1) The document is an affidavit from an individual applying for a permit, registration, certification, or environmental compliance certificate according to relevant laws and regulations.
2) The applicant acknowledges their duties and responsibilities under the application and accepts liability for any damages or incidents during operations.
3) The applicant attests that all information, documents, and records submitted are true, accurate, and genuine, and accepts liability for any misrepresentations.
1) The document is an affidavit from an individual applying for a permit, registration, certification, or environmental compliance certificate according to relevant laws and regulations.
2) The applicant acknowledges their duties and responsibilities under the application and accepts liability for any damages or incidents during operations.
3) The applicant attests that all information, documents, and records submitted are true, accurate, and genuine, and accepts liability for any misrepresentations.
1) The document is an affidavit from an individual applying for a permit, registration, certification, or environmental compliance certificate according to relevant laws and regulations.
2) The applicant acknowledges their duties and responsibilities under the application and accepts liability for any damages or incidents during operations.
3) The applicant attests that all information, documents, and records submitted are true, accurate, and genuine, and accepts liability for any misrepresentations.
I, ___________________________________________________ of legal age,
sing/married, residing at _________________________________________, after being sworn in accordance with law, depose and say that:
1. I am an applicant for (state the permit, registration, certification,
ECC being applied for) pursuant to (cite the relevant section no./provision of applicable RA, DAO or IRR);
(if the applicant is a re presentative of the company or partnership
or a juridical entity, the applicant should state that he has been granted the authority to apply for such document)
2. I am aware and understand all the duties, responsibilities and
accountability to be imposed upon me and (my company) by such application and as such will be liable for all the damages incurred and for any untoward incident during its actual operation;
3. I attest to the truth, accuracy and genuineness of all the
information, documents and records contained and attached to this application and that I (and my company) shall be liable for any misrepresentation, fraudulent declaration and all its consequences;
4. That the vehicle(s) are solely/exclusively use in transporting
hazardous wastes; and
5. I am executing this affidavit as a proof of good faith in complying
with the requirements for securing the abovementioned (permit, registration, certificate, ECC).
IN WITNESS WHEREOF, I have hereunto set my hand this _______day
of ___________________ 20__ in ______________________.
____________________________ Signature over printed name of affiant
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