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REPUBLIC OF THE PHILIPPINES )

CALOOCAN CITY, METRO-MANILA )


S.S.

AFFIDAVIT OF CANCELLATION WITH


NO FINANCIAL OBLIGATION

I, xxxxxxxxxxxxxxxxxxxx, of
legal age, Filipino, married, and with
residence and postal address at No.
xxxAlgeciras Street, Sampaloc, Manila,
after having been sworn to in
accordance with law, hereby depose
and say:

1. That I am the registered sole


proprietor of business under the
name xxxxxxxxxxxxxxxxxxxx, with
business address at No. xxxx Prelaya ,
Tugatog, Malabon City, Metro-Manila;

2. That my aforesaid business is


registered with the DTI on September
15, 2010;

3. That the main purpose of my


said business is software
development and services;

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4. That my aforesaid business has
no existing financial obligation of any
kind or whatsoever;

5. That although said business


name was registered with the DTI on
September 15, 2010, I was not able to
start its business operation up to this
time because I was reprimanded by
my present employer, the HSBC,
because of conflict of interest ;

5. That this affidavit is executed to


attest to the truth of all the foregoing
facts and to support my request with
the DTI to cancel said business name.

IN WITNESS WHEREOF, I have


hereunto affix my signature this 10th
day of November 2010 at Caloocan
City, Metro-Manila.

xxxx
xxxxxxxxxxx

Affiant
PRC
I.D. No. xxxxxxxxxxxxxxxx
presented

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Subscribed and Sworn to before
me this 10th day of November 2010
at Caloocan City, Metro-Manila,
affiant exhibiting to me her PRC I.D.
Card as competent evidence of her
identity and signed in her personal
capacity as the affiant hereof in my
presence and took and oath of
affirmation before me.
Doc. No. ______ ;
Page No. ______ ;
Book No. XLIII ;
Series of 2010.

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