DOE FORM – UNDERTAKING

Effective as of December 13, 2017

AFFIDAVIT OF UNDERTAKING

I/We, MELANIE M. SARONA with residential address at

(NAME)

CIUDAD DE ESPERANZA , BUHANGIN, DAVAO CITY under oath, hereby depose

(ADDRESS)

and state THAT;

1. I am the authorized representative of VNT TRADE AND SUPPLY, INC. , with

Business
(BUSINESS NAME)

Permit No. and/or Department of Trade and Industry (DTI)

Registration No. _ _ _ _ _ _ _ _ _ _ _ _ _ , and office a d d r e s

s at Unit 142 14th Floor, Columbia Tower, Ortigas Ave., Brgy. Wack-wack,

Greenhills, Mandaluyong City 1555;

(BUSINESS ADDRESS)

2. Pursuant to Section 6(b) of Department Circular No. 2017-11-0011, otherwise

known as the “Revised Retail Rules,” I hereby commit to comply with all the requirements
provided for by said circular for a Certificate of Compliance (COC);

3. I likewise UNDERTAKE and ASSUME full and complete responsibility for all
consequences which may arise in connection with said registration/application; and

4. I am executing this affidavit in compliance with the requirements for the

issuance of Certificate of Compliance (COC) pursuant to the said department circular.

IN WITNESS WHEREOF, I/We hereby set my/our hand/s this of day

in .

MELANIE M. SARONA
Affiant

SUBSCRIBED AND SWORN to before me this day of

At . Affiant having exhibited to me his/her

(GOVERNMENT ID)

issued at on .

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