REPUBLIC OF THE PHILIPPINES
NATIONAL IRRIGATION ADMINISTRATION
REGION IX
ZAMBASULTA REGIONAL SUB-OFFICE
October 25, 2021
FOR 4 MANUEL L. RANESES
Regional Manager
NIA, Region IX
THRU ALBINE DAVE V. JUBILADO
‘AFD, Div. Manager
FROM : ROBERT BERNIL. RADA II
‘Acting Manager
SUBJECT : REQUESTING AUTHORITY TO SIGN
In view of the above subject, may | respectfully request an authority to sign a sworn statement of
accountability of the proponent in behalf of the National Irrigation Administration, this is one of the
DENR-EMB requirements in application for Certificate of Non-Coverage for the proposed Capisan
Small Irrigation Project located at Barangay Dulian, Zamboanga City. (Please see attached
documents)
Thank you. =
‘Rosé | L RADA Il
Fp
R |Approval:
AusitaDo
‘AFD, Div. Manager
Regional Manager
Gov. Ramos Ave, Sta, Maria, Zamboanga City, Zamboanga del Sur, 7000, Philippines
“Telephone No. (052) 061 108%
Wobaie: san 23-079 ia.g0v Di + Facebook: www facebook comMNIAZAMBASULTAR:
Emel Address, 05. ocyahos som « TN. 000 816 418 111
0SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT
I, ROBERT BERNI L. RADA II as MANAGING HEAD representing NATIONAL
IRRIGATION ADMINISTRATION in the CNC Application for the proposed CAPISAN
SMALL IRRIGATION PROJECT located at SITIO BANDERA, BARANGAY DULIAN,
ZAMBOANGA CITY ZAMBOANGA CITY, ZAMBOANGA DEL SUR, R09, under oath
state the following:
a, That I caused the preparation of the above CNC Application with Reference
No, E616SEF6-47C6-42EA-BE84-B583EB43F6F8, the contents of which I have
read and understood; all the information and commitments stated in the said
CNC Application are true and correct they being based on my personal
knowledge as well as based on authentic documents and records in my
possession;
b.That should I learn of any information which would make this CNC application
inaccurate and/ or false, I shall immediately bring the said information to the
attention of DENR- EMB within five (5) days from knowledge hereof;
c. That I further certify that no DENR- EMB personnel was directly involved in
the preparation of this CNC Application other than to provide procedural and
technical advice consistent with the guidelines in P.D. 1586 and its existing rules
and regulations;
4. That I hereby bind myself to be liable to answer to any corresponding penalty,
whether administrative, criminal, and/ or civil, that may be imposed arising from
any misrepresentation and/ or failure to state material information in this CNC
Application
IN WITNESS WHEREOF , | hereby affixed my signature on this day of
rein 5
ROBERT BERNI L. RADA I
Managing Head
SUBSCRIBED AND SWORN TO before me this day of
201__ affiant exhibiting his/her Community Tax Certificate No.
issued at on :
Doe. No.
Page No.
Book No.
Series of,