Doc No._______
Book No.______
Page No.______
Series of 20___

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