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! I hereby certify that the information provided above are true and correct.
__________________________________
Name and Signature
Head of the Organization
__________________________________
Date
NOTE: Submit this application form together with your Letter of Intent (LOI) to helpdesk@i.gov.ph. Both documents should
be in PDF or JPEG format. Please wait for an email notification from iGovPhil Help Desk regarding your application. The
notice will be emailed to the main technical contact person you indicated in this form.
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