Professional Documents
Culture Documents
Province: DAVAO ORIENTAL Date & Time Accomplished: Jul 15, 2021 12:38 PM
Innovation/s ( 5.00 )
I declare underoath that everything indicated in this form is true, correct and complete statement pursuant to the
provisions of pertinent laws, rules and regulations of the Republic of the Philippines. I authorized the agency
head/authorized representative to verify/validate the contents stated herein. I agree that any misrepresentation
made in this document and its attachments shall cause the filing of administrative/criminal case/s