AFFIDAVIT OF UNDERTAKING

I, Filipino, of legal age and with office address at Quezon City, after being sworn to in
accordance with law, depose and say that:

1. I am the president of with office address at Quezon City, hereinafter referred to

as the “Company”.

2. The company is applying a Business Permit and License with the Quezon City
Business Permits and Licensing Department;

1. Upon application however, it was found out that the undersigned still have the
below listed permit numbers and addresses subject for closure/renewal:
a.

3. The undersigned hereby undertake to submit and secure the closure/renewal of

the aforementioned business permits and pay all obligations within thirty (30)
and humbly request to continue

4. I am executing this affidavit of undertaking in support of our request to continue

the for the registration of Business Renewal/Closure of the above-listed permits
and for whatever legal purpose the same it may serve.

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ____ in Quezon City, affiant
having exhibited to me his government issued ID bearing _______________________ issued by the
_______________________ and valid until ______.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of ____: