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AFFIDAVIT OF DESIGNATED REPRESENTATIVE OF

THE PROPONENT

I, ____Joseph Alain Azagra __, hereby designate ___Samuel Lovendino____, as my official


representative on ___Eco Cycen Corporation (Goa Breeder Farm)____ with respect to the filing of
Compliance Monitoring Report (CMR) in accordance with Section 19 (a) of the Revised Procedural Manual
for DENR Administrative Order No. 30, Series of 2003 and to confirm THAT:

1. All the information and commitments in this Compliance Monitoring Report (CMR) dated
March 30, 2021 for the Eco Cycen Corporation (Goa Breeder Farm)_____ with ECC
Ref. No. ______________ECC-OL-RO5-2019-0210__________________ are accurate and
complete to the best of our knowledge and documents available on file;

2. No DENR-EMB personnel was directly involved in the preparation of this Compliance


Monitoring Report (CMR); and

3. I hereby bind myself to answer any penalty that may be imposed arising from any
misrepresentation or failure to state material information in this CMR REPORT;

This designation will remain in effect until revoked by written notice.

IN WITNESS WHEREOF, I hereby set my hand this _____ day of ________________ at


_____________________________________.

Engr. Joseph Alain Azagra_____


NAME OF PROPONENT HEAD
Operation Manager/Managing Head
Eco Cycen Corporation

CONFORME:

Samuel Lovendino
Name of Representative
1002-5372-7874

SUBSCRIBED AND SWORN to before me this _____ day of _____________________, Affiant


exhibited to me his/her respective official identifying documents as stated above which are competent
evidence of identity.

Doc. No._______
Page No._______
Book No._______
Series of _______

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