ANNEX “A” REPUBLIC OF THE PHILIPPINES) CITY OF PASIQciiy, )S-S. AFFIDAVIT OF NO CHANGE OF INFORMATION 1, ANTONIO Y. TAN, of legal age, Filipino, and a resident of 1919-B Amang. Rodriguez Sr. Ave., Rosario, Pasig City, Philippines, after being duly sworn, depose and say: 1. Tam the Managing Director (Applicant) of WorldStream Inc. with principal place of business at 1408 East Bank Rd., Brgy. Sta. Lucia, Pasig City, Metro Manila, Philippines; 2. In connection with the application of WorldStream Inc. for the RENEWAL of its BOC accreditation as Importer, I hereby state and inform that there are no changes in the following information that I previously declared in support of its application for accreditation, viz: a. The designated authorized signatories in the import entries; and b. Business name, business ownership, office address, warehouse/storage address, responsible officers, line of business, contact numbers, email address, importable items and designated signatories in the import entries; 3. L hereby state that WorldStream Inc. has a valid Mayor's Permit as well as financial capacity to import goods; 4. I am executing this affidavit to attest to the truthfulness of the foregoing statement, and for whatever legal purposes it may serve; 5, 1 further I certify under penalty of perjury and other related criminal offenses that this Affidavit of No Change of Information is true and correct, and that the Bureau of Customs (BOC) has the power/authority to deny the Application for Accreditation of WorldStream Inc, or cancel/revoke the same if granted, should any of the foregoing facts be found to be false and incorrect. y aD IN WITNESS WHERE TY have hereunto set 7 hapd aan 62 of _—______ 2020, in City, Philippines. SUBSCRIBED AND SWORN to before me this __ day PAN 16 Boo ae mq PASe CTF: Philippines, affiant exhibiting to me his Driver's License No. D-09- 83-00-7429, and known to me to be the same person who executed the foregoing affidavit, and I have personally examined the affiant and I was convinced that s/he voluntarily understood the contents thereof. Administering DOC. NO.. PAGE NO.. aN : 3K NO. ak 26 Ware 18,208 Snes OP Cpe “AD conte Saar ting, Saran Pasi OF